ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2025
Evaluation of pain management strategies in acute infectious otologic conditions: a national survey of ENT trainees.
Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeThis study aims to assess pain management strategies employed by otolaryngology residents for acute otologic conditions, evaluate their perceptions of pain management both generally and specifically for these conditions, and understand the pain management training and education they received during residency.
methodsA national, cross-sectional web-based survey was conducted among otolaryngology residents across all training levels. The survey opened with a theoretical patient encounter where participants provided discharge recommendations, unaware that pain management considerations were the primary outcome of interest. Responses were examined for pain management strategies. additional questions assessed residents' knowledge, attitudes, and practices in managing acute pain in otologic conditions, focusing on identifying gaps in clinical confidence,training and effectiveness.
results42/45 (93%) ENT residents participated. Among respondents (n = 28), acknowledged pain in the discharge note, while (n = 14) did not. For those acknowledging pain (n = 22), advised "as-needed" medications without specification whereas only (n = 5) mentioned specific medications. One participant recommended around-the-clock analgesia. Pain training in residency for acute infectious otologic conditions was rated as sufficient by only (n = 16) of the respondents, with (n = 32) reporting no formal pain management education during residency. Familiarity with analgesic terms was limited, with (n = 21) being completely unfamiliar. A strong need for formal acute pain management training was expressed by (n = 37) of participants.
conclusionThere are critical areas for improvement in pain management education and practices among ENT residents. Addressing these gaps through standardized training programs and clearer clinical guidelines can lead to better pain management in patients with acute otologic conditions.
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