No Opioids after Septorhinoplasty: A Multimodal Analgesic Protocol.

Area of Science:

• Otolaryngology
• Pain Management
• Public Health

Background:

• Nasal surgeries, including septorhinoplasty, contribute to unused opioid prescriptions.
• Reducing opioid reliance post-surgery is crucial for public health and patient well-being.

Purpose of the Study:

• To evaluate the effectiveness of a 15-component multimodal analgesic protocol in eliminating opioid use after septorhinoplasty.
• To assess the impact of the protocol on patient outcomes, pain scores, and satisfaction.

Main Methods:

• A 15-component multimodal analgesic protocol was implemented for 42 patients undergoing septorhinoplasty.
• Data collected included patient demographics, surgical details, protocol compliance, opioid requirements, pain scores, and satisfaction.

Main Results:

• 76% of patients did not require opioid prescriptions post-discharge.
• Opioid use was inversely correlated with protocol compliance (P = 0.007).
• Patients requiring opioids had higher pain scores postoperatively but equivalent satisfaction.

Conclusions:

• The multimodal protocol safely omitted opioid prescriptions in the majority of septorhinoplasty patients.
• This approach demonstrates a viable strategy to reduce opioid consumption in this patient population without compromising outcomes.