Inferior alveolar nerve blocks for postoperative pain control after mandibular distraction with osteotomies in a neonate

Background: Regional nerve blocks are commonly used to manage postoperative pain after arthroscopic shoulder procedures. The interscalene brachial plexus block (ISB) is commonly used; however, because of the reported side effects of ISB, the use of a suprascapular nerve block (SSNB) has been described as an alternative strategy with fewer reported side effects. Purpose: To examine the efficacy of SSNB for pain control after shoulder arthroscopy compared with ISB as well as anesthesia without a nerve block. Study Design: Systematic review; Level of evidence, 1. Methods: Three databases (PubMed, MEDLINE, and EMBASE) were searched on April 20, 2018, to systematically identify and screen the literature for randomized controlled trials (RCTs). A meta-analysis of standard mean differences (SMDs) was performed to pool the estimated effects of the nerve blocks. Results: The search identified 14 RCTs that included 1382 patients, with a mean age of 54 years (SD, 13 years). The mean follow-up time was 3 days (range, 24 hours to 6 weeks). Postoperative pain control was significantly more effective in the SSNB groups compared with the control groups within 1 hour (SMD, –0.76; 95% CI, –1.45 to –0.07; P = .03) and 4 to 6 hours (SMD, –0.81; 95% CI, –1.53 to –0.09; P = .03) postoperatively. However, pain control was significantly less effective in the SSNB groups compared with ISB within 1 hour (SMD, 0.87; 95% CI, 0.28 to 1.46; P = .004). No major complications were noted in the SSNB groups, and minor complications such as hoarseness and prolonged motor block were significantly less common for SSNB compared with ISB. Conclusion: Although not more efficacious than ISB in terms of pain control for patients undergoing shoulder arthroscopy, SSNB provides significantly improved pain control in comparison with analgesia without a nerve block. Moreover, few major and minor complications are associated with SSNB reported across the literature.

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Transdermal Postoperative Pain Control Device Approved

Clinical Psychiatry News ◽

10.1016/s0270-6644(06)71906-3 ◽

2006 ◽

Vol 34 (11) ◽

pp. 46

Author(s):

ELIZABETH MECHCATIE

Keyword(s):

Postoperative Pain ◽

Pain Control ◽

Control Device ◽

Postoperative Pain Control

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Written Prescription for Over-the-Counter Nonopioid Pain Medications Does Not Increase the Likelihood of Use after Ambulatory Hand and Upper Extremity Surgery

Journal of Hand and Microsurgery ◽

10.1055/s-0040-1715917 ◽

2020 ◽

Author(s):

Daniel J. Lynch ◽

James S. Lin ◽

Kanu S. Goyal

Keyword(s):

Postoperative Pain ◽

Soft Tissue ◽

Upper Extremity ◽

Pain Control ◽

Control Program ◽

Postoperative Pain Control ◽

Over The Counter ◽

Unequal Variance ◽

Pain Medications ◽

Medication Consumption

Abstract Introduction This study looked to determine how providing written prescriptions of nonopioids affected postoperative pain medication usage and pain control. Materials and Methods Patients undergoing hand and upper-extremity surgery (n = 244) were recruited after the implementation of a postoperative pain control program encouraging nonopioids before opioids. Patients were grouped based on procedure type: bone (n = 66) or soft tissue (n = 178). Patients reported postoperative medication consumption and pain control scores. Two-tailed t-tests assuming unequal variance were performed to look for differences in postoperative pain control and medication consumption between those who were and were not given written prescriptions for nonopioids. Results For both soft tissue and bone procedure patients, a written prescription did not significantly affect patients’ postoperative pain control or medication consumption. Regardless of receiving a written prescription, patients who underwent soft tissue procedures consumed significantly more daily nonopioids than opioids. Conclusion Receiving written prescriptions for nonopioids may not have a significant effect on postoperative pain control or medication consumption. Patients undergoing soft tissue hand and upper extremity procedures may be more likely to consume more daily nonopioids than opioids postoperatively compared to bone procedure patients regardless of whether they receive a written prescription for nonopioids.

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The effect of preoperative local anaesthetic nerve block in patients undergoing endonasal surgery: A prospective pilot study assessing postoperative pain control in patients undergoing preoperative combined sphenopalatine ganglion (SPG) and anterior ethmoidal nerve (AEN) local anaesthetic block.

