scholarly journals Degradable polymeric vehicles for postoperative pain management

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Natasha C. Brigham ◽  
Ru-Rong Ji ◽  
Matthew L. Becker
Keyword(s):  
Pain Management ◽  
Extended Release ◽  
Postoperative Pain Management ◽  
Patient Comfort ◽  
Effective Control ◽  
Prescription Opioids ◽  
Polymeric Systems ◽  
Post Operative Pain ◽  
Review Current

AbstractEffective control of pain management has the potential to significantly decrease the need for prescription opioids following a surgical procedure. While extended release products for pain management are available commercially, the implementation of a device that safely and reliably provides extended analgesia and is sufficiently flexible to facilitate a diverse array of release profiles would serve to advance patient comfort, quality of care and compliance following surgical procedures. Herein, we review current polymeric systems that could be utilized in new, controlled post-operative pain management devices and highlight where opportunities for improvement exist.

The Quality Test for Postoperative Pain Management using the American Pain Society Patient Outcome Questionnaire Revisied (APS-POQ-R) version Indonesia at Mohammad Hoesin Hospital in Palembang (A study of the quality level of postoperative pain management

2020 ◽  
Vol 1 (2) ◽  
pp. 41-45
Author(s):  
Malina Resta Maria Panjaitan ◽  
Dewi Arsinta ◽  
Rose Mafiana
Keyword(s):  
Patient Outcome ◽  
Pain Management ◽  
Postoperative Pain ◽  
Emotional Experience ◽  
Postoperative Pain Management ◽  
Education Level ◽  
Quality Level ◽  
Outcome Questionnaire ◽  
Post Operative Pain

A B S T R A C TPain is an unpleasant sensory and emotional experience associated with actual orpotential tissue damage, or described in terms of such damage. APS-POQ-R (RevisedAmerican Pain Society Patient Outcome Questionnaire) is a measuring tool for assessingthe quality of postoperative pain management by exploring patient experiences andoutcomes. This research aims to assess the quality of postoperative pain managementat Mohammad Hoesin Hospital Palembang and to determine the factors that influenceit. The Cross-sectional observational analytic study was conducted toward 51respondents. Data was collected primarily by using questionnares and interview. Datawas analyzed by using chi-square. The study showed that the quality of postoperativepain management at RSUP Mohammad Hoesin General Hospital Palembang has goodquality with a total of 27 patients (52.9%). From statistical analysis there wassignificant relationship between the quality of post-operative pain management withage (p=0,037), gender (p=0,027), ethnicity (p=0,039), education level (p=0,039), andeconomic level (p=0,005). So it can be concluded that was a significant relationshipbetween the quality of post-operative pain management with age, gender, ethnicity,education level, and economic level.

scholarly journals Pain management after lung surgery

2014 ◽  
Vol 4 (1) ◽  
Author(s):  
Maria Frödin ◽  
Margareta Warrén Stomberg
Keyword(s):  
Quality Of Care ◽  
Pain Management ◽  
Postoperative Pain ◽  
Severe Pain ◽  
Postoperative Pain Management ◽  
Lung Surgery ◽  
Moderate Pain ◽  
Number Of Patients ◽  
Severe Postoperative Pain

Pain management is an integral challenge in nursing and includes the responsibility of managing patients’ pain, evaluating pain therapy and ensuring the quality of care. The aims of this study were to explore patients’ experiences of pain after lung surgery and evaluate their satisfaction with the postoperative pain management. A descriptive design was used which studied 51 participants undergoing lung surgery. The incidence of moderate postoperative pain varied from 36- 58% among the participants and severe pain from 11-26%, during their hospital stay. Thirty-nine percent had more pain than expected. After three months, 20% experienced moderate pain and 4% experienced severe pain, while after six months, 16% experienced moderate pain. The desired quality of care goal was not fully achieved. We conclude that a large number of patients experienced moderate and severe postoperative pain and more than one third had more pain than expected. However, 88% were satisfied with the pain management. The findings confirm the severity of pain experienced after lung surgery and facilitate the apparent need for the continued improvement of postoperative pain management following this procedure.

scholarly journals KNOWLEDGE AND ATTITUDE OF NURSES TOWARDS POST-OPERATIVE PAIN MANAGEMENT IN MUHAMMADU ABDULLAHI WASE TEACHING HOSPITAL KANO – NIGERIA

2020 ◽  
Vol 6 (1) ◽  
pp. 49-62
Author(s):  
Rabiu Musa ◽  
◽  
Halima Muhammad ◽  
Keyword(s):  
Pain Management ◽  
Sample Size ◽  
Teaching Hospital ◽  
Postoperative Pain Management ◽  
Knowledge And Skills ◽  
Descriptive Research ◽  
Post Operative Pain ◽  
Knowledge And Attitude ◽  
Nurses Attitude ◽  
Prolong Hospital Stay

