scholarly journals Trans-Vaginal Mesh Revision: A Comprehensive Review on Etiologies and Management Strategies with Emphasis on Postoperative Pain Outcomes

2014 ◽  
Vol 6 (2) ◽  
pp. 69-75 ◽  
Author(s):  
Stephen MOCK ◽  
William S. REYNOLDS ◽  
Roger R. DMOCHOWSKI
Keyword(s):  
Postoperative Pain ◽  
Management Strategies ◽  
Vaginal Mesh ◽  
Comprehensive Review ◽  
Pain Outcomes ◽  
Trans Vaginal Mesh

scholarly journals Big Data in Studying Acute Pain and Regional Anesthesia

2021 ◽  
Author(s):  
Lukas M. Müller-Wirtz ◽  
Thomas Volk
Keyword(s):  
Big Data ◽  
Postoperative Pain ◽  
Regional Anesthesia ◽  
Acute Pain ◽  
Management Strategies ◽  
Administrative Databases ◽  
Treatment Quality ◽  
Clinical Registries ◽  
Pain Outcomes ◽  
The Status

The digital transformation of healthcare is advancing, leading to an increasing availability of clinical data for research. Perioperative big data initiatives were established to monitor treatment quality and benchmark outcomes. However, big data analyzes have long exceeded the status of pure quality surveillance instruments. Large retrospective studies nowadays often represent the first approach to new questions in clinical research and pave the way for more expensive and resource intensive prospective trials. As a consequence, utilization of big data in acute pain and regional anesthesia research considerably increased over the last decade. Multicentric clinical registries and administrative databases (e.g., healthcare claims databases) have collected millions of cases until today, on which basis several important research questions were approached. In acute pain research, big data was used to assess postoperative pain outcomes, opioid utilization, and the efficiency of multimodal pain management strategies. In regional anesthesia, adverse events and potential benefits of regional anesthesia on postoperative morbidity and mortality were evaluated. This article provides a narrative review on the growing importance of big data for research in acute postoperative pain and regional anesthesia.

scholarly journals Big Data in Studying Acute Pain and Regional Anesthesia

2021 ◽  
Vol 10 (7) ◽  
pp. 1425
Author(s):  
Lukas M. Müller-Wirtz ◽  
Thomas Volk
Keyword(s):  
Big Data ◽  
Postoperative Pain ◽  
Regional Anesthesia ◽  
Acute Pain ◽  
Management Strategies ◽  
Administrative Databases ◽  
Treatment Quality ◽  
Clinical Registries ◽  
Pain Outcomes ◽  
The Status

The digital transformation of healthcare is advancing, leading to an increasing availability of clinical data for research. Perioperative big data initiatives were established to monitor treatment quality and benchmark outcomes. However, big data analyses have long exceeded the status of pure quality surveillance instruments. Large retrospective studies nowadays often represent the first approach to new questions in clinical research and pave the way for more expensive and resource intensive prospective trials. As a consequence, the utilization of big data in acute pain and regional anesthesia research has considerably increased over the last decade. Multicentric clinical registries and administrative databases (e.g., healthcare claims databases) have collected millions of cases until today, on which basis several important research questions were approached. In acute pain research, big data was used to assess postoperative pain outcomes, opioid utilization, and the efficiency of multimodal pain management strategies. In regional anesthesia, adverse events and potential benefits of regional anesthesia on postoperative morbidity and mortality were evaluated. This article provides a narrative review on the growing importance of big data for research in acute postoperative pain and regional anesthesia.

scholarly journals Toward Identifying Moderators of Associations Between Presurgery Emotional Distress and Postoperative Pain Outcomes: A Meta-Analysis of Longitudinal Studies

2016 ◽  
Vol 17 (8) ◽  
pp. 874-888 ◽  
Author(s):  
Todd Jackson ◽  
Panpan Tian ◽  
Yang Wang ◽  
Tony Iezzi ◽  
Wenyi Xie
Keyword(s):  
Postoperative Pain ◽  
Longitudinal Studies ◽  
Emotional Distress ◽  
Meta Analysis ◽  
Pain Outcomes

scholarly journals Impact of the Timing of Rocuronium Injection after Propofol Administration on Temporal Summation of Pain in Gynecologic Laparoscopic Surgery: A Prospective and Controlled Study

