Acute Pain Management Following Head and Neck Surgery.
Abstract
Acute pain management following major head and neck (HN) surgery is complex. Multimodal analgesia (MMA) regimens including acetaminophen, nonsteroidal anti-inflammatory drugs, gabapentinoids, and locoregional anesthetics are safe and effective in this population (including patients undergoing HN free flap surgery). Special considerations for patients undergoing HN free flap surgery include judicious use of steroids and attention to donor site pain. Evidence for specific analgesic regimens following transoral robotic surgery is limited but should include MMA and perioperative dexamethasone. Further study is required to optimize combinations, dosages, and duration of perioperative analgesia medications, opioid and nonopioid, for patients undergoing major HN surgery.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | free flap
|
피판재건술 | dict | 2 | |
| 약물 | MMA
→ Multimodal analgesia
|
scispacy | 1 | ||
| 약물 | acetaminophen
|
C0000970
acetaminophen
|
scispacy | 1 | |
| 약물 | gabapentinoids
|
scispacy | 1 | ||
| 약물 | steroids
|
C0038317
Steroids
|
scispacy | 1 | |
| 약물 | dexamethasone
|
C0011777
dexamethasone
|
scispacy | 1 | |
| 약물 | nonsteroidal anti-inflammatory
|
scispacy | 1 | ||
| 기법 | robotic surgery
|
로봇수술 | dict | 1 | |
| 질환 | Pain
|
C0030193
Pain
|
scispacy | 1 | |
| 질환 | Acute pain
|
C0184567
Acute onset pain
|
scispacy | 1 | |
| 질환 | head and neck (
|
C0460004
Head and neck structure
|
scispacy | 1 | |
| 질환 | Head and Neck Surgery
|
scispacy | 1 | ||
| 질환 | head and neck
|
scispacy | 1 | ||
| 기타 | patients
|
scispacy | 1 | ||
| 기타 | nonopioid
|
scispacy | 1 |
MeSH Terms
Acute Pain; Analgesics, Opioid; Dexamethasone; Free Tissue Flaps; Head; Humans; Neck; Pain Management; Procedural Pain; Perioperative Care
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