ホソカワ　ユウ   HOSOKAWA Yu   細川　悠    所属   埼玉医科大学  医学部 耳鼻咽喉科（耳鼻咽喉科、神経耳科）    職種   専任講師
論文種別	学術雑誌(原著)
言語種別	英語
査読の有無	査読なし
表題	Preemptive analgesia for endoscopic sinus surgery: a retrospective study.
掲載誌名	正式名：Rhinology
巻・号・頁	59(4),398-401頁
著者・共著者	D Nakashima,E Mori,T Takeda,Y Hosokawa,S Takaishi,K Omura,H Kojima,N Otori
発行年月	2021/08
概要	BACKGROUND: Chronic rhinosinusitis (CRS) is a common disease, and endoscopic sinus surgery (ESS) is widely performed. However, there is no consensus regarding postoperative pain control after ESS, and postoperative opioid abuse is a problem in many countries. Acetaminophen is reportedly effective for postoperative pain control. Preemptive analgesia has received more attention lately, wherein pain is prevented before it occurs. In this study, we assessed the use of acetaminophen for preemptive analgesia during the perioperative period in ESS. METHODOLOGY: This is a retrospective study of 175 patients who underwent ESS, septoplasty, and bilateral inferior turbinate mucosal resection at our hospital from April 2016 to February 2018. In total, 82 patients received 1,000 mg of acetaminophen during surgery and 4 hours after the first dose, while 93 patients did not receive it routinely. We compared these two groups. The primary outcome was the need to use additional analgesics prescribed by the ward physician and the secondary outcomes included postoperative pain, postoperative bleeding, reoperation, blood pressure, and body temperature. RESULTS: The use of additional oral and intravenou
DOI	10.4193/Rhin20.624
PMID	34185822