A survey of pain and other symptoms that affect the recovery process after discharge from an ambulatory surgery unit

Pavlin, D. Janet; Chen, Connie; Penaloza, D. A.; Buckley, F. Peter

doi:10.1016/j.jclinane.2003.08.004

Cited by 124 publications

(95 citation statements)

References 23 publications

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“…This could probably be due to the effects of analgesic drugs given in theatre or in the recovery room. A similar pattern has been reported by Pavlin et al, study 23 . However, they performed more complex surgeries like knee arthroscopy and transvaginal surgery which may have given a higher incidence of pain 60% (>3/10) 23 .…”

Section: Discussionsupporting

confidence: 91%

“…The overall prevalence of moderate to severe postoperative pain reported in the literature is 17% to 40%, with one study revealing an incidence of up to 60% in the first 24 hours 23 . Many complicated surgical procedures are being performed on day care basis 23,28,30 . This continues to pose a problem of pain management at home after surgery.…”

Section: Introductionmentioning

confidence: 99%

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The prevalence of postoperative pain in the first 48 hours following day surgery at a tertiary hospital in Nairobi

Mwaka

Thikra²,

Mung’ayi³

2013

Afr H. Sci.

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Background: Day case surgery services are increasing all over the world. The prevalence of postoperative pain after day surgery is found to be high. Little is known about the prevalence of postoperative pain, in Kenya, after day case surgeries. Objective: To investigate the prevalence of postoperative pain after day surgery at Aga Khan University Hospital (AKUH), Nairobi, to determine the severity/intensity of postoperative pain following day case surgery Methods: Consecutive sampling was carried out until sample size of one hundred and fifty patients was achieved. The purpose and nature of the study was explained to patients before informed consent was obtained. They were shown how to score their pain using a visual analogue scale prior to the surgical procedure. A questionnaire was used to collect data from the patients. Follow up information was obtained through telephone interviews at 24 and 48 hours, after discharge from the day surgery unit. Results: The prevalence of postoperative pain after day care surgery was found to be 58% within 30minutes postoperatively, 55.3% after 24 hours, and 34.7% after 48 hours following surgery. The prevalence of moderate to severe postoperative pain was 13% after 24 hours, and 11.7% after 48 hours. Conclusion: The overall prevalence of postoperative pain after day surgery at the Aga Khan University Hospital, Nairobi was noted to be different from what has been reported in the literature. The prevalence of moderate and severe pain however, is less than reported in the literature.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

The prevalence of postoperative pain in the first 48 hours following day surgery at a tertiary hospital in Nairobi

Mwaka

Thikra²,

Mung’ayi³

2013

Afr H. Sci.

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“…It has been proposed that liposomal bupivacaine can improve the duration of effectiveness for PAI and thus may provide sufficient analgesia while also reducing the amount of opioid medications delivered for effective pain control. The current study occurred in settings that already had established total joint pathways in place, including preoperative education [70], patient-focused care initiatives [3,17,19,36,43,45,60,67,87], multimodal analgesia regimens [9,10,16,20,24,26,35,38,53,72,76,78,80,83], and postoperative rehabilitation pathways [16,51,77] to focus the results on the three randomized treatment groups described. We found that the primary outcome measure of pain control was better at 6 and 12 hours postoperatively in the liposomal bupivacaine PAI and spinal morphine groups compared with the ropivacaine PAI group.…”

Section: Discussionmentioning

confidence: 99%

No Difference in Early Analgesia Between Liposomal Bupivacaine Injection and Intrathecal Morphine After TKA

Barrington

Emerson

Lovald

et al. 2017

Clinical Orthopaedics &Amp; Related Research

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Background Opioid analgesics have been a standard modality for postoperative pain management after total knee arthroplasty (TKA) but are also associated with increased risk of nausea, pruritus, vomiting, respiratory depression, prolonged ileus, and cognitive dysfunction.There is still a need for a method of anesthesia that can deliver effective long-term postoperative pain relief without incurring the high cost and health burden of opioids and nerve blocks. Questions/purposes (1) Is liposomal bupivacaine-based periarticular injection (PAI) more effective than morphinebased spinal anesthesia or ropivacaine-based PAI in

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“…Eles também serviram para diminuir a incidência de infecção pós-operatória e o estresse do paciente, além de tornarem-se práti-cos tanto para o paciente como para a equipe cirúrgica 4 . No entanto, a alta precoce do paciente submetido passa pelo contorno de algumas variáveis, dentre as quais o controle da dor pós-operatória bem como o das náuseas e vô-mitos 5 . Estes, são adequadamente controlados com fármacos como o ondansetron, metoclopramida, dexametasona e antihistamínicos, isolados ou em associação 6 .…”

Section: Introdução Introdução Introdução Introdução Introduçãounclassified

Avaliação do efeito analgésico preemptivo do lumiracoxibe comparado com placebo nas primeiras 24 horas de pós-operatório

Molon

Kruel

Maioli

et al. 2009

Rev. Col. Bras. Cir.

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OBJETIVO: Testar o lumiracoxibe, utilizado preemptivamente contra um placebo, e analisar o consumo de analgésicos (dipirona e tramadol) nas primeiras 24h do pós-operatório. MÉTODOS: Sessenta pacientes submetidas à mamoplastia de aumento, sob anestesia peridural, foram selecionadas e divididas de forma randomizada em dois grupos - GI e GII. Sessenta minutos antes da operação, por via oral, as 30 pacientes do GI receberam um comprimido de lumiracoxibe 400mg, e as 30 do GII um comprimido de placebo. A dor pós-operatória foi avaliada através da escala analógica visual, graduada de 0 (sem dor) a 10 (dor de maior intensidade), sendo aplicada sempre que houvesse referência de dor. Para escores obtidos iguais ou menores que 4, a paciente recebia 15mg/kg de dipirona, até máximo de um grama, via venosa. Para escores de 5, 6 ou 7, recebia 50mg de tramadol por via venosa. Escores de 8 ou mais eram tratados com 0,5mg/kg de meperidina endovenosa. RESULTADOS: Os escores obtidos no GI foram significativamente menores que os do GII dentro das primeiras 24 horas, resultando em consumo 20% menor de dipirona e 56% menor de tramadol. Da mesma forma, observou-se que o tempo para solicitação de analgésicos pela primeira vez no pós-operatório foi de 191 minutos maior no GI. CONCLUSÃO: O emprego do lumiracoxibe preemptivamente mostrou-se efetivo no combate à dor pós-operatória, reduzindo consideravelmente o consumo global de analgésicos nesse período e aumentando o tempo de solicitação de analgésico pela primeira vez.

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A survey of pain and other symptoms that affect the recovery process after discharge from an ambulatory surgery unit

Cited by 124 publications

References 23 publications

The prevalence of postoperative pain in the first 48 hours following day surgery at a tertiary hospital in Nairobi

The prevalence of postoperative pain in the first 48 hours following day surgery at a tertiary hospital in Nairobi

No Difference in Early Analgesia Between Liposomal Bupivacaine Injection and Intrathecal Morphine After TKA

Avaliação do efeito analgésico preemptivo do lumiracoxibe comparado com placebo nas primeiras 24 horas de pós-operatório

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