[Prevention and relief of pain induced by otolaryngological and cervicofacial surgery].
Pain after otolaryngological and cervicofacial surgery varies greatly because of the wide variety of procedures. Preventing this pain stems from the administration of paracetamol, nonsteroid anti-inflammatory drugs, nefopam, and systematic recourse to morphine when remifentanil is used. Postoperatively, the most painful surgical procedures are an indication for multimodal anesthesia and patient-controlled morphinic analgesic after titration in the postoperative postanesthesia care unit. Applying antalgic protocols, also including locoregional anesthesia, depending on the type of procedure and the patient, can improve the quality of care.
Département d'anesthésie-réanimation chirurgicale, groupe hospitalier Pitié-Salpêtrière, 47-83, boulevard de l'hôpital, 75013 Paris, France. frederic.aubrun@psl.aphp.fr
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D000779:Anesthetics, Local / Q000627:therapeutic use; D005145:Face / Q000601:surgery*; D006801:Humans; D009294:Narcotics / Q000627:therapeutic use; D009333:Neck / Q000601:surgery*; D010146:Pain / Q000209:etiology* / Q000517:prevention & control*; D010149:Postoperative Pain / Q000517:prevention & control
D000779:Anesthetics, Local; D009294:Narcotics