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 Pethidine’s Half-life Alterations following Orthopedic Surgery: Is Available Literature Always Compatible with the Data Obtained at the Bedside?

2020 ◽  
Author(s):  
Shima Afshar ◽  
Farshad Hashemian ◽  
Sasan Anari ◽  
Mahnaz Qomi ◽  
Mohammadreza Rouini
Keyword(s):  
Pain Management ◽  
Orthopedic Surgery ◽  
Half Life ◽  
Pain Perception ◽  
Smoking Status ◽  
Pain Scale ◽  
Related Factors ◽  
Blood Samples ◽  
Physical Status Classification ◽  
Inferior Limb

Background:  It is suggested that surgery results in changes in kinetic profile of some medication. The aim of this study was to investigate possible alterations in pethidine’s half-life in postoperative pain management following orthopedic surgery of the inferior limb. Methods: Twelve patients, who were classified as class I patients according to the American society of anesthesiologists physical status classification, were enrolled. Following the surgery of the lower limb, 25 mg of pethidine was injected intravenously. After that, 5, 30, 60 and 180 minutes following the injection, blood samples were taken and concentration of pethidine in blood samples was measured by High Performance Liquid Chromatography method. Moreover, patients’ pain levels were assessed on visual analogue scales. Results: The average half-life of pethidine was measured to be 29.68 minutes. Thirty minutes after the injection, significant relationship between plasma levels of pethidine and pain scale was reported (p= 0.041, r= 0.595). Moreover, men were found to perceive more pain than women. Pain scale was considerably different between smokers and non-smokers (p= 0.006), although blood concentration of pethidine was not significantly different between these two groups (p=0.09). Conclusions: The average half-life of pethidine was shorter compared to the established half-life in literature. Orthopedic surgery most probably results in alterations in pharmacokinetic profile of pethidine. Moreover, gender and smoking status of the patients influence pain perception. Thus, pharmacokinetic alterations due to inferior limb orthopedic surgery, gender-related factors and smoking status of the patients should be considered in pain management in clinical settings. J Pharm Care 2019; 7(4): 82-86.

scholarly journals Comparative study between medial canthus episcleral block versus peribulbar block in intracapsular cataract surgery

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Ahmed Fayez Abd el raof Elsayed ◽  
Mohammed Ali Ahmed Zaghlol ◽  
Sherif Samir Wahba Rizk Allah ◽  
Ahmed Moustafa Mohamed Mohamed
Keyword(s):  
Cataract Surgery ◽  
Statistical Significance ◽  
Pain Scale ◽  
Medial Canthus ◽  
High Statistical Significance ◽  
Peribulbar Block ◽  
Peribulbar Anesthesia ◽  
Numeric Pain Scale ◽  
Double Blinded ◽  
Time To Onset

Abstract Background Ophthalmic regional anesthesia is now the most common anesthetic technique used for eye surgeries. There are various modes of needle-based ophthalmic anesthesia which are retrobulbar, peribulbar, and episcleral. The sub-Tenon episcleral anesthesia technique became a potential alternative to the retrobulbar and peribulbar anesthesia in most of the anterior and posterior segment eye surgeries; this is due to its better safety profile and tolerability than the other blocks. The aim of this study was to compare between medial episcleral block and peribulbar block in intracapsular cataract surgery as regards anesthesia and akinesia of the eye, the need of supplementation of local anesthetic, and finally the safety profile of each block. This was a prospective, comparative, randomized, double-blinded clinical study. It was carried out on 60 patients that were scheduled for intracapsular cataract surgery in ophthalmic surgery unit. The patients were randomly allocated into two equal groups; group A received medial canthus episcleral block technique and group B received peribulbar block technique. Results Results of this prospective, comparative, randomized, double-blinded study showed no statistical difference between the two groups as regards demographic and vital data. As regards Akinesia score, the ESA group had better akinesia score at 1, 5, and 10 min and at the end of surgery than PBA group (P value, 0.001). No patient in the ESA group received supplemental injection via inferotemporal peribulbar block technique, while 66.7% of PBA group was in need of supplementation. Regarding time to onset of acceptable akinesia score; ESA group had a faster onset with high statistical significance (P value, 0.001). Numeric pain scale was better in ESA group than PBA group with high statistical significance. There were chemosis after injection in two of the ESA group (6.6%). On the other hand, slight pricking pain at the end pf surgery developed in two cases in the PBA group. Conclusion Medial canthal episcleral technique proved to be superior in motor akinesia score, time to onset of acceptable akinesia score, and numeric pain scale in comparison to peribulbar anesthesia with high statistical significance between the two groups. Both techniques proved to be safe with no incidence of major complications.

scholarly journals Perception of Pain, Attitude and Satisfaction of Pain Management among Postoperative Patients

2021 ◽  
Author(s):  
Uma Venkatesan ◽  
Sruthi Kamal ◽  
Jasmine Viswanathan
Keyword(s):  
Pain Management ◽  
General Surgery ◽  
Pain Perception ◽  
Pearson Correlation ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Pain Scale ◽  
Postoperative Recovery ◽  
Cross Sectional ◽  
Urological Surgery

