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Relevant bibliographies by topics / Postoperative pain Pain

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Academic literature on the topic 'Postoperative pain Pain'

Author: Grafiati

Published: 4 June 2021

Last updated: 15 February 2022

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Journal articles on the topic "Postoperative pain Pain"

1

Hsu, Yung-Wei, Jacques Somma, Yu-Chun Hung, Pei-Shan Tsai, Chen-Hsien Yang, and Chien-Chuan Chen. "Predicting Postoperative Pain by Preoperative Pressure Pain Assessment." Anesthesiology 103, no. 3 (September 1, 2005): 613–18. http://dx.doi.org/10.1097/00000542-200509000-00026.

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Background The goal of this study was to evaluate whether preoperative pressure pain sensitivity testing is predictive of postoperative surgical pain. Methods Female subjects undergoing lower abdominal gynecologic surgery were studied. A pressure algometer was used preoperatively to determine the pressure pain threshold and tolerance. A visual analog scale (VAS) was used to assess postoperative pain. A State-Trait Anxiety Inventory was used to assess patients' anxiety. Subjects received intravenous patient-controlled analgesia for postoperative pain control. The preoperative pain threshold and tolerance were compared with the postoperative VAS pain score and morphine consumption. Results Forty women were enrolled. Their preoperative pressure pain threshold and tolerance were 141 +/- 65 kPa and 223 +/- 62 kPa, respectively. The VAS pain score in the postanesthesia care unit and at 24 h postoperatively were 81 +/- 24 and 31 +/- 10, respectively. Highly anxious patients had higher VAS pain scores in the postanesthesia care unit (P < 0.05). Pressure pain tolerance was significantly correlated with the VAS at 24 h postoperatively (P < 0.001, r = -0.52). Pressure pain tolerance after fentanyl administration (mean, 272 +/- 68 kPa) correlated significantly with morphine consumption in the first 24 h postoperatively (P < 0.002, r = -0.48). Conclusions Assessment of preoperative pressure pain tolerance is significantly correlated with the level of postoperative pain. Pain tolerance assessment after fentanyl was administered and fentanyl sensitivity predicted the dose of analgesics used in the first 24 h after surgery. The algometer is thus a simple, useful tool for predicting postoperative pain and analgesic consumption.

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Martens, Marc. "Postoperative Pain." Clinical Drug Investigation 19, Supplement 2 (2000): 47–50. http://dx.doi.org/10.2165/00044011-200019002-00008.

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Bray, Cynthia A. "Postoperative Pain." AORN Journal 43, no. 3 (March 1986): 672–83. http://dx.doi.org/10.1016/s0001-2092(07)65038-8.

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NAY, P. G., S. M. ELLIOTT, and A. W. HARROP-GRIFFITHS. "Postoperative pain." Anaesthesia 51, no. 12 (December 1996): 741–43. http://dx.doi.org/10.1111/j.1365-2044.1996.tb06198.x.

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NAY, P. G., S. M. ELLIOTT, and A. W. HARROP-GRIFFITHS. "Postoperative pain." Anaesthesia 51, no. 8 (August 1996): 741–43. http://dx.doi.org/10.1111/j.1365-2044.1996.tb07887.x.

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MARKEY, BERNADINE T. "POSTOPERATIVE PAIN." AORN Journal 54, no. 2 (August 1991): 370–72. http://dx.doi.org/10.1016/s0001-2092(07)69310-7.

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García-Ramírez, Patricia E., Selenne Guadalupe González-Rodríguez, Fernando Soto-Acevedo, Olga Rosa Brito-Zurita, Ramón Cabello-Molina, and Cruz Mónica López-Morales. "Postoperative pain." Colombian Journal of Anesthesiology 46, no. 2 (April 2018): 93–97. http://dx.doi.org/10.1097/cj9.0000000000000019.

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BROCKOPP, DOROTHY Y., SHERRY WARDEN, GEORGE COLCLOUGH, and GENE BROCKOPP. "POSTOPERATIVE PAIN." Nursing 24, no. 6 (June 1994): 49–50. http://dx.doi.org/10.1097/00152193-199406000-00022.

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Roytblat, Leonid, Anatol Korotkoruchko, Jacob Katz, Moshe Glazer, Lev Greemberg, and Allan Fisher. "Postoperative Pain." Anesthesia & Analgesia 77, no. 6 (December 1993): 1161???1165. http://dx.doi.org/10.1213/00000539-199312000-00014.

