scholarly journals Truncal blocks and teenager postoperative pain perception after laparoscopic surgical procedures

PAIN Reports ◽  
2019 ◽  
Vol 4 (4) ◽  
pp. e763
Author(s):  
Mihaela Visoiu ◽  
Jacques Chelly ◽  
Tanya Kenkre
Keyword(s):  
Postoperative Pain ◽  
Surgical Procedures ◽  
Pain Perception ◽  
Laparoscopic Surgical Procedures

Pre‐emptive administration of gabapentinoids to reduce postoperative pain and opioid usage following oral and maxillofacial surgical procedures

Oral Surgery ◽  
2021 ◽  
Author(s):  
Surya A. Bhavaraju ◽  
John S. Vorrasi ◽  
Sandeep Talluri ◽  
Mythili Kalladka ◽  
Junad Khan
Keyword(s):  
Postoperative Pain ◽  
Surgical Procedures

scholarly journals Otoplasty: a graduated approach

2020 ◽  
Vol 36 (1) ◽  
Author(s):  
Ahmed Soliman Ismail
Keyword(s):  
Postoperative Pain ◽  
Surgical Procedures ◽  
Adult Patients ◽  
Surgical Results ◽  
Auricular Cartilage ◽  
Surgical Time ◽  
Common Presentation ◽  
Ear Deformity ◽  
Surgical Tool ◽  
Bat Ear

Abstract Background Bat ear deformity is a common presentation among the ENT patients (22.5%). Many surgical procedures have been described to manage such a problem. A thorough study of the anatomical anomalies contributing to such deformity is required by any plastic surgeon in handling this anomaly. Results Modified anterior scoring (Chong-Chet) was done on 45 bat ear deformities in 31 patients. Good surgical results were obtained in 97.7% of patients, and the surgical time ranged from 60 t0 90 min. Postoperative pain and infection were minimal and effectively managed. Conclusions The modified Chong-Chet anterior scoring is a reliable and effective surgical tool for managing bat ear deformity done through one postauricular incision. This technique could be used in young as well as adult patients because it renders the auricular cartilage easier to manipulate.

Minimally Invasive: Minimally Reimbursed? An Examination of Six Laparoscopic Surgical Procedures

2005 ◽  
Vol 12 (3) ◽  
pp. 261-287 ◽  
Author(s):  
Adam R. Roumm ◽  
Laura Pizzi ◽  
Neil I. Goldfarb ◽  
Herbert Cohn
Keyword(s):  
Minimally Invasive ◽  
Surgical Procedures ◽  
Laparoscopic Surgical Procedures

scholarly journals Postoperative Pain, an Unmet Problem in Day or Overnight Italian Surgery Patients: A Prospective Study

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Sara Campagna ◽  
Maria Delfina Antonielli D’Oulx ◽  
Rosetta Paradiso ◽  
Laura Perretta ◽  
Silvia Re Viglietti ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Surgical Procedures ◽  
Pain Therapy ◽  
Pain Treatment ◽  
Day Surgery ◽  
North West ◽  
Local Practices ◽  
Surgery Rates ◽  
A Prospective Study ◽  
Postoperative Pain Treatment

Background. Because of economic reasons, day surgery rates have steadily increased in many countries and the trend is to perform around 70% of all surgical procedures as day surgery. Literature shows that postoperative pain treatment remains unfulfilled in several fields such as orthopedic and general surgery patients. In Italy, the day surgery program is not yet under governmental authority and is managed regionally by local practices. Aim. To investigate the trends in pain intensity and its relation to type of surgeries and pain therapy protocols, in postoperative patients, discharged from three different Ambulatory Surgeries located in North West Italy (Piedmont region). Method. The present study enrolled 276 patients who undergone different surgical procedures in ambulatory regimen. Patients recorded postoperative pain score twice a day, compliance with prescribed drugs, and pain related reasons for contacting the hospital. Monitoring lasted for 7 days. Results. At discharge, 72% of patients were under weak opioids, 12% interrupted the treatment due to side effects, 17% of patients required extra drugs, and 15% contacted the hospital reporting pain problems. About 50% of patients experienced moderate pain during the first day after surgery. Results from our study show that most of the patients experienced avoidable pain after discharge.

scholarly journals The Effect of Intraoperative Methadone Compared to Morphine on Postsurgical Pain: A Meta-Analysis of Randomized Controlled Trials

2020 ◽  
Vol 2020 ◽  
pp. 1-9 ◽  
Author(s):  
Mark C. Kendall ◽  
Lucas J. Alves ◽  
Kristi Pence ◽  
Taif Mukhdomi ◽  
Daniel Croxford ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Randomized Controlled Trials ◽  
Surgical Procedures ◽  
Meta Analysis ◽  
Analgesic Efficacy ◽  
Opioid Consumption ◽  
Cochrane Library ◽  
Postanesthesia Care Unit ◽  
Controlled Trials ◽  
Randomized Controlled

