Document Detail


Pain control after routine dento-alveolar day surgery: a patient satisfaction survey.
MedLine Citation:
PMID:  11093393     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: An audit study which examines patient's opinions on the efficiency of two analgesic regimes prescribed to them following dento-alveolar surgery in our Day Unit. DESIGN: Single centre prospective study. SETTING: Oral Surgery Day Case Unit SUBJECTS: One-hundred-and-seventy-four adults undergoing routine dento-alveolar surgery under general anaesthetic were asked to assess their pain control (on a five point scale) 1 hour after surgery, at discharge from hospital and at 24 and 48 hours post-operatively. Post-operatively, patients received ibuprofen 400 mg three times daily for five days or two tablets of paracetamol 500 mg with codeine 30 mg six hourly for 5 days if they were allergic to aspirin or were asthmatics sensitive to aspirin. Patients were not given local anaesthesia intra or post-operatively. RESULTS: Completed records were obtained for 161 (93%) patients. Ibuprofen was apparently adequate in controlling pain for 147 out of 161 patients but on further questioning 42 of these patients took supplemental analgesics and self-prescribed paracetamol or a paracetamol combination. Thirteen patients who were prescribed paracetamol with codeine had adequate pain control and did not take supplemental analgesics. One patient did not require any analgesics post-operatively CONCLUSION: Telephone contact with patients 24 and 48 hours post-surgery provides a valuable assessment of pain control following discharge from a day surgery unit. Ibuprofen offered satisfactory control of pain for 65% (95) of patients who underwent routine dento-alveolar surgery. Discharge prescriptions must be given with verbal and written instructions to ensure that patients take the correct dose and self-prescription is within safe doses.
Authors:
A Joshi; A T Snowdon; J P Rood; H V Worthington
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  British dental journal     Volume:  189     ISSN:  0007-0610     ISO Abbreviation:  Br Dent J     Publication Date:  2000 Oct 
Date Detail:
Created Date:  2000-12-08     Completed Date:  2000-12-08     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7513219     Medline TA:  Br Dent J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  439-42     Citation Subset:  D; IM    
Affiliation:
Department of Dental Medicine & Surgery, University Dental Hospital of Manchester. Ameeta.Joshi@man.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Acetaminophen / therapeutic use*
Adolescent
Adult
Analgesics, Non-Narcotic / therapeutic use*
Analgesics, Opioid / therapeutic use*
Codeine / therapeutic use*
Dental Audit
Drug Combinations
Female
Humans
Ibuprofen / therapeutic use*
Male
Middle Aged
Oral Surgical Procedures / adverse effects*
Outpatient Clinics, Hospital
Pain Measurement
Pain, Postoperative / drug therapy*,  etiology
Prospective Studies
Chemical
Reg. No./Substance:
0/Analgesics, Non-Narcotic; 0/Analgesics, Opioid; 0/Drug Combinations; 103-90-2/Acetaminophen; 15687-27-1/Ibuprofen; 76-57-3/Codeine

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