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Raj, P. "Postoperative pain." Current Opinion in Anaesthesiology 1, no. 3 (September 1988): 392–95. http://dx.doi.org/10.1097/00001503-198801030-00023.

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Dissertations / Theses on the topic "Postoperative pain Pain"

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McConaghy, Paul M. "Secondary hyperalgesia and postoperative pain." Thesis, Queen's University Belfast, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.387878.

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Ng, Alexander. "Advances in postoperative pain management." Thesis, University of Leicester, 2003. http://hdl.handle.net/2381/29438.

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Management of postoperative pain still depends on the administration of opioids and these drugs are associated with adverse effects eg sedation, nausea and vomiting. Local anaesthetics and NSAIDs are not associated with these adverse effects. Five RCTs have been undertaken: three on the administration of local anaesthetics, and two on NSAIDs. Two models of surgery have been used. As an example of an invasive standardised surgical procedure associated with severe pain, I have studied patients undergoing total abdominal hysterectomy (TAH). I also studied patients undergoing laparoscopy as an example of a minimally invasive technique that is associated with moderate pain. In patients who had TAH, I found that a combination of intraperiotoneal and incisional bupivacaine with epinephrine was associated with significant morphine sparing analgesia. Patients experienced significantly less pain on movement with this technique compared with placebo. Furthermore, in patients having laparoscopic cholecystectomy, I found that intraperitoneal administration of levobupivacine with epinephrine was associated with significantly lower total abdominal pain on inspiration, compared with placebo. However, I was not able to demonstrate significant differences in rescue morphine consumption or adverse effects between the two treatment groups. In another RCT, I did not find that administration of local anaesthetics via the transcervical route during laparoscopic sterilisation was useful for analgesia. I also examined how NSAIDs may be useful for postoperative analgesia. After TAH, rectal diclofenac was found to reduce morphine consumption, improve postoperative analgesia and was associated with reduced sedation and nausea. In another RCT of similar design, I found that iv parecoxib was associated with significant reductions in morphine consumption and pain scores on sitting, compared with placebo. The results of the investigations described in this thesis show that local anaesthetics and NSAIDs are useful as analgesic adjuncts after major and minimally invasive surgery.

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Herman, Julie L. "Nurses' pain management knowledge and patient outcomes related to pain." Muncie, Ind. : Ball State University, 2009. http://cardinalscholar.bsu.edu/464.

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Bennett-Branson, Susan Marie. "Postoperative pain and coping in children and adolescents." Thesis, University of British Columbia, 1990. http://hdl.handle.net/2429/30925.

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The present study examined psychological factors associated with individual variation in children's adjustment following minor surgery, and focused specifically on the process of coping with postoperative pain. Sixty children and adolescents (7 to 16 yrs) were interviewed on the day following surgery. They provided ratings and descriptions of their postoperative pain experience, perceived capacity for pain control, spontaneous coping strategies, and emotional distress. Parents also provided information about their efforts (both historical and present) to facilitate their child's coping, their own emotional distress, and perceptions of their child's distress following surgery. Thirdly, nurses rated children's pain behaviours displayed on the ward. Finally, information about analgesic medications and physical complications following surgery was recorded from children's medical charts. Qualitative data concerning the process of coping with postoperative pain and specific parental influences on children's coping were presented within a conceptual model adapted from the adult stress and coping literature. The data were also analyzed for age/developmental differences between older children (10 to 16 yrs) and younger children (7 to 9 yrs). Finally the predictive role of demographic, child coping process, and parental influence variables, in accounting for variations in child coping outcome, was analyzed. Results indicated that children and adolescents experienced moderate to severe pain following minor surgery. They reportedly tried a number of different cognitive and behavioural methods to deal with postoperative pain. Also, parents took an active role in facilitating children's coping. Age group differences were revealed in children's descriptions of postoperative pain, their reported ways of coping with pain, and their perceptions of control over pain and recovery. Age effects were interpreted with caution, however, since age and sex were confounded in this sample. Children who reported the most pain and emotional distress following surgery also reported more catastrophizing cognitions, felt less in control of their recovery, and reported having tried a greater number of behavioral coping strategies to manage pain. These results emphasize the role of children's appraisal processes in predicting coping effectiveness, and demonstrate that more coping does not imply better outcome. Future research directions and potential clinical appplications that follow from these findings were discussed.
Arts, Faculty of
Psychology, Department of
Graduate

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Hussain, M. "Acute pain for postoperative patients in Kuwait : a study of how surgical nurses assess postoperative pain." Thesis, University of Salford, 2015. http://usir.salford.ac.uk/36123/.

