Post Operative Analgesia and Patient Satisfaction
Condition: Postoperative Pain; Patient Satisfaction; Analgesia
MeSH terms: Pain, Postoperative
Study type: Interventional
Phase: Phase 3

Summary: 
      To understand how patients perceive the quality of care they receive when given different
      post-operative analgesic medications. Specifically the investigators want to assess whether
      patients who receive non-opioid analgesia following surgery endorse appropriate quality and
      satisfaction with their care compared to those who receive opioid medication.
    

Detailed description: 
      It is routine practice to give analgesic medication after any surgical procedure to provide
      adequate pain control for patients. However with the increase in abuse of opioid prescription
      medications, physicians have given a new emphasis to different pain regimens that aim to
      limit the use of opioid medications. The investigator's previous clinical trial demonstrated
      that for patients undergoing outpatient otolaryngology procedures, not only does Ibuprofen
      provide equally effective analgesia compared to opioid medication but it can also decrease
      overall opioid requirement.

      In the current proposed study, the investigators wish to build on previous work. The
      investigators hypothesize that with the addition of Acetaminophen to Ibuprofen, patients
      undergoing outpatient otolaryngology procedures may not require opioid analgesia at all.
      While numerous studies corroborate these results, there is little information about patients'
      satisfaction with their care in light of a shifting emphasis on decreasing opioid
      prescription. The primary goal of the current study is to better understand patients'
      perception of care and level of satisfaction when given opioid versus non-opioid
      postoperative analgesia. If there is conflicting data with regards to patients reporting
      adequate pain control but poor satisfaction, then perhaps further public health intervention
      may be necessary to provide additional patient education to help re-establish appropriate and
      safe patient expectations for postsurgical analgesia.
    

Intervention name(s): Hydrocodone/Acetaminophen 5 Mg-325 Mg ORAL TABLET; Ibuprofen 600 mg; Acetaminophen 650 MG
Intervention type(s): Drug; Drug; Drug
Intervention description(s): Patients are instructed to take Hydrocodone/acetaminophen 5 mg-325 mg oral tablets every 6 hours as needed for treatment of severe pain; Patients will take ibuprofen 600 mg every 6 hours as needed; Patients will take Tylenol 650mg every 6 hours as needed
Other intervention name(s): Norco; Advil, Motrin, NSAID; Tylenol
Intervention MeSH terms: Acetaminophen; Ibuprofen; Acetaminophen, hydrocodone drug combination; Hydrocodone
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Patients will be randomized to one of three groups prior to surgery. Patients will be prescribed Hydrocodone/acetaminophen, Ibuprofen, and/or Acetaminophen. Patients assigned to treatment Group 1 will take the opioid medication for initial pain control followed by Ibuprofen if pain is not adequately controlled. Group 2 patients will take Ibuprofen for initial pain control followed by the opioid medication if pain is not adequately controlled. Group 3 patients will take Ibuprofen for initial pain control followed by Acetaminophen if pain is not adequately controlled.
Masking: Double (Investigator, Outcomes Assessor)
Primary purpose: Treatment
Keywords: Otolaryngology; Head and Neck surgery; Outpatient surgery; Same day surgery; Post operative pain; Patient satisfaction; Post operative analgesia; NSAID; Acetaminophen; Hydrocodone