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May 10, 2009 - My Publications

Torgerson, C.S., Yoskovitch, A., Conrad, K., & Cole D. (2009). Post-operative pain management in facial plastic surgery patients with Toradol. Can. J. Otolaryngology (accepted for publication)

Abstract
Objective: To evaluate the benefit of intraoperative locally- or intramuscularly-injected Toradol in combination with local anesthetic versus local anesthetic alone on postoperative pain in patients undergoing facial plastic surgery.

Methods: Prospective randomized trial of 140 consecutive patients undergoing facelift, and/or forehead lift at a private facial cosmetic surgery practice by one surgeon. Outcome measurement included the requirement for pain medication (none, morphine, acetaminophen with codeine or plain acetaminophen) at 1, 12 and 24 hours postoperatively.

Results: 95 patients receiving locally-injected Toradol required significantly less post-operative analgesic (P<0.05) than both the 20 patients who received intramuscularly-injected Toradol and the 25 that received local anesthetic alone at 12 and 24 hours. Those patients receiving no Toradol required significantly more (P<0.05) analgesic 1 hour post-operatively.

Conclusion: Intraoperative locally-injected Toradol is an effective and safe means of reducing postoperative analgesic requirements.