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Background Proper management of pain is necessary to help patients recover quickly during postoperative care. Failure to promptly assess and manage pain could lead to complications in postoperative situations and can also increase the length of required hospital stays, create or add to elements of chronic post-surgical pain and overall poor health outcomes for the patients. Nurses play crucial roles in assessing postoperative pain, however despite advances in nursing care, there is evidence from a range of research which suggests that patients still suffer considerable levels of postoperative pain. In Kuwait’s healthcare setting, there is a paucity of literature on how nurses perform pain assessment and whether this leads to significant pain relief amongst patients. This research addressed this apparent vacuum in current research literature by exploring the experiences of nurses and patients in Kuwait in postoperative scenarios – focusing in particular on postoperative pain. This work also utilised the findings to help to provide a suggested framework through which the quality of care received by patients in surgical wards in Kuwait could be improved. Aims and Objectives This study aimed to explore how Kuwaiti nurses assess pain in postoperative patients in hospital settings in Kuwait and also to examine postoperative patients’ self-reported experiences of pain. Specifically, this study aimed to address the following objectives: - To explore the roles and responsibilities of surgical nurses in postoperative pain assessment; - To determine the knowledge and perceptions of nurses working in Kuwait on pain assessment; - To investigate the postoperative pain experiences of patients in surgical wards; and identify potential factors that could affect how patients respond to postoperative pain. This was intended to help to provide a framework for dealing with the main aim of this thesis which was to look at how nurses assess postoperative pain in Kuwait, and whether the current methods for doing so represented best practice when compared to other regions or institutions. Methodology This study utilises a qualitative methodology based on a Grounded Theory (GT) approach to social research. This encourages theory building throughout the work and is used to explore concepts relating to pain and how this is influenced by a range of socio-economic and cultural factors. In addressing these issues the experiences of nurses and patients in a hospital ward in a Kuwaiti hospital was established as the research case study. Ten nurses and ten patients were invited to take part in the study through purposive sampling techniques outlined within a grounded theory approach. Inclusion and exclusion criteria were established to ensure that only adult patients aged 18 years old and above who will give their informed consent to participate in the study would be included. Nurses who have at least one-year experience in a surgical ward were also invited to take part in the study. Data Analysis Data was analysed through a grounded theory approach based on key elements of the models espoused by Strauss and Corbin (2008) and Charmaz (2006). This began with a process of data familiarisation once the interviews had taken place, followed by processes of axial and open coding, selective coding, and the generation of categories and themes. In accordance with the grounded theory methodology data analysis and collection of data occurred simultaneously. The main aim of the data analysis was to help generate theories that explain the nurses and patients’ experiences in pain assessment during postoperative care in Kuwait’s healthcare setting. Results and Recommendations The research found evidence to suggest that many patients in the Kuwaiti healthcare system in postoperative scenarios are experiencing difficulties in addressing issues relating to postoperative pain. This was evidenced by patient participants in the study who felt de-legitimised and an undercurrent of distrust between the nurses and the patients. This was mirrored in the responses of some nurses, who also expressed concern that some patients were exaggerating their pain - determining their own opinions and perhaps devaluing the direct experiences of the patients themselves. In addition the research suggests that there are ongoing social power issues in Kuwait and an apparent lack of autonomy which is creating a culture of blame. Although there are clear resource issues, it is apparent that this lack of autonomy and the levels of distrust between patients, nurses and doctors need to be addressed urgently to ensure that postoperative pain care in Kuwaiti hospitals is improved. In Kuwait these issues of a lack of autonomy and an apparent lack of focus on the subjective nature of pain in relation to robust assessment methods has manifested as a cultural norm. As a result there is a need to begin to address formal education of nurses, the level of power and autonomy given to nurses and the establishment of standardised pain assessment procedures more rigorously and definitively. This can be achieved by ensuring that the nurse-doctor professional relationship is improved through better communication structures, more effective training programmes in treating pain, and by challenging a culture where patient’s opinions and feelings on pain are not addressed by medical professionals. This study has provided evidence based data sets which can be utilised in further developing the nursing curricula in Kuwait across both undergraduate and postgraduate nursing programmes and also across many aspects of in-service education within the hospital units themselves.

