Opioids are often the mainstay of postoperative pain management, despite strong evidence of their ill effects and potential for long-term addiction. The goal of this study was to quantify opioid use and contrast pain management strategies of multiple international institutions performing fibula free flap reconstruction. A retrospective multicenter cohort study was designed, including five international centers. For inclusion, the patients had to have undergone a primary fibula free flap reconstruction of the mandible. A total of 185 patients were included. The median opioid use across all centers at 72 hours was 133 oral morphine equivalents. The highest utilization was in the USA (P < 0.001), which was approximately six times that of Italy, four times that of Argentina, and twice that of India, despite all centers performing a similar procedure. Based on this study there are clear differences in prescribing practices and ideologies among surgeons from different countries.

Contrasting opioid use for pain management in microvascular head and neck reconstruction: an international study / Weyh, A. M.; Pucci, R.; Busby, E.; Kansal, L.; Joy, R.; Bunnell, A.; Valentini, V.; Dyalram, D.; Pattatheyill, A.; Figari, M.; Boccalatte, L.; Larra(~(n))aga, J.; Cassoni, A.; Fernandes, R.. - In: INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY. - ISSN 0901-5027. - (2022). [10.1016/j.ijom.2022.04.016]

Contrasting opioid use for pain management in microvascular head and neck reconstruction: an international study

R. Pucci;V. Valentini;A. Cassoni;R. Fernandes
2022

Abstract

Opioids are often the mainstay of postoperative pain management, despite strong evidence of their ill effects and potential for long-term addiction. The goal of this study was to quantify opioid use and contrast pain management strategies of multiple international institutions performing fibula free flap reconstruction. A retrospective multicenter cohort study was designed, including five international centers. For inclusion, the patients had to have undergone a primary fibula free flap reconstruction of the mandible. A total of 185 patients were included. The median opioid use across all centers at 72 hours was 133 oral morphine equivalents. The highest utilization was in the USA (P < 0.001), which was approximately six times that of Italy, four times that of Argentina, and twice that of India, despite all centers performing a similar procedure. Based on this study there are clear differences in prescribing practices and ideologies among surgeons from different countries.
2022
Analgesia; Free tissue flaps; Head and neck cancer; Microsurgery; Opioids; Pain management; Reconstructive surgical procedures
01 Pubblicazione su rivista::01a Articolo in rivista
Contrasting opioid use for pain management in microvascular head and neck reconstruction: an international study / Weyh, A. M.; Pucci, R.; Busby, E.; Kansal, L.; Joy, R.; Bunnell, A.; Valentini, V.; Dyalram, D.; Pattatheyill, A.; Figari, M.; Boccalatte, L.; Larra(~(n))aga, J.; Cassoni, A.; Fernandes, R.. - In: INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY. - ISSN 0901-5027. - (2022). [10.1016/j.ijom.2022.04.016]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1672488
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