10.26226/morressier.5adde3c4d462b80290b59897 ◽

2018 ◽

Author(s):

Eamon Shamil

Keyword(s):

Pilot Study ◽

Postoperative Pain ◽

Nerve Block ◽

Local Anaesthetic ◽

Pain Control ◽

Sphenopalatine Ganglion ◽

Postoperative Pain Control ◽

Endonasal Surgery ◽

Prospective Pilot Study ◽

Anaesthetic Block

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Exparel Use in Bilateral TAP Blocks for Postoperative Pain Control

Case Medical Research ◽

10.31525/ct1-nct03878888 ◽

2019 ◽

Author(s):

Keyword(s):

Postoperative Pain ◽

Pain Control ◽

Postoperative Pain Control

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Faculty Opinions recommendation of Intraoperative methadone improves postoperative pain control in patients undergoing complex spine surgery.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.3619956.8160054 ◽

2011 ◽

Author(s):

Darin Correll ◽

Antje Barreveld

Keyword(s):

Postoperative Pain ◽

Spine Surgery ◽

Pain Control ◽

Postoperative Pain Control

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Faculty Opinions recommendation of Preoperative predictors of poor acute postoperative pain control: a systematic review and meta-analysis.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.735456301.793560934 ◽

2019 ◽

Author(s):

Winfried Meissner

Keyword(s):

Systematic Review ◽

Postoperative Pain ◽

Pain Control ◽

Meta Analysis ◽

Postoperative Pain Control ◽

Acute Postoperative Pain ◽

Preoperative Predictors

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Efficacy of flurbiprofen axetil for preventing postanesthetic shivering in patients undergoing gynecologic laparotomy surgeries

JA Clinical Reports ◽

10.1186/s40981-020-00403-x ◽

2020 ◽

Vol 6 (1) ◽

Author(s):

Atsushi Kotera

Keyword(s):

Logistic Regression ◽

Regression Analysis ◽

Postoperative Pain ◽

Logistic Regression Analysis ◽

Pain Control ◽

Multivariate Logistic Regression Analysis ◽

Multivariate Logistic Regression ◽

Postoperative Pain Control ◽

Flurbiprofen Axetil ◽

Postanesthetic Shivering

Abstract Background Postanesthetic shivering is an unpleasant adverse event in surgical patients. A nonsteroidal anti-inflammatory drug has been reported to be useful in preventing postanesthetic shivering in several previous studies. The aim of this study was to evaluate the efficacy of flurbiprofen axetil being a prodrug of a nonsteroidal anti-inflammatory drug for preventing postanesthetic shivering in patients undergoing gynecologic laparotomy surgeries. Method This study is a retrospective observational study. I collected data from patients undergoing gynecologic laparotomy surgeries performed between October 1, 2019, and September 30, 2020, at Kumamoto City Hospital. All the patients were managed with general anesthesia with or without epidural analgesia. The administration of intravenous 50 mg flurbiprofen axetil for postoperative pain control at the end of the surgery was left to the individual anesthesiologist. The patients were divided into two groups: those who had received intravenous flurbiprofen axetil (flurbiprofen group) and those who had not received intravenous flurbiprofen axetil (non-flurbiprofen group), and I compared the frequency of postanesthetic shivering between the two groups. Additionally, the factors presumably associated with postanesthetic shivering were collected from the medical charts. Intergroup differences were assessed with the χ2 test with Yates’ correlation for continuity category variables. The Student’s t test was used to test for differences in continuous variables. Furthermore, a multivariate logistic regression analysis was performed to elucidate the relationship between the administration of flurbiprofen axetil and the incidence of PAS. Results I retrospectively examined the cases of 141 patients aged 49 ± 13 (range 21-84) years old. The overall postanesthetic shivering rate was 21.3% (30 of the 141 patients). The frequency of postanesthetic shivering in the flurbiprofen group (n = 31) was 6.5%, which was significantly lower than that in the non-flurbiprofen group (n = 110), 25.5% (p value = 0.022). A multivariate logistic regression analysis showed that administration of flurbiprofen axetil was independently associated with a reduced incidence of postanesthetic shivering (odds ratio 0.12; 95% confidence interval, 0.02-0.66, p value = 0.015). Conclusions My result suggests that intraoperative 50 mg flurbiprofen axetil administration for postoperative pain control is useful to prevent postanesthetic shivering in patients undergoing gynecologic laparotomy surgeries.

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