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Pain relief following oral day case surgery: A pilot study

Lookup NU author(s): Professor Peter Thomson, Dr Ian Fletcher, Professor John MatthewsORCiD, Dr Christopher Hayward


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One hundred consecutive, adult patients attending for bilateral mandibular third molar removal utilising standardised surgical and day case general anaesthetic protocols were recruited into a pilot study to investigate the effectiveness of different peri-operative analgesic regimes. Patients were randomised into five study groups using various pre- or post-operative combinations of non-steroidal anti-inflammatory drugs (NSAID) and/or LA block. Pain scores were recorded pre-operatively and at 30min intervals for 2h after surgery, as were details of the first dose of 'escape analgesia' (codeine/paracetamol compound preparation). There was no statistically significant difference in overall pain experience between the groups, although the results suggested better pain relief was achieved in those patients who received both post-op NSAID and post-op LA. Further research is required to improve post-operative pain relief for patients undergoing third molar surgery. © 2004 Elsevier B.V. All rights reserved.

Publication metadata

Author(s): Thomson PJ, Fletcher IR, Matthews JNS, Hayward CB, Briggs S

Publication type: Article

Publication status: Published

Journal: Ambulatory Surgery

Year: 2004

Volume: 10

Issue: 4

Pages: 217-221

ISSN (print): 0966-6532

ISSN (electronic):

Publisher: Elsevier


DOI: 10.1016/j.ambsur.2004.01.005


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