Knowledge and attitude of Nurses towards post-operative pain management in Muhammadu Abdullahi Wase Teaching hospital Kano. Knowledge and skills of Nurses towards post-operative pain managements haven being an issue in Muhammad Abdullahi Wase Teaching hospital due to workload, inadequate staffs, lack of adequate equipment’s to access patient level of pain .Aim to assessed the knowledge level of Nurses towards post-operative pain management, to determine the level of Nurses attitude towards post-operative pain management and identified the complication of inadequate post-operative pain management in Muhammad Abdullahi Wase Teaching Hospital Kano. Post-operative pain management has being an integral issue in patient who has undergone surgery leading to poor wound healing and prolong hospital stay. The descriptive research design was used to uncover knowledge and attitude of nurses towards postoperative pain management , a self-structured questionnaire was administered to population of fifty eight (58) respondents and sample size of fifty(50) was determined using Taro Yamane formula for determining sample size n= N/ (1+N(e)2). Method of data analysis was done using SPSS version 22. The result of the study shows that Nurses have a good knowledge and attitude towards post-operative pain managements. It was concluded that Nurses in surgical wards should indulge into continuing education programmed, in-house training and seminars in pain managements to boost their knowledge and skills.

Extended-release liposomal formulation of bupivacaine for post-operative pain management after hernia repair surgery

2006 ◽  
Vol 23 (Supplement 37) ◽  
pp. 231
Author(s):  
G. Manvelian ◽  
M. Ardeleanu ◽  
N. Rashti
Keyword(s):  
Pain Management ◽  
Hernia Repair ◽  
Extended Release ◽  
Liposomal Formulation ◽  
Post Operative Pain

Postoperative Pain Management

2018 ◽  
Author(s):  
Q. Cece Chen ◽  
Shengping Zou
Keyword(s):  
Pain Management ◽  
Postoperative Pain ◽  
Pain Treatment ◽  
Postoperative Pain Management ◽  
Cost Of Care ◽  
Patient Comfort ◽  
Treatment Modalities ◽  
Surgical Patient ◽  
Coordinated Care ◽  
Unrealistic Expectations

Postoperative pain management is an important aspect of caring for a surgical patient as inadequate pain control can be associated with increased morbidity and mortality. Failure to effectively control postoperative pain is often due to poor communication and poorly coordinated care between the care teams, poor communication with the patient, insufficient education, unrealistic expectations, fear of complications from the pain regimen, inaccurate pain assessment, and limited effective pain treatment modalities. An effective pain management can therefore lead to improved patient comfort, satisfaction, earlier ambulation, faster recovery time, decreased hospital stay and cost of care, and reduced postoperative complications.

scholarly journals Quality of postoperative pain management in Ethiopia: A prospective longitudinal study

PLoS ONE ◽  
2019 ◽  
Vol 14 (5) ◽  
pp. e0215563 ◽  
Author(s):  
Million Tesfaye Eshete ◽  
Petra I. Baeumler ◽  
Matthias Siebeck ◽  
Markos Tesfaye ◽  
Abraham Haileamlak ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Pain Management ◽  
Postoperative Pain ◽  
Postoperative Pain Management ◽  
Prospective Longitudinal Study ◽  
Prospective Longitudinal

The quality of postoperative pain management following gynaecological and obstetrical surgery

2007 ◽  
Vol 32 (Suppl. 1) ◽  
pp. 143
Author(s):  
N. F. Fernandes ◽  
L. A. Barros ◽  
C. J. Matias ◽  
J. Peixoto ◽  
P. Coimbra ◽  
...  
Keyword(s):  
Pain Management ◽  
Postoperative Pain ◽  
Postoperative Pain Management

scholarly journals Post-operative pain management modalities employed in clinical trials for adult patients in LMIC; a systematic review

2020 ◽  
Author(s):  
Gauhar Afshan ◽  
Robyna Irshad Khan ◽  
Aliya Ahmed ◽  
Ali Sarfraz Siddiqui ◽  
Azhar Rehman ◽  
...  
Keyword(s):  
Systematic Review ◽  
Clinical Trials ◽  
Pain Management ◽  
Postoperative Pain ◽  
Postoperative Pain Management ◽  
Multimodal Analgesia ◽  
Adult Patients ◽  
Cochrane Library ◽  
Regional Analgesia ◽  
Post Operative Pain

