A pre‐emptive pain management protocol to support self‐care following vitreo‐retinal day surgery

McCloud, Christine; Harrington, Ann; King, Lindy

doi:10.1111/jocn.12572

Cited by 3 publications

(2 citation statements)

References 50 publications

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“…We support the suggestions by McCloud and colleagues that vitreoretinal surgeons should develop and adhere to a standardized protocol of postoperative care that must include pain management. 63 Additional study is required to examine treatment strategies according to the characteristics of the anesthesia and surgery as well as the needs of the patient.…”

Section: Discussionmentioning

confidence: 99%

“…62 Following this initial research, McCloud et al recommended a preemptive pain management protocol. 63 Nine participants reported low levels of pain following an intravenous dose of parecoxib 40 mg prior to discharge and then oral paracetamol (1 g every 6 hours) following discharge with use of rescue analgesia as required. 63 By combining regional anesthesia, intravenous parecoxib, and oral paracetamol in a multimodal approach, a strategy of preemptive pain management would provide patients good pain relief and confidence in their management at home after the procedure.…”

Section: Other Studies Of Postoperative Pain Experience Following Vitmentioning

confidence: 99%

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Postoperative Pain Management in Vitreoretinal Surgery for Retinal Detachment: A Systematic Review of Randomized Controlled Trials

Massicotte

Hammamji

Landry

et al. 2018

Journal of VitreoRetinal Diseases

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The purpose of this study is to examine the evidence for postoperative pain management in patients undergoing vitreoretinal surgery for retinal detachment by systematic review. Methods: A systematic review of the literature was performed using multiple databases in July 2016 and September 2017. Two independent reviewers screened titles and abstracts and analyzed selected papers in detail. Included studies assessed patients undergoing vitreoretinal surgery for retinal detachment and described postoperative pain management. Risk of bias was assessed using the criteria outlined in the "risk of bias" tool in the Cochrane Handbook for Systematic Reviews of Interventions. Results: Nine randomized controlled studies comprising 517 patients met the inclusion criteria. Pain management included perioperative peribulbar, sub-Tenon, and retrobulbar anesthetic block; perioperative systemic anti-inflammatory and postoperative systemic and topical anti-inflammatory drugs; and ice compress. Pain scores were assessed with nominal, numerical, and visual analog scales. Risk of bias was low for 2 studies, unclear for 4 studies, and high for 3 studies. All studies reported better postoperative pain scores with the active treatment group except for a single study comparing retrobulbar chirocaine with and without clonidine. No serious adverse events were reported for any of the studies. Conclusion: Heterogeneity of studies did not allow for meta-analysis, but qualitative analysis suggests that pain relief can be achieved in the short term with a variety of treatment interventions. Additional study is required to specifically examine pain management strategies according to the characteristics of the anesthesia and surgery as well as the needs of the patient.

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Section: Discussionmentioning

confidence: 99%

Section: Other Studies Of Postoperative Pain Experience Following Vitmentioning

confidence: 99%

Postoperative Pain Management in Vitreoretinal Surgery for Retinal Detachment: A Systematic Review of Randomized Controlled Trials

Massicotte

Hammamji

Landry

et al. 2018

Journal of VitreoRetinal Diseases

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Surgical Techniques of Intraocular Foreign Body Removal

Laura

Bagheri

Pieramici

2021

Cutting-Edge Vitreoretinal Surgery

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Redeveloping the JBI Model of Evidence Based Healthcare

Jordan

Lockwood²,

Munn³

et al. 2018

International Journal of Evidence-Based Healthcare

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Based on the citation analysis, working group and focus group feedback the new JBI Model for Evidence Based Healthcare attempts to utilize more internationally appropriate language to detail the intricacies of the relationships between systems and individuals across different settings and the need for contextual localization to enable policy makers and practitioners to make evidence-based decisions at the point of care.

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A pre‐emptive pain management protocol to support self‐care following vitreo‐retinal day surgery

Abstract: Knowledge developed through this clinically based research has the potential for informing future patient care across many sites where day surgery is an integral component of treatment for people with vitreo-retinal disease.

Cited by 3 publications

References 50 publications

Postoperative Pain Management in Vitreoretinal Surgery for Retinal Detachment: A Systematic Review of Randomized Controlled Trials

Postoperative Pain Management in Vitreoretinal Surgery for Retinal Detachment: A Systematic Review of Randomized Controlled Trials

Surgical Techniques of Intraocular Foreign Body Removal

Redeveloping the JBI Model of Evidence Based Healthcare

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