ISSN 0975-3583
 

Journal of Cardiovascular Disease Research



    DECODING THE SIDE EFFECTS, TIMINGS, USE, AND NEED FOR OPIOID AND NON-OPIOID ANALGESICS PRESCRIBED FOLLOWING SINONASAL SURGERY


    Dr. Vidushi Badial, Dr. Rimjhim Sharma, Dr. Ajaz Ahmed Malik
    JCDR. 2023: 3512-3519

    Abstract

    In the recent past, the use of opioid analgesics post-surgery has markedly increased. This further increased the associated mortality and morbidity associated with opioid intake. Following sinonasal surgery, most of the subjects use opioids where majority used leftovers which makes the use improper. Aim: The present study aimed to assess the side effects, timings, use, and need for opioid and non-opioid analgesics prescribed following sinonasal surgery. Methods: The study assessed 140 subjects from both genders that underwent sinonasal surgery in a retrospective manner. The numeric rating scale was used to assess postoperative pain and the need for on-demand opioid and non-opioid analgesics considering the surgical parameters and demographics of the subjects. Results: Pain scores and drugs used by study subjects postoperatively, the pain scores on the day of surgery, day 1, day 2, day 3, day 4, and day 5 were 1.03±0.65, 1.12±0.52, 0.86±1.24, 0.86±1.24, 0.68±1.26, and 0.41±0.86 respectively. The number of opioids used on surgery day, day 1, day 2, day 3, day 4, and day 5 was 7.52±3.34mg, 17.3±3.52 mg, 12.65±10.35mg, 21.65±10.2 mg, 15±0 mg, and 15±0 mg respectively. Subjects who took opioids on surgery day, day 1, day 2, day 3, day 4, and day 5 were 60% (n=84), 0.71% (n=1), 1.42% (n=2), 0.71% (n=1), 0.71% (n=1), and 0.71% (n=1) subjects respectively. The subjects taking non-opioids were 91.42% (n=128), 40.71% (n=57), 34.28% (n=48), 33.57% (n=47), 21.42% (n=30), and 7.14% (n=10) study subjects respectively. Conclusion: The present study concludes that the majority of subjects need opioids on the day of surgery itself with no major complication being associated with opioid or non-opioid analgesics. The study suggests initiation of postoperative therapy with non-opioid analgesics and shifting to opioids based on individual factors.

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    Volume & Issue

    Volume 14 Issue 1

    Keywords