scholarly journals Comparison between preoperative and post-operative administration of paracetamol, ibuprofen and mefenamic acid for post-extraction pain control

2020 ◽  
Vol 7 (5) ◽  
pp. 3794-3798
Author(s):  
Govindaraj Padmanabha Kumar ◽  
Chew Shu-Lyn ◽  
Goi Ee Win ◽  
Lee Win Sie ◽  
Nur Fatin Khaleeda binti Lakman ◽  
...  
Keyword(s):  
Pain Management ◽  
Mefenamic Acid ◽  
Pain Control ◽  
Dental Treatment ◽  
Positive Impact ◽  
Cumulative Number ◽  
Acute Pain Management ◽  
Analgesic Treatment ◽  
Treatment Groups ◽  
Post Operative Pain

Pain is a common aftereffect following a dental treatment, especially extractions. Hence, the main aim of the study was to compare the effect of pre-operative and post-operative analgesic usage on post-operative pain management following dental treatment. Moreover, the efficacies of three types of painkillers (Paracetamol, Ibuprofen and Mefenamic Acid) in pain relief were also evaluated. Volunteers (n = 120) who were undergoing extraction participated in this study and were randomly divided into two groups. One group consisting of 60 participants were given pre- and post-operative analgesics while another group (n = 60) received post-operative analgesics only. A visual scale was used to record pain from zero to 56 hours post-operatively at 8-hour intervals. The results showed that patients who were taking analgesics pre-operatively experienced significantly (p = 0.0045) less pain compared to those who had taken post-operative analgesics only However, a lower cumulative number of moderate and severe experiences of post-extraction pain was recorded for the pre- and post-operative analgesic treatment groups as compared to the postoperative only analgesic treatment group; no significant differences were observed. Moreover, no significant differences were observed among the analgesics used in this study as well. On the basis of these results, we conclude that preoperative analgesic usage has a positive impact on postextraction acute pain management.

scholarly journals Assessment for acute pain management in post-total knee replacement (TKR): a prospective cohort study in two Saudi Arabian medical centers

2020 ◽  
Vol 12 (1) ◽  
Author(s):  
Mariam Ahmad Alameri ◽  
Syed Azhar bin Syed Sulaiman ◽  
Abdullah Moh’d Talaat Ashour ◽  
Ma’ad Faisal Al-Saati
Keyword(s):  
Cohort Study ◽  
Pain Management ◽  
Total Knee Replacement ◽  
Acute Pain ◽  
Joint Replacement ◽  
Acute Pain Management ◽  
Analgesic Treatment ◽  
Pain Management Index ◽  
Medical Centers ◽  
Total Knee

Abstract Background Acute pain in post joint replacement surgeries is common, which makes the management of acute pain following joint replacement surgeries to be very important. Thus, this study was conducted to evaluate acute pain management of post TKR surgeries. Results Patients with negative pain management index (PMI) scores were classified as receiving inadequate analgesic treatment for their pain. Zero PMI was the most frequent score among the others with 195 (80.6%). The rest were − 1 (11 (4.5%)), 1 (27 (11.2%)), and 2 (9 (3.7%)), respectively. Only 4.5% (11/242) patients have negative PMI score, which could be considered as inadequate pain management in which these patients received inadequate analgesic treatment. Conclusion Acute pain management in post-TKR surgeries in both medical centers achieved an acceptable level, and majority of patients received an adequate analgesia in post-TKR surgeries.

Expectation-setting and patient education about pain control in the perioperative setting: A qualitative study

2021 ◽  
Vol 17 (6) ◽  
pp. 455-464
Author(s):  
Josh Bleicher, MD, MS ◽  
Jordan Esplin, BS ◽  
Allison N. Blumling, MS ◽  
Jessica N. Cohan, MD, MAS ◽  
Mark Savarise, MD, MBA, FACS ◽  
...  
Keyword(s):  
Pain Management ◽  
Patient Education ◽  
Qualitative Study ◽  
Pain Control ◽  
Control Strategies ◽  
Patient Experiences ◽  
Patient Anxiety ◽  
Opioid Use ◽  
Post Operative Pain ◽  
Preoperative Expectation

