Music Reduces Postoperative Pain Perception in Male Patients after Abdominal Surgery under General Anesthesia

Introduction: Increased depression and anxiety incidence in infertile individuals treated with assisted reproductive techniques have been shown in studies. Postoperative pain perception after testicular sperm extraction (TESE) is thought to be related to preoperative anxiety in non-obstructive azoospermia (NOA). Materials and methods: Twenty patients with Klinefelter syndrome (KS) and twenty male patients with normal karyotype NOA planned for TESE under local anaesthesia due to azoospermia were included in the study. Spielberger State-Trait Anxiety Inventory (STAI-T and STAI-S) inventory was given to all patients 1 h before surgery. Postoperative pain evaluation was performed at 0, 30, 60 and 120 min with visual analogue scale (VAS). STAI-T inventory was given to the patients again 2 h after the procedure. Results: Preoperative STAI-S and STAI-T scores and postoperative STAI-T scores of patients in the KS group were higher than those in the NOA group, and there was a significant difference in the statistical analysis between the two groups ( p < 0.001). In the postoperative VAS scores, there was no statistical difference at the 0 and 120th min ( p = 0.56 and p = 0.87, respectively); at the 30, 60 and 90th min there was a statistically significant difference between the two groups, especially in patients in the KS group ( p < 0.05, p < 0.05, p < 0.01, respectively). Conclusion: The contribution of anxiety to pain perception should be kept in mind in azoospermic male patients before TESE, and additional measures should be taken considering that this may be experienced at a higher level in KS patients.

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Regional vs. General Anesthesia for Total Knee and Hip Replacement: An Analysis of Postoperative Pain Perception from the International PAIN OUT Registry

Pain Practice ◽

10.1111/papr.12708 ◽

2018 ◽

Vol 18 (8) ◽

pp. 1036-1047 ◽

Cited By ~ 10

Author(s):

Katharina Donauer ◽

Hagen Bomberg ◽

Stefan Wagenpfeil ◽

Thomas Volk ◽

Winfried Meissner ◽

...

Keyword(s):

Postoperative Pain ◽

General Anesthesia ◽

Hip Replacement ◽

Pain Perception ◽

Total Knee

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Faculty Opinions recommendation of Regional versus general anesthesia and the incidence of unplanned health care resource utilization for postoperative pain after wrist fracture surgery: results from a retrospective quality improvement project.

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

10.3410/f.726000784.793518000 ◽

2016 ◽

Author(s):

Jan Jakobsson

Keyword(s):

Health Care ◽

Quality Improvement ◽

Postoperative Pain ◽

General Anesthesia ◽

Resource Utilization ◽

Wrist Fracture ◽

Health Care Resource ◽

Improvement Project ◽

Health Care Resource Utilization ◽

Fracture Surgery

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Effect of Massage therapy on Postoperative Pain following Abdominal Surgery in Infants

Assiut Scientific Nursing Journal ◽

10.21608/asnj.2019.76378 ◽

2019 ◽

Vol 7 (19) ◽

pp. 61-69

Author(s):

Omima Ali ◽

Eman Ahmed ◽

Ibrahim Ibrahim ◽

Faranca Ahmed

Keyword(s):

Postoperative Pain ◽

Abdominal Surgery ◽

Massage Therapy

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Postoperative Pain Management in Patients Receiving Antithrombotic Therapy Based on “Context-Sensitive Analgesia” -Upper Abdominal Surgery-

THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA ◽

10.2199/jjsca.31.827 ◽

2011 ◽

Vol 31 (5) ◽

pp. 827-834

Author(s):

Yoshihiro FUJIWARA

Keyword(s):

Pain Management ◽

Postoperative Pain ◽

Abdominal Surgery ◽

Antithrombotic Therapy ◽

Postoperative Pain Management ◽

Context Sensitive ◽

Upper Abdominal Surgery ◽

Upper Abdominal

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Effects of sevoflurane anesthesia and abdominal surgery on the systemic metabolome: a prospective observational study

BMC Anesthesiology ◽

10.1186/s12871-021-01301-0 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Yiyong Wei ◽

Donghang Zhang ◽

Jin Liu ◽

Mengchan Ou ◽

Peng Liang ◽

...

