Acute Postoperative Pain Control

Hancı, Volkan; Yurtlu, Serhan; Domi, Rudin; Shibata, Yasuyuki; Eyigör, Can

doi:10.1155/2017/7831014

Cited by 6 publications

(2 citation statements)

References 4 publications

(4 reference statements)

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“…2 Despite the development of new drugs and analgesic techniques, up to 40% of all hospitalized children-especially those undergoing surgery-experience moderate to severe pain. 3 Adverse reactions to medications used for postoperative pain management (e.g. opioids) frequently occur, and include pruritus, nausea, and vomiting.…”

Section: Anesthetic Techniquementioning

confidence: 99%

Effectiveness of multimodal preemptive analgesia in major pediatric abdominal cancer surgery

Ghobrial

Shaker

2019

APIC

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Objective: evaluate efficacy of combining multimodal analgesia and local anesthetic infiltration compared with caudal analgesia among pediatric patients undergoing major abdominal pediatric cancer surgeryMethodology: This randomized controlled pilot study was carried out at postoperative care unit of our institution. This pilot study enrolled 90 children ASA I and II with cancer scheduled for major abdominal surgery through a midline incision. Intervention: patients were randomly divided into three equal groups. The morphine group received IV morphine at a dose of 0.1 mg/kg after induction of anesthesia. The caudal group underwent caudal block. The multimodal group received paracetamol, ketorolac and ketamine infusion, with local wound infiltration of levobupivacaine before skin incision and at the end of surgery. After surgery, all patients were maintained on PCA morphine postoperatively. Primary outcome measure was total postoperative morphine consumption. The secondary endpoints were VAS score for pain, the time to first PCA bolus, and the number of PCA doses.Results: that there were no between-group differences in the baseline characteristics of the participants. The three analgesic modalities provided adequate pain relief for up to 24 h. The multimodal and caudal groups did not significantly differ in terms of total morphine consumption (p = 0.521), time to first analgesic bolus (p = 0.136), or the number of total and active PCA boluses (p = 0.260 and p = 0.904, respectively). Both groups were superior to the morphine group regarding morphine consumption, time to first analgesic bolus, and the number of total and active PCA bolusesConclusion: Preemptive multimodal analgesia and caudal block offered comparable efficacy in the target population.Trial registration: clinicaltrial.gov with no. NCT03580980.Citation: Ghobrial HZ, Shaker EH. Effectiveness of multimodal preemptive analgesia in major pediatric abdominal cancer surgery. Anaesth pain & intensiv care 2019;23(3):256-262Received & Reviewed: 16, 21 August 2019. Accepted: 28 August 2019

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Section: Anesthetic Techniquementioning

confidence: 99%

Effectiveness of multimodal preemptive analgesia in major pediatric abdominal cancer surgery

Ghobrial

Shaker

2019

APIC

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“…A dor é definida como uma experiência emocional e sensorial subjetiva, desagradável e relativa ao real ou potencial dano ao organismo (1)(2)(3) . A dor pós-operatória (DPO), que pode ser proveniente da condição clínica que motivou a cirurgia ou de uma resposta natural ao procedimento, é comum, podendo ocorrer como uma forma de alerta (2) .…”

Section: Introductionunclassified

Dor pós-operatória em hospital universitário: perspectivas para promoção de saúde

Franco

Sugai

Silva

et al. 2017

RBPS

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Thaís de Carvalho da SilvaUniversidade José do Rosário Vellano -UNIFENAS -Alfenas -(MG) -Brasil Roberta Bessa Veloso SilvaUniversidade José do Rosário Vellano -UNIFENAS -Alfenas -(MG) -Brasil Roberto Salvador de Souza Guimarães Universidade José do Rosário Vellano -UNIFENAS -Alfenas -(MG) -Brasil Cláudio Daniel Cerdeira Universidade Federal de Alfenas -UNIFAL -Alfenas -(MG) -Brasil Gérsika Bittencourt SantosUniversidade José do Rosário Vellano -UNIFENAS -Alfenas -(MG) -Brasil RESUMOObjetivo: Avaliar a prevalência, os fatores influentes e a magnitude da dor pós-operatória (DPO) em pacientes atendidos em um hospital universitário. Métodos: Realizou-se estudo prospectivo e transversal envolvendo 100 pacientes submetidos a diferentes procedimentos cirúrgicos, no período de março a maio de 2016, entrevistados nas primeiras 24 horas do pós-operatório e avaliados através de uma escala visual numérica (EVN). Resultados: As cirurgias mais comuns encontradas são: cesárea, apendicectomia, prostatectomia, tireoidectomia total e osteossíntese; e as anestesias: raquianestesia e geral balanceada, sendo a prevalência de DPO menor quando usada a raquianestesia. Dos pacientes, 43% (n = 43) declararam DPO, com prevalência de 44% (n = 14) para o sexo masculino e 43% (n = 29) para o feminino. Entre esses, 30% (n = 13) classificaram a DPO como de intensidade forte, 53,5% (n = 23) classificaram como moderada, e 14% (n = 6), leve. Houve maior prevalência de DPO nas faixas etárias de 25-34 e 55-64 anos, e relações causais significativas entre o sexo do paciente e as variáveis diagnóstico, tipo de cirurgia, local ou intensidade da dor. Além disso, o local da DPO relacionou-se com a faixa etária ou tipo de cirurgia, e a intensidade se relacionou com a faixa etária. Conclusão: A dor pós-operatória no hospital universitário em questão se apresentou prevalente em pacientes de ambos os sexos e dependente da faixa etária, da heterogeneidade de procedimentos cirúrgicos e de protocolos anestésicos, sendo a de intensidade moderada a mais identificada.Descritores: Dor; Cirurgia Geral; Prevalência; Epidemiologia.

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A Scoping Review of Intravenous Opioid Pain Protocols and Their Dose-Time Intervals in the Management of Acute Postoperative Pain in the Postanesthesia Care Unit

Stephens

Malik

Rahman

2020

Journal of PeriAnesthesia Nursing

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Acute Postoperative Pain Control

Cited by 6 publications

References 4 publications

Effectiveness of multimodal preemptive analgesia in major pediatric abdominal cancer surgery

Effectiveness of multimodal preemptive analgesia in major pediatric abdominal cancer surgery

Dor pós-operatória em hospital universitário: perspectivas para promoção de saúde

A Scoping Review of Intravenous Opioid Pain Protocols and Their Dose-Time Intervals in the Management of Acute Postoperative Pain in the Postanesthesia Care Unit

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