UNASSIGNED: Standardized, procedure-specific opioid prescription guidelines were created using prospective data from the first phase of our study and evidence from current literature. Again, we examined sialendoscopy, parotidectomy, parathyroidectomy/thyroidectomy, and transoral robotic surgery (TORS). Patients were surveyed at their first postoperative appointment. Groups from Phases I and II were compared. Attending physicians were surveyed before the start of the multiphasic project and after prescribing guidelines were implemented.
UNASSIGNED: Prescribing guidelines led to an average reduction in prescribed morphine milligram equivalents (MME) per patient by: 48% (sialendoscopy), 63% (parotidectomy), 60% (para/thyroidectomy), and 42% (TORS). Average used MME per patient for parotidectomy was significantly reduced (64%). The proportion of unused MME per patient and patient satisfaction scores did not significantly change after guidelines were implemented.
UNASSIGNED: Implementation of opioid-prescribing guidelines and the use of multimodal analgesia substantially reduced the amount of opioids prescribed across all procedures without impacting patient satisfaction.
UNASSIGNED: 2.
未经评估:标准化,
UNASSIGNED:处方指南导致每名患者处方吗啡毫克当量(MME)平均减少48%(唾液酸内镜检查),
UNASSIGNED:阿片类药物处方指南的实施和多模式镇痛的使用大大减少了所有程序中阿片类药物的处方量,而不会影响患者的满意度。
未经评估:2.