Acute Pain

Walker, Benjamin; Polaner, David M.; Berde, Charles B.

doi:10.1016/b978-0-323-42974-0.00044-6

Cited by 14 publications

(6 citation statements)

References 488 publications

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“…To gain insights into the participants’ subjective experiences, they rated their relaxation levels pre- and post-massage on a scale of 0 (not relaxed at all) to 10 (maximum relaxation). Post-massage, they also evaluated the pain experienced during the massage on a scale ranging from 0 (no pain) to 10 (worst imaginable pain) [ 40 ].…”

Section: Methodsmentioning

confidence: 99%

Differential Effects of Classical vs. Sports Massage on Erector Spinae and Upper Trapezius Muscle Stiffness: A Shear-Wave Elastography Study in Young Women

Jelen,

Javornik,

Zupančič

et al. 2024

Sports

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Classical and sports massages are commonly used interventions, but their comparative effects on muscle stiffness remain unclear. Classical massage is more general and uses light to moderate pressure, and its main purpose is relaxation. Sports massage, on the other hand, is more specialized and targets the unique needs of massaged individuals using moderate to firm pressure. This study aimed to evaluate the impacts of classical and sports massages on the stiffness of the erector spinae (ES) and upper trapezius (UT) muscles. Fifteen recreationally active young women, aged 22.9 ± 1.2 years, underwent a randomized cross-over study (with three conditions). Participants received either a five-minute classical or sports massage or a passive rest as a control on distinct days. Muscle stiffness was assessed using shear-wave elastography. The ES shear modulus displayed a significant time effect (p < 0.001; η2 = 0.515) without noticeable differences between the conditions, and the time × massage-type interactions approached statistical significance (F = 2.014; p = 0.073). There was also a large and statistically significant effect of the time on the UT (F = 11.127; p < 0.001; η2 = 0.443). We could not prove that classical and sports massages reduced muscle stiffness. The absence of significant differences might be attributed to the specific intervention parameters (massage duration of 5 min) and the small, only young women sample size. Given some tendencies towards significant effects, larger sample sizes are needed to further investigate this research question.

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Section: Methodsmentioning

confidence: 99%

Differential Effects of Classical vs. Sports Massage on Erector Spinae and Upper Trapezius Muscle Stiffness: A Shear-Wave Elastography Study in Young Women

Jelen,

Javornik,

Zupančič

et al. 2024

Sports

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“…Blood samples were taken 1 h preoperatively and 6 and 12 h postoperatively for analysis of IL-6 and CRP levels. Assessment of pain intensity using the numerical rating scale (NRS) [15], [16] was carried out at 1-h before surgery (T0), intraoperative (T1), 2-h (T2), 4-h (T3), 6-h (T4), 12-h (T5), and 24-h (T6) post-surgery. We recorded NRS scores, IL-6 levels, and CRP levels during the observations.…”

Section: Study Proceduresmentioning

confidence: 99%

Comparison of Pain Control and Inflammatory Profile in Cesarean Section Patients Treated with Multimodal Analgesia Utilizing Paracetamol and Ibuprofen

Gaus

Afif

Ambo

et al. 2023

Open Access Maced J Med Sci

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AIM: This single-blind study aimed to compare the combination of paracetamol with various doses of ibuprofen as multimodal analgesia in C-section surgery patients under spinal anesthesia. Levels of interleukin (IL)-6 and C-reactive protein (CRP) were analyzed as markers of inflammation. METHODS: Treatment groups (20 patients each) were: Group A, 750 mg paracetamol and 400 mg ibuprofen; Group B, 750 mg paracetamol and 600 mg ibuprofen; and Group C, 750 mg paracetamol and 800 mg ibuprofen. Degree of pain (movement and rest), scored using the numeric rating scale (NRS) and levels of IL-6 and CRP were assessed at various time points within 24 h of surgery. Side effects and numbers of subjects requiring rescue fentanyl administration were also recorded. RESULTS: Group C showed a rest NRS score of 1.00 ± 0.00 6 h postoperatively, compared with 2.00 ± 0.00 in Group B and 2.35 ± 0.87 in Group A. 4 h postoperatively, movement NRS scores were 1.00 ± 0.00 for Group C, compared to 3.00 ± 1.77 for Group B, and 4.85 ± 1.81 for Group A. At 12 h, IL-6 levels hours were 2.66 ± 0.04 pg/mL for Group A, 2.39 ± 0.02 pg/mL for Group B, and 2.05 ± 0.01 pg/mL for Group C. At 6 h, CRP levels were 1.18 ± 0.04 mg/L for Group A, 0.95 ± 0.01 mg/L for Group B, and 0.70 ± 0.02 mg/L for Group C. Overall, Group C showed the lowest values for all parameters analyzed, compared with other groups, and the differences were significant (p < 0.05). In addition, none of the patients in Group C required rescue fentanyl (p < 0.05), and no patients in any of the groups showed any side effects. CONCLUSION: For pain management after C-section surgery, the combination of 750 mg paracetamol and 800 mg ibuprofen yielded the best results as assessed by NRS scores, levels of IL-6 and CRP, and fentanyl rescue.

