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TL;DR
Nonopioid management using acetaminophen and ibuprofen resulted in better pain control on postoperative day 1 and a doubled volume of the first oral feed.
Plastic and Reconstructive Surgery Global Open · 6 authors, 2 centres
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Nonopioid management using acetaminophen and ibuprofen resulted in better pain control on postoperative day 1 and a doubled volume of the first oral feed.
Results showed that while pain scores on the day of surgery were similar, the nonopioid group had significantly lower FLACC scores on postoperative day 1 (0.73 vs. 1.35; P=0.022). Additionally, the median volume of the first oral feed was twice as high in the nonopioid group (90 mL vs. 45 mL; P=0.003). Regression analysis indicated that each unit increase in opioid dose on postoperative day 1 was associated with a 17% increase in length of stay (P<0.001). Limitations include the retrospective design, inability to quantify oral intake in breastfed infants, and a smaller sample size in the nonopioid group.