Pain Management for the Otolaryngologist An Issue of Otolaryngologic Clinics of North America

1st Edition, Volume 53-5 - September 9, 2020
Editors: Anna.A Pashkova, Peter.F Svider, Jean Anderson Eloy
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 7 3 3 0 3 - 8
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 7 3 3 0 4 - 5

This issue of Otolaryngologic Clinics, Guest Edited by Drs. Anna A. Pashkova, Peter F. Svider, and Jean Anderson Eloy, is devoted to Pain Management for the Otolaryngologist. This… Read more

Pain Management for the Otolaryngologist An Issue of Otolaryngologic Clinics of North America

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This issue of Otolaryngologic Clinics, Guest Edited by Drs. Anna A. Pashkova, Peter F. Svider, and Jean Anderson Eloy, is devoted to Pain Management for the Otolaryngologist. This issue is one of six selected each year by our series Consulting Editor, Sujana S. Chandrasekhar. Articles in this important issue include: Overview of Pain Management for the Otolaryngologist; Pre-Operative Optimization; Local Blocks and Regional Anesthesia in the Head and Neck; Acute Pain Management following Head and Neck Surgery; Acute Pain Management following Sleep Surgery; Perioperative Analgesia for Thyroid and Parathyroid Surgery; Perioperative Analgesia for Sinus Surgery; Perioperative Analgesia following Otologic Surgery; Acute Pain Management following Facial Plastic Surgery; Perioperative Analgesia for Pediatric Patients Undergoing Otolaryngologic Procedures; Non-Opioid Adjuncts and Alternatives; Postoperative Analgesia in the Chronic Pain Patient; Non-Enteral Pain Management; Chronic Pain Management in the Head and Neck Patient; Controlled Substance Agreements; Pain Psychology; Sinus Headache; and Quality Improvement in Pain Medicine.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Foreword
Preface
Introduction: Opioid Analgesia: A Patient Perspective
Key points
Pain Management for the Otolaryngologist: Overview of Perioperative Analgesia and Introduction to Opioids
Key points
Overview
Summary
Preoperative Optimization for Perioperative Analgesia
Key points
Introduction
Summary
Local Blocks and Regional Anesthesia in the Head and Neck
Key points
Introduction
Local anesthetic blocks
Lower third facial blocks
Neck regional blocks
Potential complications of local and regional blocks
Summary
Acute Pain Management Following Head and Neck Surgery
Key points
Introduction
Nonopioid analgesics
Multimodal analgesia and enhanced recovery after surgery
Procedure-specific recommendations
Summary and clinical recommendations
Assessment and Management of Postoperative Pain Associated with Sleep Apnea Surgery
Key points
Introduction
Assessment of postoperative pain
Nonopioid treatment of postoperative pain
Opioid treatment of postoperative pain
Nonpharmacologic treatment of postoperative pain
Discussion
Summary
Perioperative Analgesia for Thyroid and Parathyroid Surgery: A Review of Current Practices
Key points
Introduction
Perioperative and multimodal analgesia
Intraoperative techniques and agents
Discussion
Summary
Perioperative Analgesia for Sinus and Skull-Base Surgery
Key points
Introduction
Opioid crisis
Preoperative pain management
Screening for abuse
Recommended opioids
Nonopioid alternatives in sinus surgery
Nontraditional pain management
Nonopioid alternatives in skull-base surgery
Special populations
Summary
Perioperative Pain Management Following Otologic Surgery
Key points
Overview
Preoperative counseling
Myringotomy tubes
Middle ear and mastoid surgery
Microtia repair
Skull base surgery
Summary
Acute Pain Management Following Facial Plastic Surgery
Key points
Introduction
Summary
Perioperative Analgesia in Pediatric Patients Undergoing Otolaryngologic Surgery
Key points
Introduction
Methods of pediatric pain assessment
Surgery specific recommendations
Adjunct therapies
Summary
Nonopioid Adjuncts and Alternatives
Key points
Introduction
Head and neck surgery
Sleep surgery
Thyroid and parathyroid surgery
Sinonasal surgery
Facial plastic surgery
Otologic surgery
Pediatric surgery
Emerging technology
Summary
Postoperative Analgesia in the Chronic Pain Patient
Key points
Introduction
From acute to chronic pain: the wind-up phenomenon and sensitization
Recommendations for patients on maintenance therapy
Summary
Nonenteral Pain Management
Key points
Introduction
Routes of nonenteral drug administration
Acetaminophen
Nonsteroidal anti-inflammatory drugs
Opioids
Ketamine
Summary
Chronic Pain Management in Head and Neck Oncology
Key points
Introduction
Epidemiology
Types of pain
Risk factors
Treatment guidelines
Treatment strategies
Nonpharmacologic interventions in head and neck cancer pain
Summary
Controlled Substance Agreements and Other Best Opioid Prescription Practices
Key points
Introduction
Controlled substance agreements and other best opioid prescribing practices
Summary
Pain Psychology for Surgeons and Otolaryngologists
Key points
Introduction
Psychological factors that influence pain response and treatment outcome
Assessing behavioral appropriateness for surgery
Psychotherapeutic approaches to pain management
Technology to improve psychological interventions
Referral to mental health practitioners
Sinus Headache: Differential Diagnosis and an Evidence-Based Approach
Key points
Introduction
Summary
Quality Improvement in Pain Medicine
Key points
Introduction
National efforts to assess pain
Unintended costs of satisfaction: the opioid epidemic
National efforts to respond to the opioid epidemic
Using a quality improvement framework to address opioid prescribing
Incorporation of multimodal analgesia
Successful case studies in otolaryngology
Guidelines to standardize care
Summary
Special Article Series: Intentionally Shaping the Future of Otolaryngology
Foreword
Preface
The Current State of the Otolaryngology Workforce
Key points
Introduction
Otolaryngology workforce supply
Demand for otolaryngic care and health disparities
Summary
Diversity and Inclusion—Why Does It Matter
Key points