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Objective Quantification of Opioid Usage After Thyroid Surgery.

Andrew Agnew1, Sean Carroll2, Rick Fornelli3,4

  • 1Department of Medical Education, University of Pittsburgh Medical Center (UPMC), Erie, PA, United States.

International Archives of Otorhinolaryngology
|October 26, 2020
PubMed
Summary
This summary is machine-generated.

Thyroid surgery patients require minimal opioid pain medication post-discharge. Objective pill counts show 85% used less than 75.0 morphine milligram equivalents (MME), indicating reduced opioid needs after thyroid procedures.

Keywords:
head and neck surgeryopioidotolaryngologypostoperative painthyroidectomy

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Area of Science:

  • Endocrinology
  • Pain Management
  • Surgical Outcomes

Background:

  • The United States faces a significant opioid crisis, with daily overdose deaths.
  • Previous studies suggest low opioid requirements after thyroid and parathyroid surgery.
  • There is a need for objective data on postoperative opioid consumption in these procedures.

Purpose of the Study:

  • To objectively quantify opioid pain medication usage in patients following thyroid surgery.
  • To assess the actual amount of prescribed opioids consumed by patients post-discharge.

Main Methods:

  • Patients undergoing thyroid surgery received a standardized prescription of hydrocodone/acetaminophen.
  • Daily opioid consumption and pain levels (Wong-Baker scale) were logged by patients.
  • In-office pill counts were utilized to verify patient logs for accuracy.

Main Results:

  • This study is the first to objectively measure opioid consumption between discharge and follow-up.
  • 85% of patients consumed less than 75.0 morphine milligram equivalents (MME) of opioids.
  • Objective pill counts confirmed low opioid usage after thyroid surgery.

Conclusions:

  • Thyroid surgery patients require significantly less opioid pain medication than typically prescribed.
  • Objective measurement confirms low opioid consumption, supporting reduced prescription practices.
  • Multimodality anesthesia shows promise in further minimizing or eliminating postoperative opioid needs.