Objective: Interventions aimed at limiting opioid use are widespread. These are most often targeted toward prescribers or health systems. Patients’ perspectives are too often absent during the creation of such interventions. This qualitative study aims to understand patient experiences with education about perioperative pain control, from preoperative expectation-setting to post-operative pain control strategies and ultimately opioid disposal.Design: We performed semistructured interviews focused on patient experiences in the perioperative period. Content from interview transcripts was analyzed using a constant comparative method.Setting: All participants underwent surgery at a single, academic tertiary-care center.Participants: Adult patients who had a general surgery operation in the prior 60 days.Outcome measure: Key themes from interviews about perioperative pain management, specifically related to preoperative expectation-setting and post-operative education.Results: Patients identified gaps in communication and education in three main areas: preoperative expectation setting of post-operative pain; post-operative pain control strategies, including use of opioid medications; and the importance of appropriate opioid disposal. Failure to set expectations led to either significant patient anxiety preoperatively or poor preparation for home discharge. Poor education on pain control strategies led to misinformation on when and how to use opioids. Lack of education on opioid disposal led to most participants failing to properly dispose of leftover medication.Conclusions: Gaps in education surrounding post-operative pain and opioid use can lead to patient anxiety, inappropriate use of opioids, and poor disposal rates of leftover medications. Future interventions aimed at patient education to improve pain management and opioid stewardship should be created with an understanding of patient experiences and perceptions.

Barriers to Optimal Pain Management in the General Surgery Population

2018 ◽  
Author(s):  
Anand C. Thakur
Keyword(s):  
Pain Management ◽  
Pain Control ◽  
Pain Perception ◽  
Evidence Based ◽  
Multimodal Approach ◽  
Short List ◽  
Acute Pain Management ◽  
Physiological Factors ◽  
Physician Knowledge ◽  
Perception Management

Barriers to the implementation of adequate pain control are multifactorial and encompass all caregivers. A complete list of barriers to adequate pain control would involve biopsychosocial factors, physiological factors, pharmacological concerns, and medical legal concerns. A short list of barriers to adequate pain control can be separated into physician knowledge, expectations and perceptions, nurses’ and other ancillary providers’ knowledge, expectations and perceptions, patient expectations and perception, management of acute pain, management of chronic pain, discrepancies of pain perception and different population groups, and both regulatory and formulary issues. To have an understanding of up-to-date recommendations and standards regarding evidence-based pain management requires a multimodal approach with a team of physicians.

Acute pain management in principle

2011 ◽  
Author(s):  
Jeremy N. Cashman
Keyword(s):  
Clinical Practice ◽  
Pain Management ◽  
Clinical Practice Guidelines ◽  
Acute Pain ◽  
Practice Guidelines ◽  
Oral Route ◽  
Acute Pain Management ◽  
Post Operative Pain ◽  
Pain Services

Pain measurement is essential in evaluating response to analgesic therapy. The oral route is the route of choice for analgesics in non-fasting patients. Administering opioids by the neuraxial route provides superior analgesia to the same drug administered by parenteral routes. Clinical practice guidelines may be useful in acute pain management. Acute Pain Services improve the quality of post-operative pain management.

Observational study of post-operative pain control before and after the implementation of a clinical practice guideline for postoperative pain management

2019 ◽  
Vol 153 (8) ◽  
pp. 312-318
Author(s):  
Ángeles Mesas Idáñez ◽  
Cristina Aguilera Martin ◽  
Concepción Muñoz Alcaide ◽  
Antonio Vallano Ferraz ◽  
M. Victoria Ribera Canudas ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Pain Management ◽  
Postoperative Pain ◽  
Observational Study ◽  
Clinical Practice Guideline ◽  
Practice Guideline ◽  
Pain Control ◽  
Postoperative Pain Management ◽  
Post Operative Pain ◽  
Before And After

Movement Matters; How Physical Activity Impacts Endodontic Therapy

2021 ◽  
Vol 15 (8) ◽  
pp. 2073-2075
Author(s):  
Muhammad Shairaz Sadiq ◽  
Usman Sana ◽  
Arham Nawaz Chohan ◽  
Fareed Ahmad ◽  
Junaid Dayar ◽  
...  
Keyword(s):  
Physical Activity ◽  
Pain Management ◽  
Pain Perception ◽  
Dental Treatment ◽  
Positive Impact ◽  
Statistical Significance ◽  
Pain Scale ◽  
Numeric Pain Scale ◽  
Operative Assessment ◽  
Keywords Exercise