Keyword(s):

Abdominal Surgery ◽

General Anesthesia ◽

Tricarboxylic Acid Cycle ◽

Tricarboxylic Acid ◽

Metabolic Changes ◽

Sevoflurane Anesthesia ◽

Glutamate Metabolism ◽

Acid Cycle ◽

Link Type ◽

The Mean

Abstract Background Metabolic status can be impacted by general anesthesia and surgery. However, the exact effects of general anesthesia and surgery on systemic metabolome remain unclear, which might contribute to postoperative outcomes. Methods Five hundred patients who underwent abdominal surgery were included. General anesthesia was mainly maintained with sevoflurane. The end-tidal sevoflurane concentration (ETsevo) was adjusted to maintain BIS (Bispectral index) value between 40 and 60. The mean ETsevo from 20 min after endotracheal intubation to 2 h after the beginning of surgery was calculated for each patient. The patients were further divided into low ETsevo group (mean − SD) and high ETsevo group (mean + SD) to investigate the possible metabolic changes relevant to the amount of sevoflurane exposure. Results The mean ETsevo of the 500 patients was 1.60% ± 0.34%. Patients with low ETsevo (n = 55) and high ETsevo (n = 59) were selected for metabolomic analysis (1.06% ± 0.13% vs. 2.17% ± 0.16%, P < 0.001). Sevoflurane and abdominal surgery disturbed the tricarboxylic acid cycle as identified by increased citrate and cis-aconitate levels and impacted glycometabolism as identified by increased sucrose and D-glucose levels in these 114 patients. Glutamate metabolism was also impacted by sevoflurane and abdominal surgery in all the patients. In the patients with high ETsevo, levels of L-glutamine, pyroglutamic acid, sphinganine and L-selenocysteine after sevoflurane anesthesia and abdominal surgery were significantly higher than those of the patients with low ETsevo, suggesting that these metabolic changes might be relevant to the amount of sevoflurane exposure. Conclusions Sevoflurane anesthesia and abdominal surgery can impact principal metabolic pathways in clinical patients including tricarboxylic acid cycle, glycometabolism and glutamate metabolism. This study may provide a resource data for future studies about metabolism relevant to general anaesthesia and surgeries. Trial registration www.chictr.org.cn. identifier: ChiCTR1800014327.

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Postoperative Urinary Retention Following General Anesthesia for Endoscopic Nasal Surgery in Men Aged Older Than 60 Years: A Retrospective Study

Ear Nose & Throat Journal ◽

10.1177/01455613211033112 ◽

2021 ◽

pp. 014556132110331

Author(s):

Yong Won Lee ◽

Bum Sik Kim ◽

Jihyun Chung

Keyword(s):

General Anesthesia ◽

Incidence Rate ◽

Urinary Retention ◽

Nasal Surgery ◽

Prostate Hyperplasia ◽

Postoperative Urinary Retention ◽

Asa Classification ◽

History Of ◽

Male Patients ◽

Endoscopic Nasal Surgery

Objectives: Postoperative urinary retention (POUR) is influenced by many factors, and its reported incidence rate varies widely. This study aimed to investigate the occurrence and risk factors for urinary retention following general anesthesia for endoscopic nasal surgery in male patients aged >60 years. Methods: A retrospective review of medical records between January 2015 and December 2019 identified 253 patients for inclusion in our study. Age, body mass index (BMI), a history of diabetes/hypertension, American Society of Anesthesiologists (ASA) classification, and urologic history were included as patient-related factors. Urologic history was subdivided into 3 groups according to history of benign prostate hyperplasia (BPH)/lower urinary tract symptoms (LUTS) and current medication. The following was analyzed as perioperative variables for POUR development: duration of anesthesia and surgery; amount of fluid administered; rate of fluid administration; intraoperative requirement for fentanyl, ephedrine, and dexamethasone; postoperative pain; and analgesic use. Preoperatively measured prostate size and uroflowmetry parameters of patients on medication for symptoms were compared according to the incidence of urinary retention. Results: Thirty-seven (15.7%) patients developed POUR. Age (71.4 vs 69.6 years), BMI (23.9 vs 24.9 kg/m2), a history of diabetes/hypertension, ASA classification, and perioperative variables were not significantly different between patients with and without POUR. Only urologic history was identified as a factor affecting the occurrence of POUR ( P = .03). The incidence rate among patients without urologic issues was 5.9%, whereas that among patients with BPH/LUTS history was 19.8%. Among patients taking medication for symptoms, the maximal and average velocity of urine flow were significantly lower in patients with POUR. Conclusions: General anesthesia for endoscopic nasal surgery may be a potent trigger for urinary retention in male patients aged >60 years. The patient’s urological history and urinary conditions appear to affect the occurrence of POUR.

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