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Miller, Lori-Mae. "Children's pain on the first post-operative day." Thesis, University of British Columbia, 1990. http://hdl.handle.net/2429/28794.

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A review of the literature identified that few research studies have been published which examined the post-operative pain of children, particularly those between the ages of 4 and 7 years. As a result, theoretical literature has been the major contributor to the understanding of the concept of children's post-operative pain. Therefore, the purpose of this study was to describe the post-operative pain of hospitalized children aged 4 to 7 years on the first postoperative day, through a self-reported measure of pain intensity levels as well as descriptions of the children's overt behaviours used to express pain. Data were gathered on the pain intensity levels (using the PCT) and overt behaviours of 11 children between the ages of 4 and 8 years on the first post-operative day between the hours of 0800 and 2000. In addition, data regarding parental presence and the administration of analgesics were also collected for these children. Findings related to pain intensity scores provided the basis for three important conclusions. First, all of the children were able to place a value on their pain using the PCT. Second, all of the children were experiencing some degree of post-operative pain possibly related to the lack of consistent administration of analgesia. Third, parental presence did not influence the pain intensity scores reported by the children. Findings related to the overt behaviours exhibited by children also provided the basis for three important conclusions. First, the most frequent behaviours identified were not those normally associated with feelings of pain. The researcher believed that this lack of expected response was as a result of the children's ability to adapt and cope with the pain. Second, behavioural measurement of pain may not be a reliable and valid measure of post-operative pain. Third, parental presence or absence did not influence the overt behaviours exhibited.
Applied Science, Faculty of
Nursing, School of
Graduate

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Duedahl, Tina Hoff. "Anti-hyperalgesic drugs in postoperative pain /." Cph. : The Danish University of Pharmaceutical Sciences, Department of Pharmaceutics, 2005. http://www.dfuni.dk/index.php/Tina_Hoff_Duedahl/1732/0/.

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Jylli, Leena. "Acute pain in pediatric patients : aspects of pain management and pain assessment /." Stockholm, 2004. http://diss.kib.ki.se/2004/91-7140-135-0/.

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Kianifar, Arash. "Case-based reasoning in postoperative pain treatment." Thesis, Mälardalens högskola, Akademin för innovation, design och teknik, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-12169.

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Even today, with modern medicine and technology, post-operative pain still exists as anmajor issue in modern treatment. A lot of research efforts have been made, in order toimprove pain outcome for patients that has undergone surgery[18][15].Even though physician's and doctors are well educated, the success rate is aboutapproximately 70 %, still there are patients that experience severe pain, after they haveundergone surgery. There could be several reasons to this, for example, lack of methods orsupport should be amongst other things, factors to consider[18].The problem has been to initiate a case-library and eventually create a tool, that could aidphycisians or doctors in their decision making, which hopefully would help in improvingpain outcome. The chosen method to do this, is a modified version of the CBR-algorithm,which is an artificial intelligence algorithm. The CBR-algorithm makes use of features,solution and outcome, and is implemented with a simple prototype, as a similarity function.The are several reasons for why this method was chosen, but using this method makes itpossible to easily create a web-based tool, so it can easily be accessed from anywhere, butstill be effective and work as a support tool.The algorithm works as a self learning mechanism, and is easy to implement, and theinterface has been constructed, allowing the phycisian or doctor to retrieve informationabout patients and run CBR. The desired results are as expected, it's possible to run theCBR, retrieve and compare cases, and get suggestion of solution or action that should beperformed.The conclusion that can be made, is that, although this is a very basic working medicalapplication, still an overall improvement is needed in order to be used as a medicalapplication. It's anyhow a start. For more details and information, check the appendicesplease.
The PainOut Project

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Hamers, Johan Peter Herman. "Postoperative pain in children assessment and intervention /." [Maastricht : Maastricht : Rijksuniversiteit Limburg] ; University Library, Maastricht University [Host], 1995. http://arno.unimaas.nl/show.cgi?fid=5790.

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Books on the topic "Postoperative pain Pain"

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Alexander, J. I. Postoperative pain control. Oxford: Blackwell Scientific, 1987.

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Alexander, J. I. Postoperative pain control. Oxford: Blackwell Scientific Publications, 1987.

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Gillies, Marjorie L. Postoperative pain in adolescents. Glasgow: University of Glasgow, Department of Child and Adolescent Psychiatry [and] Department of Nursing and Midwifery Studies, 1997.

