scholarly journals Argonoperitoneum Effect on Pain Syndrome Intensity in Laparoscopic Cholecystectomy

2019 ◽  
Vol 25 (2) ◽  
Author(s):  
Oleh Tkachuk ◽  
Rostyslav Parakhoniak ◽  
Svitlana Melnyk ◽  
Olesia Tkachuk-Hryhorchuk
Keyword(s):  
Stress Intensity ◽  
Rating Scale ◽  
Surgical Stress ◽  
Numerical Rating Scale ◽  
Gallstone Disease ◽  
Life Quality ◽  
Pain Syndrome ◽  
Serum Cortisol ◽  
Study Groups ◽  
Numerical Rating

The objective of the research was to compare the objective and subjective indicators of intra- and postoperative pain and surgical stress intensity.          Materials and Methods. There were examined 360 patients suffering from gallstone disease. There were used the intraoperative monitoring of nociception index by means of Analgesia Nociception Index  - monitor, the determination of serum cortisol concentration, the assessment of pain syndrome in the postoperative period by means of the Numerical Rating Scale in accordance with life quality assessment and the number of injections at the patient’s request. Results. The analysis conducted indicated the reduction in pain irritation, low indices of pain syndrome and postoperative stress intensity under the effect of argonperitoneum. Considerable reduction in the need for analgesics in the study groups served as evidence to this predicted pattern. The assumption that the noticed phenomenon can be explained by the absence of acid irritation of the peritoneum due to argon chemical neutrality being distinct from carbon dioxide was substantiated.          Conclusions. The results proved the effectiveness of argonperitoneum application in laparoscopic surgeries.

scholarly journals Electroanalgesia for the postoperative control pain in dogs

2012 ◽  
Vol 27 (1) ◽  
pp. 43-48 ◽  
Author(s):  
Renata Navarro Cassu ◽  
Daniele Alves da Silva ◽  
Túlio Genari Filho ◽  
Helaine Stevanin
Keyword(s):  
Rating Scale ◽  
Numerical Rating Scale ◽  
Serum Cortisol ◽  
Acupuncture Points ◽  
Rescue Analgesia ◽  
Postoperative Control ◽  
Lower Pain ◽  
Numerical Rating ◽  
Control Pain ◽  
Electrical Stimuli

PURPOSE: To evaluate the analgesic and neuroendocrine effects of electroanalgesia in dogs undergoing ovariohysterectomy. METHODS: Eighteen dogs were randomly distributed to three groups of six animals each and received either electrical stimuli at acupuncture points (EA), at peri-incisional dermatomes (DER) and at both acupuncture points and peri-incisional dermatomes (EAD). Pre-anesthetic medication was acepromazine (0.05mg kg-1, IV). Anesthesia was induced with propofol (4 to 5mg kg-1, IV) and maintained with isoflurane. Postoperatively pain degree was measured using a numerical rating scale. Dogs were scored at 1, 3, 6, 12 and 24 hours postoperative. If the pain score was ≥6, supplemental morphine (0.5mg kg-1, IM) was administered. Serum cortisol concentration was measured before pre-anesthetic medication (basal), and at 1, 12 and 24 hours postoperative. RESULTS: EA and EAD- treated dogs had lower pain scores than DER treated dogs one hour postoperatively. Fewer EA and EAD-treated dogs required rescue analgesia. Serum cortisol did not differ among treatments. CONCLUSION: Preoperative application of electrical stimuli to acupuncture points isolated or in combination with peri-incisional dermatomes provides a reduced postoperative opioid requirement and promotes an effective analgesia in dogs undergoing ovariohyterectomy.

