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Post-Procedure Analgesic Management.

Amanda Andre1, Michael Benichou1, Harry Dym1

  • 1The Brooklyn Hospital Center, 121 Dekalb Avenue, Brooklyn, NY 11201, USA.

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Summary
This summary is machine-generated.

Dentists must learn from the opioid crisis to optimize post-operative pain control. This involves using novel analgesics and multimodal strategies to minimize addiction risks and ensure patient safety.

Keywords:
Dental post-operative pain managementDental post-procedure analgesiaLiposomal local anestheticsNon-opioid analgesicsOpioid alternatives

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Area of Science:

  • Anesthesiology
  • Pharmacology
  • Pain Management

Background:

  • The opioid crisis highlights the risks of inadequate pain management strategies.
  • Dentistry's historical role in the opioid epidemic necessitates a re-evaluation of pain control protocols.

Purpose of the Study:

  • To provide a comprehensive overview of multimodal pain management options for post-operative care.
  • To guide practitioners in selecting low-risk analgesic tools to prevent harm and addiction.

Main Methods:

  • Review of current literature on non-opioid analgesics and pain management techniques.
  • Discussion of specific agents including NSAIDs, acetaminophen, long-acting local anesthetics (e.g., Exparel), pregabalin, gabapentin, ketamine, dexmedetomidine, and corticosteroids.
  • Exploration of enhanced recovery after surgery (ERAS) protocols.

Main Results:

  • Multimodal approaches combining various analgesic classes can effectively manage post-operative pain.
  • Specific non-opioid medications and advanced anesthetic techniques offer alternatives to opioids.
  • ERAS protocols contribute to improved patient outcomes and reduced complications.

Conclusions:

  • Understanding the historical context of the opioid crisis is crucial for developing safer pain management protocols.
  • Implementing a diverse range of analgesic options, including non-opioid medications and regional anesthesia, is key to effective and safe post-operative pain control.
  • Adopting evidence-based multimodal strategies and ERAS protocols can mitigate risks associated with pain management and enhance patient recovery.