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Dodson, M. E. The management of postoperative pain. London: Edward Arnold, 1985.

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Panel, United States Acute Pain Management Guideline. Acute pain management. Rockville, Md: U.S. Dept. of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research, 1995.

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Astuti, R. Pain management: Postoperative pain management in the elderly patient. Chester: Adis International, 1994.

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1949-, Casey W., and Durkin Michael, eds. Post-operative recovery and pain relief. London: Springer, 1998.

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Harold, Merskey, Prkachin Kenneth Martin 1950-, and Canadian Pain Society, eds. The prevention of postoperative pain: Proceedings of the symposium, prevention and control of postoperative pain, from the 1991 annual meeting of the Canadian Pain Society. London, Ont: Canadian Pain Society = Societé canadienne pour le traitement de la douleur, 1993.

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International Workshop on Patient-Controlled Analgesia (1st 1984 Kent). Patient-controlled analgesia: Proceedings of the First International Workshop on Patient-Controlled Analgesia, held at Leeds Castle, Kent, United Kingdom, in June 1984. Oxford: Blackwell Scientific, 1985.

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Assessing acute postoperative pain: Assessment strategies and quality in relation to clinical experience and professional role. Göteborg, Sweden: Acta universitatis gothoburgensis, 1995.

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Book chapters on the topic "Postoperative pain Pain"

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De Castro, J., J. Meynadier, and M. Zenz. "Postoperative pain." In Regional Opioid Analgesia, 285–328. Dordrecht: Springer Netherlands, 1991. http://dx.doi.org/10.1007/978-94-009-2321-8_12.

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Lehmann, K. A., S. Grond, and D. Zech. "Postoperative Pain." In Transdermal Fentanyl, 17–35. Berlin, Heidelberg: Springer Berlin Heidelberg, 1991. http://dx.doi.org/10.1007/978-3-642-76872-9_3.

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Kimachi, Pedro Paulo, and Elaine Gomes Martins. "Postoperative Pain." In Robotic Surgery for Abdominal Wall Hernia Repair, 97–108. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-55527-0_8.

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Fung, Dennis L. "Postoperative Pain." In The Pain Management Handbook, 239–59. Totowa, NJ: Humana Press, 1998. http://dx.doi.org/10.1007/978-1-4612-1796-1_12.

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Shipton, Edward A. "Postoperative Pain, Persistent Acute Pain." In Encyclopedia of Pain, 3079–83. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-28753-4_3458.

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Cousins, Michael J., and Philip J. Siddall. "Postoperative Pain, Acute Neuropathic Pain." In Encyclopedia of Pain, 2966–69. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-28753-4_3422.

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Breivik, Harald, Kari Sørensen, and Audun Stubhaug. "Postoperative Pain, Acute Pain Team." In Encyclopedia of Pain, 2974–78. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-28753-4_3424.

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Sharrock, Nigel E. "Postoperative Pain Management." In Surgical Techniques in Total Knee Arthroplasty, 680–86. New York, NY: Springer New York, 2002. http://dx.doi.org/10.1007/0-387-21714-2_90.

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Power, Ian, and Lesley A. Colvin. "Postoperative Pain, Paracetamol." In Encyclopedia of Pain, 3066–68. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-28753-4_3452.

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Kam, Peter C. A. "Postoperative Pain, Tramadol." In Encyclopedia of Pain, 3107–11. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-28753-4_3464.

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Conference papers on the topic "Postoperative pain Pain"

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Hernindez, Carollo, Tobar, and Boveda. "Fuzzy Control Of Postoperative Pain." In Proceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE, 1992. http://dx.doi.org/10.1109/iembs.1992.592673.

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Hernandez, C., A. Carollo, A. Tobar, and C. Boveda. "Fuzzy control of postoperative pain." In 1992 14th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE, 1992. http://dx.doi.org/10.1109/iembs.1992.5761472.

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Shieh, J. S., L. Y. Chen, Y. R. Wen, J. Y. Chen, and W. Z. Sun. "Discrimination of pain intensity level and side effects of postoperative pain using parameters extracted from evoked pain pattern." In IET 3rd International Conference MEDSIP 2006. Advances in Medical, Signal and Information Processing. IEE, 2006. http://dx.doi.org/10.1049/cp:20060342.