Effect of Visual Feedback During Ultrasound-Guided Interfascial Injection for Myofascial Pain Syndrome: A Prospective, Multicenter, Observational Clinical Trial

2021 ◽  
Author(s):  
Hideaki Hasuo ◽  
Hideya Oomori ◽  
Kohei Yoshida ◽  
Mikihiko Fukunaga
Keyword(s):  
Visual Feedback ◽  
Rating Scale ◽  
Myofascial Pain ◽  
Numerical Rating Scale ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Ultrasound Guided ◽  
Feedback Group ◽  
Treatment Expectations ◽  
Numerical Rating

Abstract Background: Expectations for treatment have a favorable effect on the subsequent course of pain and behavior in patients. It is not known whether receiving interfascial injection while patients view their ultrasound image with doctors (visual feedback) is associated with positive treatment expectations. Methods: This was a prospective, multicenter, observational clinical trial. We evaluated whether visual feedback during ultrasound-guided interfascial injection affects treatment expectations and the subsequent course of pain in patients with myofascial pain syndrome. Treatment expectations were set as mediators of pain using path analysis. The primary endpoint was the proportion of patients who showed improvement in pain numerical rating scale score by 50% or more 14 days after initiation of treatment. Results: During 2019 and 2020, 136 outpatients received ultrasound-guided interfascial injection for myofascial pain syndrome. Of these, 65 (47.8%) patients received visual feedback during ultrasound-guided interfascial injection. Compared with the non-visual feedback group, the visual feedback group had higher expectations for treatment, immediately after interfascial injection, and their expectations were maintained at day 14 of treatment (p < .001). In the visual feedback group, 67.7% of patients showed improvement in pain numerical rating scale score by 50% or more at day 14 (95% confidence interval: 56.5–78.9), whereas such improvement was observed in only 36.6% of the non-visual feedback group (95% confidence interval: 25.3–47.9; p < .001). Path analysis revealed that visual feedback had the largest influence on pain numerical rating scale reduction at 14 days, which was indirectly via higher expectations for treatment (β = 0.434).Conclusions: Visual feedback during ultrasound-guided interfascial injection had a positive effect on the subsequent course of pain in patients with myofascial pain syndrome by increasing patients’ treatment expectations.Trial registration: UMIN000043160. Registered 28 January 2021 (registered retrospectively).

Body Perception Disturbance and Pain Reduction in Longstanding Complex Regional Pain Syndrome Following a Multidisciplinary Rehabilitation Program

Pain Medicine ◽  
2019 ◽  
Vol 20 (11) ◽  
pp. 2213-2219 ◽  
Author(s):  
Jennifer S Lewis ◽  
Sara Kellett ◽  
Ryan McCullough ◽  
Ashley Tapper ◽  
Chelsey Tyler ◽  
...  
Keyword(s):  
Complex Regional Pain Syndrome ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Pain Syndrome ◽  
Rehabilitation Program ◽  
Data Sets ◽  
Body Perception ◽  
Duration Of Symptoms ◽  
Multidisciplinary Rehabilitation ◽  
Numerical Rating

Abstract Objective Clinical guidelines for the treatment of complex regional pain syndrome recommend multidisciplinary rehabilitation, yet limited evidence exists to support the effectiveness of this approach. Body perception disturbance, a common and debilitating feature of complex regional pain syndrome, is recommended by guidelines as important to treat. However, no study has yet explored whether disturbances change in response to multidisciplinary rehabilitation. We aimed to determine whether there is a change in body perception disturbance and pain following a two-week multidisciplinary rehabilitation program for complex regional pain syndrome. Methods Retrospective clinical data from complex regional pain syndrome patients who completed the program between September 2014 and December 2016 were extracted and anonymized. Data collected pre- and post rehabilitation comprising the Bath Body Perception Disturbance scale and a pain intensity numerical rating scale were analyzed. Results Thirty complete data sets were analyzed from a sample of 50 consecutive patient records. After the program, there was a significant reduction in body perception disturbance (P < 0.0001), strength of negative emotional feelings (P < 0.0001), and pain (P = 0.0038). There was a significant correlation between a change in disturbance and pain (r = 0.44, P = 0.024). No relationship was found between the duration of symptoms and changes in disturbance (r = 0.04, P = 0.82). Conclusions This study provides evidence that both body perception disturbance and pain reduce after rehabilitation. Findings suggest that targeting these disturbances may be important in reducing pain and may be a potentially useful measure for recovery. Controlled trials are required to confirm the effectiveness of rehabilitation and determine what factors are responsible for these reductions.