Background and Objectives. Methadone is commonly used in chronic pain, but it is not frequently used as an intraoperative analgesic. Several randomized studies have compared intraoperative methadone to morphine regarding postsurgical analgesia, but they have generated conflicting results. The aim of this investigation was to compare the analgesic efficacy of intraoperative methadone to morphine in patients undergoing surgical procedures. Methods. We performed a quantitative systematic review of randomized controlled trials in PubMed, Embase, Cochrane Library, and Google Scholar electronic databases. Meta-analysis was performed using the random effects model, weighted mean differences (WMD), standard deviation, 95% confidence intervals, and sample size. Methodological quality was evaluated using Cochrane Collaboration’s tool. Results. Seven randomized controlled trials evaluating 337 patients across different surgical procedures were included. The aggregated effect of intraoperative methadone on postoperative opioid consumption did not reveal a significant effect, WMD (95% CI) of −0.51 (−1.79 to 0.76), (P=0.43) IV morphine equivalents. In contrast, the effect of methadone on postoperative pain demonstrated a significant effect in the postanesthesia care unit, WMD (95% CI) of −1.11 (−1.88 to −0.33), P=0.005, and at 24 hours, WMD (95% CI) of −1.35 (−2.03 to −0.67), P<0.001. Conclusions. The use of intraoperative methadone reduces postoperative pain when compared to morphine. In addition, the beneficial effect of methadone on postoperative pain is not attributable to an increase in postsurgical opioid consumption. Our results suggest that intraoperative methadone may be a viable strategy to reduce acute pain in surgical patients.

scholarly journals The Implications of Tobacco Smoking on Acute Postoperative Pain: A Prospective Observational Study

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Han-Liang Chiang ◽  
Yuan-Yi Chia ◽  
Huey-Shyan Lin ◽  
Chen-Hsiu Chen
Keyword(s):  
Postoperative Pain ◽  
Health Care Providers ◽  
Pain Perception ◽  
Clinical Importance ◽  
Smoking History ◽  
Major Surgery ◽  
Care Providers ◽  
Acute Postoperative Pain ◽  
Duration Of Surgery ◽  
Upper Abdomen

Background. The clinical importance of cigarette smoking on acute postoperative pain perception is not fully understood.Methods. To determine whether smokers who underwent major surgery need more postoperative opiate than do nonsmokers. We prospectively enrolled 407 male and 441 female participants who underwent in-hospital surgery. Current-smokers were compared with nonsmokers and past-smokers about opiate use during the first 72 h after surgery.Results. A greater proportion of males had more smoking history than females. The average age of male current-smokers is smaller than both nonsmokers and past-smokers. The surgical type (upper abdomen, lower abdomen, extremities, spine, and others) and duration of surgery have no differences between current-smokers, past-smokers, and nonsmokers. Statistically, the male current-smokers required more opiate analgesics during the first 72 h following surgery compared with the male nonsmokers and past-smokers; furthermore, the male current-smokers reported higher pain intensity when moving and at rest on day 1 after surgery.Conclusions. In this study, the male current-smokers required more morphine in the first 72 h after surgery than did the nonsmokers and past-smokers. Furthermore, smoking was more prevalent among the males than the females. Health care providers must be aware of the potential for increased narcotic requirements in male current-smokers.

scholarly journals Predictors for Moderate to Severe Acute Postoperative Pain after Cesarean Section

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Natalia de Carvalho Borges ◽  
Lilian Varanda Pereira ◽  
Louise Amália de Moura ◽  
Thuany Cavalcante Silva ◽  
Charlise Fortunato Pedroso
Keyword(s):  
Postoperative Pain ◽  
Cesarean Section ◽  
Protective Factor ◽  
Pain Perception ◽  
Intrathecal Morphine ◽  
Preoperative Anxiety ◽  
Prospective Longitudinal Study ◽  
Logistic Analysis ◽  
Severe Postoperative Pain ◽  
Prospective Longitudinal

Background. Moderate to severe postoperative pain affects performance of daily activities and it contributes to persistent postoperative pain. In patients submitted to cesarean section, this pain can also interfere with women’s ability to care for their babies, to effectively breastfeed, and to satisfactorily interact with their children. Factors influencing the pain perception during the immediate postoperative period have not been widely pursued. Objective. To investigate the incidence and predicting factors of postoperative pain after cesarean section. Methods. A prospective longitudinal study with 1,062 women submitted to cesarean section. We collected sociodemographic, clinical, surgical, and health behavior data. We used the 11-point Numerical Pain and the Hospital Anxiety and Depression Scales. We performed logistic analysis to identify predictors of moderate to severe postoperative pain. Results. The incidence of moderate-severe postoperative pain was 78.4% (CI: 95%: 75.9%–80.8%). The preoperative anxiety (OR = 1.60; CI 95%: 1.22–2.30) and intrathecal morphine with fentanyl (OR = 0,23; CI 95%: 0.08–0.66) were significantly associated with moderate-severe postoperative pain report. Conclusion. The preoperative anxiety increases the risk of moderate-severe postoperative pain in women submitted to cesarean section. The intrathecal morphine with fentanyl added to bupivacaine was a protective factor against this pain.

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