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Kornilov, E., L. Gehlen, and M. Thudium. "ESRA19-0287 Pupillary pain index predicts postoperative pain in orthopedic patients with peripheral blocks." In Abstracts of the European Society of Regional Anesthesia, September 11–14, 2019. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/rapm-2019-esraabs2019.120.

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Aguirre, José. "Postoperative Management & Pain Control of Spine Surgery Patients." In eccElearning Postgraduate Diploma in Spine Surgery. eccElearning, 2017. http://dx.doi.org/10.28962/01.3.019.

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Jiann-Shing Shieh, Chun-Yi Dai, Yeong-Ray Wen, and Wei-Zen Sun. "Fuzzy pain demand index from an i-pain system for assessment of postoperative pain via patient-controlled analgesia using a multilayer hierarchical structure." In 2008 Second International Conference on Pervasive Computing Technologies for Healthcare (PervasiveHealth). IEEE, 2008. http://dx.doi.org/10.1109/pcthealth.2008.4571056.

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Shieh, Jiann-Shing, Yeong-Ray Wen, Chun-Yi Dai, and Wei-Zen Sun. "Fuzzy Pain Demand Index from an i-Pain System for Assessment of Postoperative Pain via Patient- Controlled Analgesia Using a Multilayer Hierarchical Structure." In 2nd International ICST Conference on Pervasive Computing Technologies for Healthcare. ICST, 2008. http://dx.doi.org/10.4108/icst.pervasivehealth2008.2508.

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Waelkens, P., E. Alsabbagh, A. Sauter, G. Joshi, and H. Beloeil. "211 Pain management after complex spine surgery: a systematic review and procedure-specific postoperative pain management (PROSPECT) recommendations." In ESRA 2021 Virtual Congress, 8–9–10 September 2021. BMJ Publishing Group Ltd, 2021. http://dx.doi.org/10.1136/rapm-2021-esra.211.

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Hoke, Austin T., Madison Malfitano, Lucas Frickey, Adam J. Kimple, Adam M. Zanation, Charles S. Ebert, Brent A. Senior, and Brian D. Thorp. "Postoperative Pain Management and Perceived Patient Outcomes following Endoscopic Pituitary Surgery." In 30th Annual Meeting North American Skull Base Society. Georg Thieme Verlag KG, 2020. http://dx.doi.org/10.1055/s-0040-1702295.

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Martinez Ortega, P., A. Gimenez-Manzorro, A. Ribed-Sanchez, A. de Lorenzo-Pinto, E. Garcia-Martin, S. Garcia-Sanchez, MA Amor-Garcia, et al. "4CPS-168 Postoperative pain management and pain referred by adult patients 24 hours after surgery and one month after discharge." In 24th EAHP Congress, 27th–29th March 2019, Barcelona, Spain. British Medical Journal Publishing Group, 2019. http://dx.doi.org/10.1136/ejhpharm-2019-eahpconf.317.

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Reports on the topic "Postoperative pain Pain"

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Sabry, Ahmed, and Sujesh Bansal. Optimising pain control in the postoperative patient. BJUI Knowledge, March 2020. http://dx.doi.org/10.18591/bjuik.0321.

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Lu, Wei, Yang Yu, Ruoyu Yao, and Jiong Li. Effect of trigger point intervention on postoperative pain. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, April 2021. http://dx.doi.org/10.37766/inplasy2021.4.0024.

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Lumpkin, Shamsie, Isaac Parrish, Austin Terrell, and Dwayne Accardo. Pain Control: Opioid vs. Nonopioid Analgesia During the Immediate Postoperative Period. University of Tennessee Health Science Center, July 2021. http://dx.doi.org/10.21007/con.dnp.2021.0008.