scholarly journals The 12-Item Pruritus Severity Scale – Determining the Severity Bands

2020 ◽  
Vol 7 ◽  
Author(s):  
Katarzyna Stępień ◽  
Adam Reich
Keyword(s):  
Dermatology Life Quality Index ◽  
Quality Index ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Life Quality ◽  
Verbal Rating Scale ◽  
Severity Scale ◽  
Subjective Character ◽  
Numerical Rating ◽  
The Mean

Introduction: Assessment of pruritus still remains a challenge due to its subjective character. Various itch questionnaires are widely used to evaluate the severity of pruritus. The aim of the current study was to define the cut off values for the 12-Item Pruritus Severity Scale (12-PSS).Methods: A total of 240 patients (86 males and 154 females) in the age between 19 and 87 years (mean 52.9 ± 20.7 years) suffering from pruritic dermatological conditions were asked to assess their maximal pruritus with the 12-PSS, the Verbal Rating Scale (VRS) and the Numerical Rating Scale (NRS). All subjects also completed the Dermatology Life Quality Index (DLQI). VRS, NRS, and DLQI scorings were used as anchor measures to define cut-offs of 12-PSS.Results: According to VRS, 43 (17.9%) patients suffered from mild, 96 (40%) from moderate, 65 (27.1%) from severe and 36 (15%) from very severe pruritus. Mean 12-PSS scoring for each VRS category was 7.6 ± 3.9, 10.4 ± 3.9, 13.0 ± 3.8, and 13.9 ± 3.8 points, respectively (p &lt; 0.001). Each VRS category significantly differed from the others regarding the mean 12-PSS scoring, except the mean scoring of severe and very severe pruritus (p = 0.72). Thus, three pruritus severity categories of 12-PSS were defined with following score ranges: mild pruritus−3–6 points of 12-PSS, moderate pruritus−7–11 points of 12-PSS and severe pruritus−12–22 points of 12-PSS based on calculation of weighted κ coefficient against VRS, NRS, and DLQI as anchor measures.Conclusions: The 12-PSS is able to differentiate between patients suffering from mild, moderate, and severe pruritus.

scholarly journals Evaluation of the Effectiveness of Physiotherapy in Health Resort in the Treatment of Lumbosacral Spine Pain

2019 ◽  
Vol 61 (3) ◽  
pp. 189-194
Author(s):  
Jolanta Matusiak ◽  
Antonina Kaczorowska ◽  
Aleksandra Katan
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Pain Syndrome ◽  
Roland Morris Disability Questionnaire ◽  
Low Back ◽  
Spine Mobility ◽  
Numerical Rating ◽  
Disability Questionnaire

Introduction: Diseases of the spine are the most common health problem in all population tested, regardless of the country. Pain syndrome of the spine is a major issue because it leads to disability progression and consequently to the deterioration of the quality of life. Physical therapy takes an important place in treating pain syndrome of the spine. The main focus of comprehensive physiotherapy is on dealing with pain and regaining normal range of movement of the spine, as well as obtaining proper stabilization. The aim of this study is to evaluate the effectiveness of spa physiotherapy on treating patients with low back pain. Material and Methods: The study included 50 patients of the “Malwa” Sanatorium in Polanica Zdrój participating in three-week spa therapy because of low back pain. The evaluation was based on the Numerical Rating Scale, Jackson-Moskowitz Scale, the Roland-Morris Disability Questionnaire, and the fingertip-to-floor test. Results: After three weeks of physiotherapy, an average level of pain measured by the Numerical Rating Scale decreased. The range of spine mobility measured by the fingertip-to-floor test improved. The differences between the averages are statistically significant. The patients’ disability concerning everyday tasks, measured by the Roland-Morris Disability Questionnaire decreased. Conclusions: A comprehensive physiotherapy used in health resorts has improved spine mobility among patients with low back pain; it also helped to decrease pain and disability. It seems that a period of three weeks is enough to provide improvement in low back pain.

