Infraorbital and infratrochlear nerve blocks combined with general anaesthesia for outpatient rhinoseptoplasty: A prospective randomised, double-blind, placebo-controlled study

Boselli, Emmanuel; Bouvet, Lionel; Augris-Mathieu, Caroline; Bégou, Gérard; Diot-Junique, Nathalie; Rahali, N.; Vertu-Ciolino, D.; Gérard, Cécile; Pivot, C.; Disant, F.; Allaouchiche, Bernard

doi:10.1016/j.accpm.2015.09.002

Cited by 24 publications

(31 citation statements)

References 23 publications

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“…Mariano et al did not report a statistically significant difference in NRS scores between groups; however, they did report a downward trend over 24 hours for the local anesthetic group . Conversely, Boselli et al, reported no intergroup difference ( P = .74) in NRS pain scores when compared to the control group . Ma'somi et al and Yildiz et al both compared local anesthetic to local anesthetic given in conjunction with steroids .…”

Section: Resultsmentioning

confidence: 98%

“…Fourteen articles explored the use of local anesthetics . Of these studies, all 14 were prospective RCTs with four single‐blinded, nine double‐blinded, and one triple‐blinded.…”

Section: Resultsmentioning

confidence: 99%

“…Supporting Table 3 in the online version of this article presents the accumulated data for these 14 studies. Ten of the studies assessed the efficacy of local anesthetics given prior to incision, whereas four looked at postoperative value. Six studies compared local anesthetics to control groups.…”

Section: Resultsmentioning

confidence: 99%

“…This systematic review attempted to delineate cosmetic versus noncosmetic, open versus closed, and the use of osteotomies in these procedures to help distinguish between the approaches. However, only one study, Boselli et al, addressed these variables as illustrated in Supporting Table 5 in the online version of this article. Additional prospective, multi‐institutional trials investigating the nuances between these procedures are warranted to clarify these data.…”

Section: Discussionmentioning

confidence: 99%

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Perioperative Analgesia for Patients Undergoing Septoplasty and Rhinoplasty: An Evidence‐Based Review

et al. 2018

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Objectives/Hypothesis Opioid misuse and diversion is a pressing topic in today's healthcare environment. The objective of this study was to conduct a review of non‐opioid perioperative analgesic regimens following septoplasty, rhinoplasty, and septorhinoplasty. Study Design Evidence‐based systematic review. Methods PubMed, MEDLINE, Cochrane Library, and Embase databases were reviewed for articles related to perioperative analgesic use in septoplasty, rhinoplasty, and septorhinoplasty. Quality of studies were assessed via the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) criteria, Jadad scores, and the Cochrane bias tool. Patient demographic data and clinical outcomes, including medication type, dose, administration time, pain scores, and adverse events, were obtained from included studies. Summary tables detailing the benefits and harms of each investigated regimen are included. Results Thirty‐seven studies met inclusion criteria for this evidence‐based review. The quality of the studies was determined to be of moderate quality based off of GRADE standardized criteria with a mean Jadad score of 3.1. A preponderance of evidence showed reduced perioperative pain scores and rescue analgesic requirements, supporting the use of local anesthetics for analgesic control. Nonsteroidal anti‐inflammatory drugs (NSAIDs) demonstrated similar decreased visual analog scores and postoperative analgesic demand; however, increased adverse events in this class warrant caution. Conclusions Contemporary literature supports the use of NSAIDs, gabapentin, local anesthetics, and α‐agonists as effective perioperative analgesic opioid alternatives for septoplasty and septorhinoplasty. Local anesthetic use is a cost‐effective option resulting in decreased postoperative pain scores and rescue analgesic requirements. Further large‐scale, multi‐institutional, controlled studies are needed to provide definitive recommendations. Level of Evidence NA Laryngoscope, 129:E200–E212, 2019

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Section: Resultsmentioning

confidence: 98%

“…Fourteen articles explored the use of local anesthetics . Of these studies, all 14 were prospective RCTs with four single‐blinded, nine double‐blinded, and one triple‐blinded.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Perioperative Analgesia for Patients Undergoing Septoplasty and Rhinoplasty: An Evidence‐Based Review

et al. 2018

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“…Eine infraorale und -trochleare Nervenblockade intraoperativ reduziert den Bedarf an Morphinen und verkürzt den stationären Aufenthalt [27]. Es sind allerdings, unabhängig von der lokalen Therapie, systemische Morphine bei der Septorhinoplastik nur in Ausnahmefällen erforderlich.…”

Section: Septorhinoplastikunclassified

Interdisziplinäres Positionspapier „Perioperatives Schmerzmanagement“

Likar

Jaksch

Aigmüller

et al. 2017

Schmerz

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Despite many positive developments, postoperative pain and its treatment is still not always given the necessary attention. Severe pain after surgical procedures affects a significant proportion of patients. This very fact is not only detrimental to the immediate recovery process, but can also form the basis for the development of chronic pain conditions.An adequate and effective management of perioperative pain requires appropriate organizational structures. This multidisciplinary paper which was initiated by the Austrian Society for Anaesthesiology and Intensive Care and the Austrian Pain Society and developed together with numerous specialist and professional societies dealing with the subject aims at supporting the organization of perioperative pain management structures and to make best use of proven concepts. Additional recommendations describe specific interventions for selected types of intervention.

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Perioperative local anaesthesia for reducing pain following septal surgery

Fujiwara

Kuriyama

Kato

et al. 2018

Cochrane Database of Systematic Reviews

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The addition of local anaesthesia to nasal packs (if these are being used) following septal surgery may reduce postoperative pain within the first 12 hours, compared to nasal packing with a placebo added. The effect is uncertain at 24 hours because the quality of the evidence is very low. Evidence was lacking for other outcomes, including adverse effects. There is a lack of evidence about the effects of local anaesthesia added to nasal packing compared to no nasal packing. There is also a lack of evidence about the effects of local anaesthesia given by injection and the effects of sphenopalatine ganglion block.

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Infraorbital and infratrochlear nerve blocks combined with general anaesthesia for outpatient rhinoseptoplasty: A prospective randomised, double-blind, placebo-controlled study

Cited by 24 publications

References 23 publications

Perioperative Analgesia for Patients Undergoing Septoplasty and Rhinoplasty: An Evidence‐Based Review

Perioperative Analgesia for Patients Undergoing Septoplasty and Rhinoplasty: An Evidence‐Based Review

Interdisziplinäres Positionspapier „Perioperatives Schmerzmanagement“

Perioperative local anaesthesia for reducing pain following septal surgery

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