Abstract Background: Unrelieved postoperative pain afflicts millions each year in low and middle income countries (LMIC). Despite substantial advances in the study of pain, this area remains neglected. Current systematic review was designed to ascertain the types of clinical trials conducted in LMIC on postoperative pain management modalities over the last decade. Methods: A comprehensive search was performed in June 2019 on PubMed, Cochrane Library, CINAHL Plus, and Web of Science databases to identify relevant trials on the management of postoperative pain in LMIC. Out of 1450 RCTs, 108 studies were reviewed for quality evidence using structured form of critical appraisal skill program. Total of 51 clinical trials were included after applying inclusion/exclusion criteria. Results:Results are charted according to the type of surgery. Eleven trials on laparoscopic cholecystectomy used multimodal analgesia including some form of regional analgesia. Different analgesic modalities were studied in 4 trials on thoracotomy, but none used multimodal approach. In 11 trials on laparotomy, multimodal analgesia was employed along with the studied modalities. In 2 trials on hysterectomy, preemptive pregabalin or gabapentin were used for reduction in rescue analgesia. In 13 trials on breast surgical procedures and 10 on orthopaedic surgery, multimodal analgesia was used with some form of regional analgesia. Conclusion: We found that over the past 10 years, clinical trials for postoperative pain modalities have evolved in LMIC according to the current postoperative pain management guidelines i.e. multi-modal approach with some form of regional analgesia. The current review shows that clinical trials were conducted using multimodal analgesia including but not limited to some form of regional analgesia for postoperative pain in LMIC however this research snapshot (of only three countries) may not exactly reflect the clinical practices in all 47 countries. Post Operative Pain Management Modalities Employed in Clinical Trials for Adult Patients in LMIC; A Systematic Review

scholarly journals Assessment of quality of care in acute postoperative pain management

2009 ◽  
Vol 66 (2) ◽  
pp. 156-162 ◽  
Author(s):  
Dragana Milutinovic ◽  
Verica Milovanovic ◽  
Miroslava Pjevic ◽  
Mirjana Martinov-Cvejin ◽  
Tomislav Cigic
Keyword(s):  
Pain Management ◽  
Postoperative Pain ◽  
Nursing Care ◽  
Severe Pain ◽  
Postoperative Pain Management ◽  
Care Quality ◽  
Acute Postoperative Pain ◽  
Nursing Care Quality ◽  
The Difference

Background/Aim. Managing of acute postoperative pain should be of great interest for all hospital institutions, as one of the key components of patients satisfaction, which indicates quality, as well as the outcome of treatment. The aim of this study was to assess the quality of nursing care in managing acute postoperative pain and to establish factors which influence patients assessment of the same. Method. The investigation was conducted on the sample of 135 patients hospitalized in surgical clinics of the Clinical Centre of Vojvodina in Novi Sad in the form of cross-sectional study, by interviewing patients during the second postoperative day and collecting sociodemographic variables, type of surgical procedure and applied analgesic therapy which were taken from their medical documentation. The modified questionnaire of the Strategic and Clinical Quality Indicators in Postoperative Pain Management (SCQIPP) was used as the instrument of the investigation. The data were processed with suitable mathematical statistics methods such as multivariate analyses of variance (MANOVA), discriminative and other parametric procedures and methods. Roy's test, Pearson's coefficient contingency (?), multiple correlation coefficient (R) were conducted amongst other invariant procedures. Results. The mean score for the individual items of SCQIPP questionnaire was between 2.0 and 4.7 (scale range 1-5) and the percentage of patients answers 'strongly agree' ranged from 4.4 to 77%. The smallest number of positive answers were given by the patients for the item 'In order to assess pain intensity, some of the staff asked me at least once in the morning, in the afternoon and in the evening to show the number from 0-10'. Most of the patients (57%) evaluated severe pain during the previous 24 hours, as moderate pain, which represents significantly greater number of patients which complain of severe pain and mild pain (p < 0.001). The analysis of patients evaluation (MANOVA p < 0.05 and discriminative p < 0.05) indicates the existence of significant difference between the assessment of nursing care quality in managing acute postoperative pain as regards to clinics as the place for pain management, patient's sex and his expectations. Evaluation from 'communication' subscale gives the greatest contribution (24.9%) to the difference between the observed clinics, and the greatest contribution (25.7%) to the difference in evaluation of nursing care quality as regards to patients' sex has the evaluations from 'procedure' subscale. Conclusion. The results of this study show a useful evidence and identify aspects of nursing care in postoperative management of acute pain which are still to be improved. According to the patients' answers the priority should be given to a regular assessment of the intensity of postoperative pain and evaluation of the effects of analgesic therapy.

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