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Background Opioid analgesia has become the mainstay for acute pain management in the postoperative setting. However, the use of opioid medications comes with significant risks and side effects. Due to increasing numbers of prescriptions to those with chronic pain, opioid medications have become more expensive while becoming less effective due to the buildup of patient tolerance. The idea of opioid-free analgesic techniques has rarely been breached in many hospitals. Emerging research has shown that opioid-sparing approaches have resulted in lower reported pain scores across the board, as well as significant cost reductions to hospitals and insurance agencies. In addition to providing adequate pain relief, the predicted cost burden of an opioid-free or opioid-sparing approach is significantly less than traditional methods. Methods The following groups were considered in our inclusion criteria: those who speak the English language, all races and ethnicities, male or female, home medications, those who are at least 18 years of age and able to provide written informed consent, those undergoing inpatient or same-day surgical procedures. In addition, our scoping review includes the following exclusion criteria: those who are non-English speaking, those who are less than 18 years of age, those who are not undergoing surgical procedures while admitted, those who are unable to provide numeric pain score due to clinical status, those who are unable to provide written informed consent, and those who decline participation in the study. Data was extracted by one reviewer and verified by the remaining two group members. Extraction was divided as equally as possible among the 11 listed references. Discrepancies in data extraction were discussed between the article reviewer, project editor, and group leader. Results We identified nine primary sources addressing the use of ketamine as an alternative to opioid analgesia and post-operative pain control. Our findings indicate a positive correlation between perioperative ketamine administration and postoperative pain control. While this information provides insight on opioid-free analgesia, it also revealed the limited amount of research conducted in this area of practice. The strategies for several of the clinical trials limited ketamine administration to a small niche of patients. The included studies provided evidence for lower pain scores, reductions in opioid consumption, and better patient outcomes. Implications for Nursing Practice Based on the results of the studies’ randomized controlled trials and meta-analyses, the effects of ketamine are shown as an adequate analgesic alternative to opioids postoperatively. The cited resources showed that ketamine can be used as a sole agent, or combined effectively with reduced doses of opioids for multimodal therapy. There were noted limitations in some of the research articles. Not all of the cited studies were able to include definitive evidence of proper blinding techniques or randomization methods. Small sample sizes and the inclusion of specific patient populations identified within several of the studies can skew data in one direction or another; therefore, significant clinical results cannot be generalized to patient populations across the board.

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Chou, Roger, Jesse Wagner, Azrah Y. Ahmed, Ian Blazina, Erika Brodt, David I. Buckley, Tamara P. Cheney, et al. Treatments for Acute Pain: A Systematic Review. Agency for Healthcare Research and Quality (AHRQ), December 2020. http://dx.doi.org/10.23970/ahrqepccer240.

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Objectives. To evaluate the effectiveness and comparative effectiveness of opioid, nonopioid pharmacologic, and nonpharmacologic therapy in patients with specific types of acute pain, including effects on pain, function, quality of life, adverse events, and long-term use of opioids. Data sources. Electronic databases (Ovid® MEDLINE®, PsycINFO®, Embase®, the Cochrane Central Register of Controlled Trials, and the Cochrane Database of Systematic Reviews) to August 2020, reference lists, and a Federal Register notice. Review methods. Using predefined criteria and dual review, we selected randomized controlled trials (RCTs) of outpatient therapies for eight acute pain conditions: low back pain, neck pain, other musculoskeletal pain, neuropathic pain, postoperative pain following discharge, dental pain (surgical or nonsurgical), pain due to kidney stones, and pain due to sickle cell disease. Meta-analyses were conducted on pharmacologic therapy for dental pain and kidney stone pain, and likelihood of repeat or rescue medication use and adverse events. The magnitude of effects was classified as small, moderate, or large using previously defined criteria, and strength of evidence was assessed. Results. One hundred eighty-three RCTs on the comparative effectiveness of therapies for acute pain were included. Opioid therapy was probably less effective than nonsteroidal anti-inflammatory drugs (NSAIDs) for surgical dental pain and kidney stones, and might be similarly effective as NSAIDs for low back pain. Opioids and NSAIDs were more effective than acetaminophen for surgical dental pain, but opioids were less effective than acetaminophen for kidney stone pain. For postoperative pain, opioids were associated with increased likelihood of repeat or rescue analgesic use, but effects on pain intensity were inconsistent. Being prescribed an opioid for acute low back pain or postoperative pain was associated with increased likelihood of use of opioids at long-term followup versus not being prescribed, based on observational studies. Heat therapy was probably effective for acute low back pain, spinal manipulation might be effective for acute back pain with radiculopathy, acupressure might be effective for acute musculoskeletal pain, an opioid might be effective for acute neuropathic pain, massage might be effective for some types of postoperative pain, and a cervical collar or exercise might be effective for acute neck pain with radiculopathy. Most studies had methodological limitations. Effect sizes were primarily small to moderate for pain, the most commonly evaluated outcome. Opioids were associated with increased risk of short-term adverse events versus NSAIDs or acetaminophen, including any adverse event, nausea, dizziness, and somnolence. Serious adverse events were uncommon for all interventions, but studies were not designed to assess risk of overdose, opioid use disorder, or long-term harms. Evidence on how benefits or harms varied in subgroups was lacking. Conclusions. Opioid therapy was associated with decreased or similar effectiveness as an NSAID for some acute pain conditions, but with increased risk of short-term adverse events. Evidence on nonpharmacological therapies was limited, but heat therapy, spinal manipulation, massage, acupuncture, acupressure, a cervical collar, and exercise were effective for specific acute pain conditions. Research is needed to determine the comparative effectiveness of therapies for sickle cell pain, acute neuropathic pain, neck pain, and management of postoperative pain following discharge; effects of therapies for acute pain on non-pain outcomes; effects of therapies on long-term outcomes, including long-term opioid use; and how benefits and harms of therapies vary in subgroups.

