Postoperative Pain Management in the Elderly Undergoing Thoracic Surgery

2009 ◽  
Vol 19 (3) ◽  
pp. 353-361 ◽  
Author(s):  
Marie N. Hanna ◽  
Jamie D. Murphy ◽  
Kanupriya Kumar ◽  
Christopher L. Wu
Keyword(s):  
Pain Management ◽  
Postoperative Pain ◽  
Thoracic Surgery ◽  
Postoperative Pain Management ◽  
The Elderly

scholarly journals Our first Experience of Continuous Fascia Iliaca Compartment Block for Post Operative Analgesia in a Case of Fracture Femur in TU Teaching Hospital

2018 ◽  
Vol 16 (2) ◽  
pp. 248-250
Author(s):  
Bigen Man Shakya ◽  
Ninadini Shrestha
Keyword(s):  
Case Report ◽  
Pain Management ◽  
Postoperative Pain ◽  
Teaching Hospital ◽  
Postoperative Pain Management ◽  
The Elderly ◽  
Pain Medication ◽  
Fracture Femur ◽  
Fascia Iliaca Compartment Block

The postoperative pain management in the elderly is challenging due to comorbidities and change in physiology due to age itself. This limit the use of medication which include pain medication also. The fascia iliaca compartment block has been described in the literature for fracture of femur. It has even been safely used by non anaesthesiologist also. To our knowledge, we did not find any case report of continuous fascia iliaca compartment block published in Nepal. This is our first experience of successful continous fasicia iliaca compartment block in case of 89 year old lady with multiple co morbidities in whom traditional pain medication might be difficult to use. We encourage to practice this block which is both safe and easy to perform with good results.

scholarly journals Electroacupuncture Reduces Postoperative Pain and Analgesic Consumption in Patients Undergoing Thoracic Surgery: A Randomized Study

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Tongyu Chen ◽  
Ke Wang ◽  
Jianjun Xu ◽  
Wen Ma ◽  
Jia Zhou
Keyword(s):  
Pain Management ◽  
Postoperative Pain ◽  
Thoracic Surgery ◽  
Sham Group ◽  
Randomized Study ◽  
Postoperative Pain Management ◽  
Enzyme Linked Immunosorbent Assay ◽  
Adjunct Treatment ◽  
Lower Visual Analogue Scale ◽  
Intravenous Analgesia

The aim of this study was to evaluate the effect of electroacupuncture (EA) on postoperative pain management in patients undergoing thoracic surgery. A randomized study was conducted. Ninety-two thoracic surgical patients were randomly divided into an EA group and a sham group. Postoperative intravenous analgesia was applied with a half dose of the conventional drug concentration in both groups. In the EA group, EA treatment was administered for three consecutive days after the surgery with 6 sessions of 30 min each. Compared with the sham group, patients in the EA group had a lower visual analogue scale (VAS) score at 2, 24, 48, and 72 hours and consumed less analgesic after surgery. The incidence of opioid-related adverse effects of nausea was lower in the EA group. The time to first flatus and defecation was also shorter in the EA group. Furthermore, the plasmaβ-endorphin (β-EP) level was higher by radioimmunoassay and the plasma 5-hydroxytryptamine (5-HT) level was lower in the EA group by enzyme-linked immunosorbent assay during the first 72 hr after thoracic surgery. Therefore, EA is suitable as an adjunct treatment for postoperative pain management after thoracic surgery.

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