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“…Penggunaan multi modal analgesia juga menurunkan dosis masing masing komponen modalitas analgetik, sehingga menurunkan efek samping yang mungkin terjadi pada pemberian analgetik untuk tatalaksana nyeri pascaoperasi pada pasien bedah saraf pediatri. [15][16][17]…”

Section: Pembahasanunclassified

Kejadian dan Manajemen Nyeri Pascaoperasi Bedah Saraf Pediatri di RSUP Prof. I.G.N.G. Ngoerah Denpasar

Suarjaya,

Muliadi,

Hengky

et al. 2023

JNI

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Latar Belakang dan Tujuan: Nyeri pascaoperasi sangat penting dalam upaya pemulihan dini pascaoperasi. Penelitian observasional ini bertujuan untuk mengetahui kejadian dan manajemen nyeri pascaoperasi bedah saraf pada populasi pediatri di RSUP Prof. I.G.N.G. Ngoerah Denpasar.Subjek dan Metode: Pasien pediatri yang menjalani operasi bedah saraf dilakukan pencatatan data demografis, regimen analgetik pascaoperasi dan penilaian derajat nyeri saat berada di ruang pemulihan, jam ke-6, 12, 24, dan 48 pascaoperasi. Uji Wilcoxon digunakan untuk menilai kemaknaan penurunan derajat nyeri pascaoperasi.Hasil: Penelitian ini yang dilakukan pada 37 pasien pediatri pascaoperasi bedah saraf mendapatkan rerata usia pasien 91 bulan, sebagian besar laki-laki, rerata berat badan 28 kilogram, rerata tinggi badan 115 sentimeter, paling banyak dengan diagnosis hidrosefalus komunikans, paling banyak dilakukan operasi ventrikulo-peritoneal shunt, dengan rerata durasi operasi 165 menit, serta paling banyak dengan teknik anestesi umum. Uji statistik Wilcoxon mendapatkan penurunan bermakna (p0,05) derajat nyeri pasien pediatri pascaoperasi seiring waktu saat berada di ruang pemulihan, jam ke-6, 12, 24, dan 48 pascaoperasi.Simpulan: Manajemen nyeri pascaoperasi bedah saraf pediatri pada subyek penelitian telah berjalan baik, tidak didapatkan adanya pasien mengalami nyeri sedang dan berat pascaoperasi, walaupun modalitas manajemen nyeri yang digunakan beragam. Incidence and Post-Operative Pain Management on PediatricPatients Underwent Neurosurgery at Prof. I.G.N.G. Ngoerah Hospital DenpasarAbstractBackground and Objective: Postoperative pain management is important for early recovery after surgery. This observational study aims to determine the incidence and management of postoperative pain in pediatrics underwent neurosurgery at Prof. I.G.N.G. Ngoerah General Hospital Denpasar.Subject and Methods: Demographic data, postoperative analgesic regimen, and pain score while in the recovery room, on the 6th, 12th, 24th, and 48th hours postoperative were recorded. The decreased in pain score analyzed by Wilcoxon signed-rank test with significant value p0.05 Results: This study which included 37 pediatric patients whom underwent neurosurgery, found patients have average age of 91 months, mostly male, average weight of 28 kilograms, average height of 115 centimeters, with most diagnosis were communicating hydrocephalus, the most performed surgery were ventriculoperitoneal shunt, with average operating time of 165 minutes, and with most anesthetic techniques used were general anesthesia. The Wilcoxon statistical test found a significant (p0.05) decreased in the postoperative level of pain over the time from in the recovery room, on the 6th, 12th, 24th, and 48th hours postoperative.Conclusion: Postoperative pain management in pediatric patients underwent neurosurgery at Prof. I.G.N.G. Ngoerah Hospital, Denpasar was acceptable. There was no subject experiencing moderate and severe postoperative pain.

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Acute Pain

Cited by 14 publications

References 488 publications

Differential Effects of Classical vs. Sports Massage on Erector Spinae and Upper Trapezius Muscle Stiffness: A Shear-Wave Elastography Study in Young Women

Differential Effects of Classical vs. Sports Massage on Erector Spinae and Upper Trapezius Muscle Stiffness: A Shear-Wave Elastography Study in Young Women

Comparison of Pain Control and Inflammatory Profile in Cesarean Section Patients Treated with Multimodal Analgesia Utilizing Paracetamol and Ibuprofen

Kejadian dan Manajemen Nyeri Pascaoperasi Bedah Saraf Pediatri di RSUP Prof. I.G.N.G. Ngoerah Denpasar

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