Objective: To understand impact of physical activity on pain perception in patients presenting with acute pulpitis for endodontic therapy. Study Design: It was quantitative correlational by design. Place and duration of study: Department of Operative Dentistry, Dental Section, Islam Dental College, Sialkot. Materials & Methods: 500 patients from the Dental Section of Islam Dental College Sialkot were included in this study. The correlation of movement/walk and pain during endodontic treatment was determined. Numeric pain scale was used to document pain. Activity was measured by the number of minutes of walk of the patient. Results: There is a significant association between physical activity/exercise and pain. Statistical significance between pain and exercise was -.158. Conclusion: Pre-operative assessment of physical activity may be a predictor of pain perceived by patients. Therefore, it is important to educate and consider patient’s physical activity to manage pain during the dental treatment. Life style modification may seems insignificant but has proven positive impact in pain management. Keywords: Exercise, local anaesthesia (LA), endodontic therapy, pain.

scholarly journals A Pain Control Optimization Pathway to Reduce Acute Postoperative Pain and Opioid Consumption Postoperatively: An Approach to Battling the Opioid Epidemic

2020 ◽  
Author(s):  
◽  
Holly Franson
Keyword(s):  
Pain Management ◽  
Acute Pain ◽  
Pain Control ◽  
Opioid Consumption ◽  
Care Process ◽  
Management Technique ◽  
Evidence Based ◽  
Post Intervention ◽  
Acute Pain Management ◽  
Control Optimization

Practice Problem: Healthcare providers worldwide are working to battle the opioid epidemic and reduce opioid-related harm to patients. Utilizing evidence-based acute pain management methods to reduce opioid consumption is critical to combat the problem. PICOT: The PICOT question that guided this project was: In opioid-naïve adult patients undergoing general anesthesia for out-patient, minimally invasive abdominal wall hernia surgery, how does the implementation of an evidence-based, preventative Pain Control Optimization Pathway (POP) using a multimodal, opioid-sparing acute pain management technique and standardized procedure-specific opioid prescribing, compared to standard treatment, affect postoperative pain scores and opioid consumption, upon discharge from the recovery room and 72 hours postoperative? Evidence: Evidence supported utilizing a multimodal, opioid-sparing acute pain management technique, patient counseling, and opioid prescribing guidelines to improve outcomes among opioid-naïve patients undergoing abdominal surgeries. Intervention: In this pre- and post-intervention evaluation, N = 28 patients received the POP care process during the perioperative period. Outcome: Results showed the mean pain score at discharge from the recovery room decreased from 4.8 to 2.82 on the 10-point Numeric Rating Scale post-intervention (p< 0.001). Also, provider compliance with prescribing a procedure-specific opioid prescription increased from 73% to 100%, thus reducing opioid exposure and access. Conclusion: This project provided evidence that utilization of the innovative POP care process provided optimal pain control and decreased opioid consumption, consequently reducing the risk of new persistent opioid use.

Non-steroidal Anti-inflammatory Analgesics for Acute Pain Management in Dogs and Cats

1997 ◽  
Vol 10 (03) ◽  
pp. 122-129 ◽  
Author(s):  
Karol A. Mathews
Keyword(s):  
Pain Management ◽  
Gastric Ulceration ◽  
Acute Pain Management ◽  
Post Operative Pain ◽  
Inflammatory Drugs ◽  
Anti Inflammatory ◽  
Trade Names ◽  
To Receive ◽  
Indications For Use ◽  
Better Than

SummaryThe recently developed non-steroidal anti-inflammatory drugs, discussed in this article, have been shown to be efficacious in controlling post-operative pain, used either alone or in combination with opioids, in both cats and dogs. In some instances selected non-steroidal anti-inflammatory analgesics appear to confer superior analgesia to opioids after orthopedic surgery. However, the side-effects of these drugs are an important factor in selecting the appropriate candidate to receive these analgesics. The contra-indications for use of non-steroidal anti-inflammatory drugs should be strictly adhered to. The trade names listed in this article may differ from those used in individual countries. The reader is advised to consult their own pharmacopea for trade names in the individual’s own country.Recently developed, parenteral NSAIAs have been shown to be effective in managing postoperative pain in cats and dogs. In some instances, individual NSAIAs are equal to, and may be better than, opioid agonists in treating moderate to severe post-operative or medical pain. However, due to the concern for renal failure, gastric ulceration with hemorrhage and hemostatic abnormalities with individual NSAIA administration, caution must be used when selecting patients to receive these analgesics. Indications, relative contraindications and absolute contraindications for NSAIA use are discussed. A pain assessment scale (p. 128) with descriptors and suggestions for pain management are also discussed.

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