Assessing the Effectiveness of Combined Analgesics for Bilateral Ramus Osteotomies

Pain management is important for alleviating patients' suffering and early recovery. Although analgesic combinations are known to be effective, a comparison of the effectiveness of different combinations has never been performed specifically for ramus osteotomy procedures. Therefore, the purpos...

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Bibliographic Details
Published in:Anesthesia progress 2020-09, Vol.67 (3), p.140-145
Main Authors: Maeda, Shigeru, Higuchi, Hitoshi, Fujimoto, Maki, Miyake, Saki, Honda-Wakasugi, Yuka, Miyawaki, Takuya
Format: Article
Language:English
Subjects:
Analgesics
Fentanyl
Humans
Mandible
Osteotomy
Retrospective Studies
Scientific Reports
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Summary:Pain management is important for alleviating patients' suffering and early recovery. Although analgesic combinations are known to be effective, a comparison of the effectiveness of different combinations has never been performed specifically for ramus osteotomy procedures. Therefore, the purpose of this observational retrospective cohort study was to identify an effective combination for pain management throughout the intraoperative and immediate postoperative period for patients undergoing bilateral ramus osteotomy procedures. Inclusion criteria consisted of patients who had undergone bilateral mandibular ramus osteotomies over a 2-year period. The analyzed predictor variables included patient gender, age, body weight, operation, anesthetic method, duration of operation, intraoperative use of fentanyl, nonsteroidal anti-inflammatory drugs (NSAIDs), and intravenous acetaminophen administered in the operating room at the end of the surgery. The outcome variable was the necessity for additional rescue analgesics (yes/no) in the recovery room. Bivariate statistics and multivariate analysis were computed with a p-value of
ISSN:0003-3006
1878-7177
DOI:10.2344/anpr-67-01-05