Analgesia, Patient Satisfaction, Postoperative Pain
Conditions
Keywords
Otolaryngology, Head and Neck surgery, Outpatient surgery, Same day surgery, Post operative pain, Patient satisfaction, Post operative analgesia, NSAID, Acetaminophen, Hydrocodone
Brief summary
To understand how patients perceive the quality of care they receive when given different post-operative analgesic medications. Specifically the investigators want to assess whether patients who receive non-opioid analgesia following surgery endorse appropriate quality and satisfaction with their care compared to those who receive opioid medication.
Detailed description
It is routine practice to give analgesic medication after any surgical procedure to provide adequate pain control for patients. However with the increase in abuse of opioid prescription medications, physicians have given a new emphasis to different pain regimens that aim to limit the use of opioid medications. The investigator's previous clinical trial demonstrated that for patients undergoing outpatient otolaryngology procedures, not only does Ibuprofen provide equally effective analgesia compared to opioid medication but it can also decrease overall opioid requirement. In the current proposed study, the investigators wish to build on previous work. The investigators hypothesize that with the addition of Acetaminophen to Ibuprofen, patients undergoing outpatient otolaryngology procedures may not require opioid analgesia at all. While numerous studies corroborate these results, there is little information about patients' satisfaction with their care in light of a shifting emphasis on decreasing opioid prescription. The primary goal of the current study is to better understand patients' perception of care and level of satisfaction when given opioid versus non-opioid postoperative analgesia. If there is conflicting data with regards to patients reporting adequate pain control but poor satisfaction, then perhaps further public health intervention may be necessary to provide additional patient education to help re-establish appropriate and safe patient expectations for postsurgical analgesia.
Interventions
None listed
Sponsors
Loma Linda University
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 89 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients between the ages of 18 and 89 years of age * Patients undergoing the following outpatient procedures: * total or partial thyroidectomy * parathyroidectomy * parotidectomy * submandibular gland excision * neck mass excision * facial mass excision * MOHS defect repair * excision of cutaneous lesions * Other surgeries may qualify and will be assessed on a case by case basis.
Exclusion criteria
* Patients under 18 years old or older than 89 years old * Those allergic to Hydrocodone, Acetaminophen, or NSAIDS * Patients who are pregnant * Patients with chronic medical conditions including hepatic/renal disease that precludes their ability to utilize the study medications.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient satisfaction with post operative pain control | First clinic visit after surgery (7 days) | Patients will be surveyed if they were satisfied with their pain regimen and efficacy of pain control on a scale of 1-5. With 1 being very unsatisfied and 5 being very satisfied. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Efficacy of analgesic regimen and patient attitudes toward treatment they received | First clinic visit after surgery (7 days) | Patients attitude and overall experience with regards to their pain management will be assessed via the following questions: 1. How many total days do you estimate that you required medication for your pain? 2. If you were in a group that received hydrocodone, how many pills do you estimate that you took? 3. If you were to have another surgery, would you ask your surgeon for a similar pain regimen? 4. Was this surgery more painful than you anticipated? |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORKhanh Nguyen, MD
Loma Linda University Health System
Outcome results
None listed