Introduction: Pain is considered as a fifth vital sign. Pain management and patients satisfaction with the treatment decreases early postoperative recovery. Aim: The study aim was to assess the satisfaction of pain management among postoperative patients. Materials and Methods: A cross-sectional study was used to conduct a study among 180 postoperative patients’ undergone surgeries (General surgery patients, ortho-paedic surgery and urological surgery patients) at selected hospitals, Puducherry. The purpose of the study was to associate the pain level with satisfaction. The patients were selected based on purposive sampling technique. After obtaining consent, the researcher used numerical pain scale to assess the pain perception of the patient, closed ended questionnaire to assess attitude level and modified short assessment questionnaire for patient satisfaction towards pain management. The study was analysed using Statistical Package for the Social Science (SPSS) software version 20.0. The descriptive statistics was used to assess the level of pain and attitude and inferential statistics like Pearson correlation coefficient were carried out to find the correlation between pain and satisfaction. Results: Severe pain was felt by nearly all (70%) among general surgery patients, 60% in orthopaedic surgery patients and 50% had moderate pain in urological surgery patients respectively. Regarding attitude, majority (78%, 88% and 83%) of the patients had positive attitude towards pain management in General surgery, Orthopaedic and Urology surgery patients. Most (74%) of them were satisfied with their pain management in general surgery patients, whereas in orthopaedic and urological patients, nearly all 90%, 96% of the clients were very satisfied towards pain management. Conclusion: The study concluded, optimal satisfaction toward pain management will increase quality of early postoperative recovery.

Oral or nasal breathing; preferred breathing pattern for endodontics

2021 ◽  
Vol 15 (9) ◽  
pp. 2721-2723
Author(s):  
Usman Sana ◽  
Attique Ur Rehman ◽  
Faizan Haroon ◽  
Lubna Yousaf ◽  
Maryam Virda ◽  
...  
Keyword(s):  
Pain Perception ◽  
Breathing Pattern ◽  
Positive Outcome ◽  
Pain Scale ◽  
Breathing Patterns ◽  
Nasal Breathing ◽  
Mild Pain ◽  
Numeric Pain Scale ◽  
Relationship Of ◽  
The Relationship

Objective: The objective of study was to explore the relationship of breathing and pain during endodontic therapy. Materials and methods: 500 patients who presented in the department of operative dentistry were included in the study. Numeric pain scale was used to document the pain perceived during endodontic therapy. Results were analysed using SPSS version 23. Results: Among the 500 cases, 250 cases presented with mild pain, 158 presented with moderate pain while 92 presented with severe pain. 55.4% cases were of nasal breathers while 44.6% cases were of oral breathers. Conclusion: Patients presenting with nasal breathing pattern reported with mild pain perception during endodontic therapy when compared to patients who were oral breathers. Considering life style modifications like breathing patterns, body hydration and sleep impact the patient’s life and pain management during endodontic therapy. Educating patients on proper breathing and its benefits will have positive outcome on endodontic therapy. Keywords: Oral breathing, nasal breathing, pain perception, endodontics.

scholarly journals Assessment of the effectiveness of pain management among trauma patients in the emergency department

2020 ◽  
Author(s):  
Ahmad Wazzan ◽  
Yazeed Khalid Albeladi ◽  
Rozan Ibrahim Altaifi ◽  
Mohammed Saeed Alqahtani ◽  
Rayan Mahmoud Bakheet
Keyword(s):  
Emergency Department ◽  
Pain Management ◽  
Pain Scale ◽  
Initial Assessment ◽  
P Value ◽  
Time Of Arrival ◽  
Trauma Patients ◽  
Pain Scores ◽  
Before And After ◽  
Numeric Pain Scale

Abstract Background:In the emergency department (ED), pain is the most common complaint, especially among trauma patients. However, two-thirds of trauma patients are discharged from EDs with moderate to severe pain. Therefore, pain management is an important part of care in ED's trauma patients.Aim:To assess the effectiveness of pain management among trauma patients in the ED.Method:A retrospective cohort study that was conducted on adult trauma patients who attended the ED at King Abdulaziz medical city (KAMC) in Jeddah from the period (June 2016 to July 2018). The pain was measured twice, one before the intervention and one after intervention using a numeric pain scale. Data were collected from health information system (Best care®) and analyzed using SPSS version 24.Results:The Mean difference between pain scores before and after pain management was one on a numeric pain scale with a P-Value 0.001. Initial pain assessment occurred only in 69% of our population, while assessment after intervention happened in 71% of patients. Patients who received appropriate medication were 36.7%. 35% of patients received opioids as an initial drug of pain management; only 8.8% of patients had pain scores more than 7 initially. The median between the time of arrival and the time of Initial Assessment is 19 mins.Conclusion:Pain management in ED needs improvement. Timeliness of pain management should be addressed. Evaluation and re-evaluation of pain before and after the intervention is insufficient. Trauma Patients don't receive effective pain management in the ED.

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.