scholarly journals A comparison of extradural tramadol and extradural morphine for postoperative analgesia in female dogs undergoing ovariohysterectomy

2012 ◽  
Vol 27 (4) ◽  
pp. 312-317 ◽  
Author(s):  
Celso Sawaya Neves ◽  
Juliana Andrea Osório Balan ◽  
Diego Roberto Pereira ◽  
Helaine Stevanin ◽  
Renata Navarro Cassu
Keyword(s):  
Rating Scale ◽  
Numerical Rating Scale ◽  
Serum Cortisol ◽  
Rescue Analgesia ◽  
Analgesic Effects ◽  
Blinded Observer ◽  
Numerical Rating ◽  
And Behavior ◽  
Ovarian Pedicle ◽  
Group Serum

PURPOSE: To compare the postoperative analgesic effects of the extradural tramadol or morphine in female dogs undergoing ovariohysterectomy. METHODS: Sixteen female dogs were randomly assigned to two groups of eight animals each and received morphine (0.1mg kg-1 M group) or tramadol (2mg kg-1 T group). The pre-anesthetic medication was intravenously (iv) acepromazine (0.05mg kg-1). Anesthesia was induced with propofol (4mg kg-1iv) and maintained with isoflurane. The degree of analgesia was evaluated using a numerical rating scale that included physiologic and behavior variables. Dogs were scored at one, three, six and 12 hours after surgery by one blinded observer. Dogs were treated with morphine (0.5mg kg-1) if their scores were >6. Serum cortisol was measured before the pre-anesthetic medication was administered (basal), at the time of the ovarian pedicle clamping (T0), and at 1 (T1), 6 (T6) and 12 (T12) hours postoperative. RESULTS: The pain score did not differ between morphine and tramadol treatments. Rescue analgesia was administered to one dog in the T treatment group. Serum cortisol did not differ between treatments. CONCLUSION: The extradural administration of morphine or tramadol is a safe and effective method of inducing analgesia in female dogs undergoing ovariohyterectomy.

scholarly journals Pranic Healing as a Complementary Therapy in Managing Fibromyalgia: A Case Report

2021 ◽  
Author(s):  
MKS Vinushree
Keyword(s):  
Chronic Pain ◽  
Sleep Disturbances ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Pain Syndrome ◽  
Complementary Therapy ◽  
Pharmacological Therapy ◽  
The Body ◽  
Numerical Rating

Fibromyalgia is a chronic pain syndrome with main symptoms including pain and tenderness in various parts of the body along with sleep deprivation, fatigue, cognitive dysfunction, and emotional distress. Pranic Healing (PH) is a traditional no-touch healing technique based on balancing the body’s energy centres or chakras. Here, a case of a 37-year-old female is presented who was diagnosed with fibromyalgia, with pain, stiffness, and sleep disturbances as major symptoms. These symptoms were measured using the Numerical Rating Scale (NRS) score. She received distant PH as a complementary therapy to manage chronic pain and exhaustion symptoms. PH was effective in significantly reducing the severity of fibromyalgia symptoms, including pain by 40% and stiffness by 60%, and improving the quality of sleep by 60% after eight sessions of PH. Thus, PH has the potential to be used as a complementary non pharmacological therapy besides conventional pharmacological approaches to manage fibromyalgia.

Comparing the efficacy of nebulized morphine with intravenous morphine in traumatic musculoskeletal pain management

2020 ◽  
Vol 8 (1) ◽  
pp. 21-21
Author(s):  
Mani Mofidi ◽  
Ali Dashti ◽  
Mahdi Rezai ◽  
Niloufar Ghodrati ◽  
Hoorolnesa Ameli ◽  
...  
Keyword(s):  
Pain Management ◽  
Pain Relief ◽  
Musculoskeletal Pain ◽  
Normal Saline ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Vital Signs ◽  
Categorical Variables ◽  
Intravenous Morphine ◽  
Numerical Rating

