دورية أكاديمية

Does pregabalin act in pain control after lateral pharyngoplasties and tonsillectomies? A pilot study.

التفاصيل البيبلوغرافية
العنوان: Does pregabalin act in pain control after lateral pharyngoplasties and tonsillectomies? A pilot study.
المؤلفون: Rocha LF; Resident Physician at the Department of Otolaryngology, Head and Neck Surgery, Hospital Federal da Lagoa, Rio de Janeiro, Brazil. drlucasfrocha@gmail.com., de Figueiredo Mello L; Resident Physician at the Department of Otolaryngology, Head and Neck Surgery, Hospital Federal da Lagoa, Rio de Janeiro, Brazil., Silva DTE; Resident Physician at the Department of Otolaryngology, Head and Neck Surgery, Hospital Federal da Lagoa, Rio de Janeiro, Brazil., Ferreira NSS; Resident Physician at the Department of Otolaryngology, Head and Neck Surgery, Hospital Federal da Lagoa, Rio de Janeiro, Brazil., Salgado APF; Resident Physician at the Department of Otolaryngology, Head and Neck Surgery, Hospital Federal da Lagoa, Rio de Janeiro, Brazil., Júnior SCG; Oswaldo Cruz Foundation, Fernandes Figueira Institute, Rio de Janeiro, Brazil.
المصدر: Sleep & breathing = Schlaf & Atmung [Sleep Breath] 2023 Jun; Vol. 27 (3), pp. 1107-1110. Date of Electronic Publication: 2022 Sep 29.
نوع المنشور: Randomized Controlled Trial; Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Country of Publication: Germany NLM ID: 9804161 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1522-1709 (Electronic) Linking ISSN: 15209512 NLM ISO Abbreviation: Sleep Breath Subsets: MEDLINE
أسماء مطبوعة: Publication: 2005- : Heidelberg ; New York : Springer
Original Publication: Titisee-Neustadt, Germany : Druckbild GmbH,
مواضيع طبية MeSH: Analgesics*/therapeutic use , Tonsillectomy*/adverse effects, Humans ; Pregabalin/therapeutic use ; Pilot Projects ; Analgesics, Opioid/therapeutic use ; Dizziness/chemically induced ; Dizziness/drug therapy ; Pain, Postoperative/drug therapy ; Pain, Postoperative/etiology
مستخلص: Objective: Some studies have pointed to gabapentinoids as promising medications in postoperative pain control. The objective of the present study was to evaluate the efficacy of pregabalin in reducing postoperative pain in tonsillectomy and lateral pharyngoplasties.
Study Design: Double-blind randomized controlled trial.
Setting: Tertiary care center.
Methods: A double-blind randomized controlled trial was conducted with patients undergoing tonsillectomies and lateral pharyngoplasties between Aug 29, 2017, and Oct 31, 2020. Data of interest such as opioid consumption, pain scores, and adverse outcomes such as dizziness, nausea, headache, and sedation within 7 days following surgeries were analyzed.
Results: No statistically significant difference was observed in pain scores and opioid consumption between the groups studied in the pilot project. The use of pregabalin was associated with lower incidence of dizziness compared to controls.
Conclusion: Gabapentinoids, especially pregabalin, are drugs whose potential for controlling pain after pharyngeal surgery, such as tonsillectomy and sleep apnea surgery, still needs to be more fully evaluated. After the conclusion of the present study, we hope to answer this question about the role of pregabalin in oropharyngeal surgeries.
(© 2022. The Author(s), under exclusive licence to Springer Nature Switzerland AG.)
References: Hwang SH, Park IJ, Cho YJ, Jeong YM, Kang JM (2016) The efficacy of gabapentin/pregabalin in improving pain after tonsillectomy: a meta-analysis. Laryngoscope 126(2):357–366. (PMID: 10.1002/lary.2563626404562)
Mathiesen O, Jorgensen DG, Hilsted KL et al (2011) Pregabalin and dexamethasone improves post-operative pain treatment after tonsillectomy. Acta Anaesthesiol Scand 55:297–305. (PMID: 10.1111/j.1399-6576.2010.02389.x21288210)
Salonen A, Kokki H, Nuutinen J (2002) Recovery after tonsillectomy in adults: a three-week follow-up study. Laryngoscope 112:94–98. (PMID: 10.1097/00005537-200201000-0001711802045)
Waxman JA, Shenouda KG, Lin H-S (2020) Assessment and management of postoperative pain associated with sleep apnea surgery. OtolaryngolClin North Am 53(5):765–777. (PMID: 10.1016/j.otc.2020.05.006)
Jeon EJ, Park YS, Park SS, Lee SK, Kim DH (2009) The effectiveness of gabapentin on post-tonsillectomy pain control. Eur Arch Otorhinolaryngol 266:1605–1609. (PMID: 10.1007/s00405-008-0897-019099314)
Field MJ, Hughes J, Singh L (2000) Further evidence for the role of the alpha(2)-delta subunit of voltage dependent calcium channels in models of neuropathic pain. Br J Pharmacol 131:282–286. (PMID: 10.1038/sj.bjp.0703604109919211572334)
Kehlet H (1997) Multimodal approach to control postoperative pathophysiology and rehabilitation. Br J Anaesth 78(5):606–617. (PMID: 10.1093/bja/78.5.6069175983)
Gan TJ (2017) Poorly controlled postoperative pain: prevalence, consequences, and prevention. J Pain Res 10:2287–2298. (PMID: 10.2147/JPR.S144066290263315626380)
Manchikanti L, Standford H, Hellows B (2012) Opioid epidemic in the United States. Pain Physician 5:ES9eES38.
Murphey AW, Munawar S, Nguyen SA et al (2019) Opioid prescribing patterns within otolaryngology. World J Otorhinolaryngol Head Neck Surg 5(2):112–116. (PMID: 10.1016/j.wjorl.2019.03.004313344906617226)
Levy B, Paulozzi L, Mack KA, Jones CM (2015) Trends in opioid analgesic-prescribing rates by specialty, US, 2007–2012. Am J Prev Med 49:409e413. (PMID: 10.1016/j.amepre.2015.02.020)
Werner MU, Perkins FM, Holte K et al (2001) Effects of gabapentin in acute inflammatory pain in humans. RegAnesth Pain Med 26:322–328.
Mikkelsen S, Hilsted KL, Andersen PJ, Hjortso NC, Enggaard TP et al (2006) The effect of gabapentin on post-operative pain following tonsillectomy in adults. Acta AnaesthesiolScand 50:809–815. (PMID: 10.1111/j.1399-6576.2006.01057.x)
Baugh R, Burke B, Fink B et al (2013) Safety of outpatient surgery for obstructive sleep apnea. Otolaryngol Head Neck Surg 148(5):867–872. (PMID: 10.1177/019459981347977623449781)
Park IJ, Kim G, Ko G, Lee YJ, Hwang SH (2016) Does preoperative administration of gabapentin/pregabalin improve postoperative nasal surgery pain? Laryngoscope 126(10):2232–2241. (PMID: 10.1002/lary.2595126925956)
فهرسة مساهمة: Keywords: Pain; Postoperative; Pregabalin; Tonsillectomy
المشرفين على المادة: 55JG375S6M (Pregabalin)
0 (Analgesics)
0 (Analgesics, Opioid)
تواريخ الأحداث: Date Created: 20220928 Date Completed: 20230531 Latest Revision: 20230531
رمز التحديث: 20230531
DOI: 10.1007/s11325-022-02715-x
PMID: 36171512
قاعدة البيانات: MEDLINE
الوصف
تدمد:1522-1709
DOI:10.1007/s11325-022-02715-x