Clinical Practice Guideline: Opioid Prescribing for Analgesia After Common Otolaryngology Operations

Clinical Practice Guideline: Opioid Prescribing for Analgesia After Common Otolaryngology Operations

This clinical practice guideline (CPG) is intended for otolaryngologists who perform surgery and clinicians who manage pain after surgical procedures. The target patient for the CPG is any patient treated for anticipated or reported pain within the first 30 days after undergoing common otolaryngologic procedures. The purpose of this specialty-specific CPG is to provide evidence-informed recommendations on postoperative pain management of common otolaryngologic surgical procedures, with a focus on opioids. The CPG also allows identification of quality improvement opportunities. The goals of this guideline are to use the best available published scientific and/or clinical evidence to reduce the variation in care across the specialty and improve postoperative pain control while reducing risk of opioid use disorder.

Leadership

Samantha Anne, MD, MS (Chair), James “Whit” Mims, MD (Assistant-Chair), David E. Tunkel, MD (Methodologist), Richard M. Rosenfeld, MD, MPH, MBA (Methodologist).

Guideline Development Group

David S. Boisoneau, MD; Michael J. Brenner, MD; John D. Cramer, MD; David Dickerson, MD; Sandra A. Finestone, PsyD; Adam J. Folbe, MD, MS; Deepa J. Galaiya, MD; Anna H. Messner, MD; Allison Paisley, CRNP; Ahmad R. Sedaghat, MD, PhD; Kerstin M. Stenson, MD; Angela K. Sturm, MD; Erin M. Lambie, MS, MPH; Nui Dhepyasuwan, MEd; Taskin M. Monjur.

Endorsements

American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS), American Broncho-Esophagological Association (ABEA), American Head and Neck Society (AHNS), American Neurotology Society (ANS), American Otological Society (AOS), American Rhinologic Society (ARS), American Society of Pediatric Otolaryngology (ASPO), Society of Otorhinolaryngology Head-Neck Nurses (SOHN), Triological Society

Supported by

The American Society of Anesthesiologists’ (ASA) Administrative Council has approved support of this CPG. Since the document has neither been presented to nor approved by either the ASA Board of Directors or House of Delegates, it is not an official or approved statement or policy of the Society. Variances from the recommendations contained in the document may be acceptable based on the judgment of the responsible anesthesiologist. 

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