Introduction: This study was designed to compare the effectiveness of intravenous morphine with nebulized morphine in pain relief of patients referring to the emergency setting with traumatic musculoskeletal pain. Methods: This randomized, placebo-controlled and double-blind clinical study evaluated 160 patients 18 to 65 years of age with acute traumatic pain, who attended the emergency department during 2019. Subjects were assessed with Numerical Rating Scale based on inclusion and exclusion criteria and randomly divided into two groups. In one group, 80 patients received IV morphine (0.1 mg/kg+5 mL normal saline) plus an equivalent volume of IV placebo. In the second group, 80 patients received nebulized morphine (0.2 mg/kg+5 mL normal saline) plus nebulized placebo. Pain score was monitored in all patients with Numerical Rating Scale before and after intervention at baseline, 15, 30, 45, and 60-minute intervals. Patients’ vital signs and possible adverse events were evaluated in each observation time points. Finally, all participants were assessed for their satisfaction with pain management. Data were analyzed using repeated measure analysis for continuous variables and Binomial test for categorical variables Results: There was no significant difference between the demographic characteristics of patients in study groups. Pain relief between the two groups was similar during the observation (0, 15, 30, 45, 60 min) (P>0.05). There were no changes in vital signs between two groups, although the nebulized group had lower systolic blood pressure at the time-point of 15 minutes after the treatment initiation (P=0.03). Conclusion: Although Nebulized morphine has similar efficacy in comparison with IV route, nebulization might be considered as the clinically efficacious route of morphine administration with minimal side effects, providing optimal pain relief in patients.

Comparison of Analgesic Effect of Levobupivacaine with Dexmedetomidine and Levobupivacaine for Scalp Block before Supratentorial Craniotomy: A Randomized Controlled Trial

2020 ◽  
Vol 103 (10) ◽  
pp. 1028-1035
Keyword(s):  
Postoperative Pain ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Control Group ◽  
Study Group ◽  
Analgesic Requirement ◽  
Supratentorial Craniotomy ◽  
Numerical Rating ◽  
Fentanyl Consumption ◽  
Scalp Block

Background: Craniotomy causes acute and chronic pain. Uncontrolled postoperative pain may lead to adverse events. Perioperative scalp nerves block is not only effective in reducing intraoperative hemodynamic response, but it also reduces postoperative pain and postoperative analgesia requirement. Objective: To compare the benefits of adding dexmedetomidine to levobupivacaine in scalp nerves block before craniotomy for the duration of analgesia in supratentorial craniotomy. Materials and Methods: After approval by the Committee for Research, 50 supratentorial craniotomy patients were randomized into two groups. The control group received 30 mL scalp nerves block with 0.25% levobupivacaine with adrenaline 1:200,000, whereas the study group received 30 mL scalp nerves block with 0.25% levobupivacaine with adrenaline 1:200,000 plus dexmedetomidine 1 mcg/kg. The primary outcome was the time to first analgesic requirement postoperatively. The secondary outcomes included intraoperative fentanyl consumption, verbal numerical rating scale, tramadol consumption, and complications during the first 24 hours postoperatively. Results: Patients in the study group had significantly increase time to the first analgesic requirement in postoperative period and reduced intraoperative fentanyl consumption. The median time to first analgesic requirement was 555 (360 to 1,035) minutes in the study group versus 405 (300 to 520) minutes in the control group (p=0.023). Intraoperative fentanyl consumption 125 (75 to 175) mcg in the study group was significantly lower than 200 (150 to 250) mcg in the control group (p=0.02). The verbal numerical rating scale at 1, 4, 8, 12 and 24 hours postoperatively, tramadol consumption, and complications during the first 24 hours postoperatively were not statistically significant different. Conclusion: Preoperative scalp nerves block with 0.25% levobupivacaine with adrenaline (1:200,000) with dexmedetomidine 1 mcg/kg significantly increased the time to first analgesic requirement and reduced intraoperative fentanyl consumption compared to 0.25% levobupivacaine with adrenaline (1:200,000) without perioperative complications. Keywords: Scalp block, Dexmedetomidine, Post-craniotomy analgesia, Supratentorial tumor, Levobupivacaine

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