Title: Re: Postoperative Pain and Opioid Analgesic Requirements After Orthognathic Surgery
Abstract: We read with interest the article by Mobini et al. 1 Mobini A. Mehra P. Chigurupati R. Postoperative pain and opioid analgesic requirements after orthognathic surgery [published online ahead of print May 9, 2018]. https://doi.org/10.1016/j.joms.2018.05.014 Google Scholar We appreciate their effort to emphasize the concept of postoperative pain and opioid analgesic requirements after orthognathic surgery. What we want to add is the fact that, rather than using opioids alone for the management of pain after orthognathic surgery, nonsteroidal anti-inflammatory drugs (NSAIDs) should be combined with opioids as part of a balanced analgesia regimen. NSAIDs allow the spare use of opioids and subsequently might decrease the opioid-mediated side effects as mentioned by the authors. 2 Joris J. Efficacy of nonsteroidal antiinflammatory drugs in postoperative pain. Acta Anaesthesiol Belg. 1996; 47: 115 PubMed Google Scholar Even in children, the combined use of NSAIDS with opioids has been seen to decrease opioid requirements and potentially improve analgesia and decrease adverse effects. 3 Wong I. St John-Green C. Walker S.M. Opioid-sparing effects of perioperative paracetamol and nonsteroidal anti-inflammatory drugs (NSAIDs) in children. Paediatr Anaesth. 2013; 23: 475 Crossref PubMed Scopus (142) Google Scholar
Publication Year: 2019
Publication Date: 2019-04-01
Language: en
Type: letter
Indexed In: ['crossref', 'pubmed']
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Cited By Count: 1
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