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Foong, Keng Wah, YokeLin LO, Sook Hui Chaw, and Pui San Loh. Perioperative systemic exposure of lidocaine for postoperative pain control: A meta-analysis of randomized clinical trials. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, August 2021. http://dx.doi.org/10.37766/inplasy2021.8.0046.

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Canellas, Joao Vitor, Fabio Ritto, and Paul Tiwana. Comparative efficacy and safety of different corticosteroids to reduce inflammatory complications after mandibular third molar surgery: a systematic review and network meta-analysis protocol. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, September 2021. http://dx.doi.org/10.37766/inplasy2021.9.0023.

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Review question / Objective: This systematic review aims to compare the effects of different corticosteroids to reduce postoperative inflammatory complications (pain, edema, and trismus) after mandibular third molar surgery by applying a frequentist network meta-analysis approach. To this end, the proposed study will answer the following questions: 1) Among diverse corticosteroids currently available, what is the best preoperative option to control postoperative inflammatory complications? 2) What is the optimal dose and route of administration of corticosteroids prior to mandibular third molar surgery to control the pain, edema, and trismus induced by the surgery? Condition being studied: Inflammatory complications after mandibular third molar surgery (Pain, edema, and trismus).

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Canellas, Joao Vitor, Fabio Ritto, and Paul Tiwana. Comparative efficacy and safety of pharmacological interventions to reduce inflammatory complications after mandibular third molar surgery: a systematic review and network meta-analysis protocol. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, July 2021. http://dx.doi.org/10.37766/inplasy2021.7.0069.

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Review question / Objective: This systematic review aims to compare the effects of different drugs to reduce postoperative inflammatory complications (pain, edema, and trismus) after mandibular third molar surgery by applying a frequentist network meta-analysis approach. To this end, the proposed study will answer the following questions: 1) Among diverse drugs currently available, which postoperative pharmacological regimen is the most efficient to reduce pain after mandibular third molar surgery? 2) Is the pre-emptive analgesia effective in reducing pain immediately after the mandibular third molar surgery? In this case, 3) Which preoperative pharmacological regimen is the most efficient? 4) Among diverse corticosteroids currently available, what is the best option to control the edema induced by the surgery? 5) What is the optimal dose and route of administration of corticosteroids prior to mandibular third molar surgery to control the pain/ edema induced by the surgery? Condition being studied: Inflammatory complications after mandibular third molar surgery (Pain, edema, and trismus).

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Ding, Shengshuang, Jie Zhang, Xiaoyu Qin, Weihua Huang, Rongrong Duan, Xiaoting Lu, and Jianjun Xue. Pericapsular nerve group (PENG) block for postoperative pain management in patients undergoing total hip arthroplasty surgery: a systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, July 2021. http://dx.doi.org/10.37766/inplasy2021.7.0092.

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Wang, Congcong, Hongjuan Fu, Jun Wang, Fujun Huang, and Xuejun Cao. Preemptive analgesia using selective cyclooxygenase-2 inhibitors alleviates postoperative pain in patients undergoing total knee arthroplasty: A meta-analysis of randomized controlled trials. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, September 2020. http://dx.doi.org/10.37766/inplasy2020.9.0101.

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Meng, Dan, Yifei Mao, Quanmei Song, Chunchun Yan, Qinyu Zhao, Mengqi Yang, Guangxin Xiang, and Yongmei Song. The Efficacy and Safety of Transcutaneous Electrical Acupoint Stimulation (TEAS) for Postoperative Pain in Laparoscopy: A Protocol for Systematic Review and Meta-Analysis of Randomized Controlled Trials. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, May 2021. http://dx.doi.org/10.37766/inplasy2021.5.0101.

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