Pain Perception in Clarinetists with Playing-Related Pain After Implementing a Specific Exercise Program

2018 ◽  
Vol 33 (4) ◽  
pp. 238-242 ◽  
Author(s):  
Clara Gallego Cerveró ◽  
Julio Martín Ruiz ◽  
Laura Ruiz Sanchis ◽  
Concepción Ros Ros
Keyword(s):  
Physical Activity ◽  
Muscle Pain ◽  
Pain Perception ◽  
Exercise Program ◽  
Shoulder Girdle ◽  
Pain Scale ◽  
Self Report ◽  
Postural Changes ◽  
Perceived Pain ◽  
The Relationship

BACKGROUND: Wind musicians suffer injuries resulting from muscle overuse and poor postural habits, often due to the lack of required physical fitness. For this reason, it is important to study and analyze the characteristics of their activity in order to select appropriate preventive exercises. METHODS: 10 clarinetists, who were experiencing joint pain due to instrumental practice, followed a specific program of physical activity, 3 times a week for 2 months. To assess postural changes after its implementation, the Langlade test and muscle pain scale were used at the beginning and the end of the program. RESULTS: The results show a significant decrease in perceived pain (p<0.001) and changes in the dorsal spine (p=0.001). Given the relationship between the improvement in the Langlade item, which refers to the correct position of the shoulder blades, and muscle pain, with a correlation level of 0.582, it can be said that a change in the shoulder girdle position leads to a decrease of pain in that area. CONCLUSIONS: In this pilot study of 10 clarinetists, a regular program of physical activity for 9 weeks led to an observable change in posture and a reduction in pain using self-report measures.

508 Conservative Management of Small Bowel Obstruction: A Local Experience

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
M Gonzalez ◽  
M Aker ◽  
P Manjunath ◽  
A Mishra ◽  
N Ward
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Positive Impact ◽  
Statistical Significance ◽  
Water Soluble ◽  
Abdominal Adhesions ◽  
Initial Management ◽  
Local Experience ◽  
Immediate Surgery

Abstract Introduction Post-operative intra-abdominal adhesions remain the leading cause of small bowel obstruction (SBO) representing one of the main diagnoses warranting emergency laparotomies. The National Audit in Small Bowel Obstruction advocates the use of water-soluble contrast agents (WSCA) as initial management of SBO. We aim to assess the role and outcomes of WSCA and its rate in successfully managing SBO non-operatively. Method We conducted a 2-year retrospective analysis including all patients admitted with adhesive SBO. Outcomes of patients who received WSCA were compared to those who hadn’t. Results 118 patients were included, 27(23%) of which required immediate surgery while 91(77%) were initially managed conservatively. From the latter group, 53(58.2%) received WSCA whilst 38(41.8%) didn’t. Of the group that received WSCA, 36(39.5%) were successfully managed non-operatively, compared to 26(28.5%) that didn’t, this however lacked statistical significance. LOS didn’t differ between these two groups (5 days vs. 5.5 days, p = 0.805). 32% of the patients required eventual surgical intervention needing longer LOS regardless of receiving WSCA (6.6 days vs. 13.6 days p &lt; 0.001). Conclusions Adhesive SBO can be managed conservatively in up to two-thirds of patients. WSCA usage has a positive impact but needs further assessment in larger studies.

scholarly journals Development of a hybrid sleep and physical activity improvement intervention for adults with osteoarthritis-related pain and sleep disturbance: a focus group study with potential users

2021 ◽  
pp. 204946372110260
Author(s):  
Daniel Whibley ◽  
Kevin Stelfox ◽  
Alasdair L Henry ◽  
Nicole KY Tang ◽  
Anna L Kratz
Keyword(s):  
Physical Activity ◽  
Pain Management ◽  
Focus Groups ◽  
Thematic Analysis ◽  
Sleep Disturbances ◽  
Physical Activity Intervention ◽  
Focus Group Study ◽  
Intervention Component ◽  
Beneficial Impact ◽  
Improvement Intervention

Objective: Suboptimal sleep and physical activity are common among people living with osteoarthritis (OA) and simultaneous improvements in both may have a beneficial impact on pain. This study aimed to gather perspectives of people living with OA on important aspects to incorporate in a hybrid sleep and physical activity improvement intervention for OA pain management. Design: Qualitative study using two rounds of two focus groups. Setting and participants: Focus groups were conducted with adults living with OA-related chronic pain and sleep disturbances. Eighteen people attended focus groups in January 2020 and, of these, 16 attended subsequent focus groups in February 2020. Methods: Discussion at the first round of focus groups informed generation of prototype intervention materials that were shared, discussed and refined at the second round of focus groups. Thematic analysis was used to identify themes and sub-themes from the data. Results: Three themes, each with three sub-themes, were identified: facilitators of engagement with the intervention (sub-themes: motivational language, accountability and education); barriers to engagement (sub-themes: suboptimal interaction with healthcare practitioners, recording behaviour as burdensome/disruptive and uncertainty about technique) and characteristics of a physical activity intervention component (sub-themes: tailored, sustainable and supported). Conclusion: We have identified important aspects to incorporate into the design and delivery of a hybrid sleep and physical activity improvement intervention for OA pain management. Insights will be incorporated into intervention materials and protocols, with feasibility and acceptability assessed in a future study.

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