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Jaehak Jung ◽  
Byoungryun Kim ◽  
Seong Nam Park ◽  
Jiheui Lee ◽  
Insung Choi ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Postoperative Pain ◽  
Temporal Summation ◽  
Opioid Consumption ◽  
Controlled Study ◽  
Injection Pain ◽  
Pain Patient ◽  
Patient Controlled Analgesia ◽  
Pain Outcomes ◽  
The Impact

Purpose. Temporal summation of pain, which is defined as the perception of greater pain evoked by repetitive painful stimuli, varies among individuals. This study aimed at determining the impact of the timing of rocuronium after induction with propofol on the temporal summation of pain. Methods. One hundred patients aged 19–60 years underwent gynecologic laparoscopic surgery. Patients were randomly assigned to one of the two groups: group PRi received immediate injections of rocuronium after propofol administration and group PRd received rocuronium injections when the bispectral index score (BIS) decreased to <60 after propofol administration. The grade of rocuronium-induced withdrawal movement (RIWM) according to the timing of propofol injection, the incidence and severity of propofol injection pain (PIP), rescue analgesics, visual analog scale (VAS) score after surgery for postoperative pain, patient-controlled analgesia (PCA) opioid consumption, association between PIP and the grade of RIWM, and associations between PIP, the grade of RIWM, and postoperative pain outcomes were measured. Results. The differences between the incidence and severity of PIP in the two groups were not significant. The grade of the RIWM in the PRd group was significantly reduced compared with the PRi group. Rescue analgesics, severity for postoperative pain, and PCA opioid consumption were not significant. Correlations between the incidence and severity of PIP and the grade of RIWM were weakly negative. Correlations between the grade of RIWM and pain outcomes were moderately positive, but correlations between the severity for PIP and the postoperative pain outcomes were negligible. Conclusion. The timing of rocuronium administration after propofol injection played a role in reducing RIWM. The grade of RIWM was significantly related to pain outcomes compared with the severity of PIP. Therefore, delayed rocuronium injection after induction with propofol reduced temporal summation of pain.

scholarly journals Postoperative Pain Management Strategies in Hip Arthroscopy

2019 ◽  
Vol 12 (4) ◽  
pp. 479-485 ◽  
Author(s):  
Collin LaPorte ◽  
Michael D. Rahl ◽  
Olufemi R. Ayeni ◽  
Travis J. Menge
Keyword(s):  
Pain Management ◽  
Postoperative Pain ◽  
Hip Arthroscopy ◽  
Management Strategies ◽  
Postoperative Pain Management

Effects of Intra-operative Maintenance of General Anaesthesia With Propofol on Postoperative Pain Outcomes—A Systematic Review and Meta-analysis

2017 ◽  
Vol 61 (1) ◽  
pp. 9-10 ◽  
Author(s):  
Q. Qiu ◽  
S. W. Choi ◽  
S. S. Wong ◽  
M. G. Irwin ◽  
C. W. Cheung
Keyword(s):  
Systematic Review ◽  
Postoperative Pain ◽  
General Anaesthesia ◽  
Meta Analysis ◽  
Pain Outcomes

scholarly journals Trans-vaginal mesh surgery for management of recurrent pelvic organ prolapse following abdominal sacrocolpopexy

2018 ◽  
Vol 57 (2) ◽  
pp. 311-314
Author(s):  
Tsia-Shu Lo ◽  
Rami Ibrahim ◽  
Nazura bt Karim ◽  
Enie Akhtar Nawawi ◽  
Ma Clarissa Uy-Patrimonio
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Vaginal Mesh ◽  
Mesh Surgery ◽  
Abdominal Sacrocolpopexy ◽  
Recurrent Pelvic Organ Prolapse ◽  
Trans Vaginal Mesh
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