Brief Pain Inventory (BPI) Health Survey After Midline Laparotomy With the Rectus Sheath Block (RSB) Analgesia: A Randomised Trial of Patients With Cancer and Benign Disease

Abstract

Background/Aim: Our original hypothesis was that the rectus sheath block (RSB) analgesia could enhance patient satisfaction and decrease pain following midline laparotomy. Patients and Methods: Initially, 56 patients were randomized into four groups; control group (n=12), single-dose (n=16), repeated-dose (n=12) and continuous infusion (n=16) RSB analgesia groups. The BPI (Brief Pain Inventory) survey was conducted preoperatively and at one and four weeks and 12 months postoperatively. The patients pain 24 h postoperatively and satisfaction 48 h postoperatively was filled on an 11-point numeric rating scale (NRS). Results: The repeated-dose group had lower BPI severity score (p=0.045) and BPI interference score (p=0.043) mean values postoperatively compared to the three other groups separately. Also, the time effect on the linear mixed model in BPI interference score mean values was statistically significant (p=0.008), which means that in the repeated dose group preoperative BPI severity score [2.7 (3.9)] and interference score [4.3 (4.2)] mean (SD) values were significantly higher than the BPI severity score [1.3 (0.8)] and interference score [1.5 (1.8)] mean (SD) values following surgery. Conclusion: The higher elevation in BPI severity score and decrease in interference score values in the repeated dose group and also the time effect in a linear mixed model in BPI interference score were statistically significant.

Correlation Between Blood Levels of Cysteine Protease Caspase-1 (Casp1) and Pain Scores (NRS) Post-surgery: A Prospective Randomized Study of Patients With Cholelithiasis

“…This is a general limitation of the multidimensional pain scales and therefore some patients may consider the scale too laborious. The four most often used unidimensional pain intensity scales are the BPI, NRS, VAS, and VRS (5,(14)(15)(16).…”

“…Pain following surgery is an anticipated annoyance of most operative procedures and 30-40% of patients endure moderate to strong pain following surgery despite the intensive use of different analgesic methods (1)(2)(3)(4)(5)(6). Severe pain and satisfaction of the patients (SFS) following operation are associated with quality of life (QoL) issues, such as anxiety, depression and other psychiatric symptoms, sleep disorders, feeling tired, and inability to attend various events (7)(8)(9)(10)(11)(12)(13).…”

“…Since the grade of pain and the effect of analgesics (AnGe) differ among patients, it has been suggested that CYTs could influence pain and pain scores (1,(14)(15)(16)(17)(18). The assessment of AnGe can be complex, but generally, the four most frequently utilized patient-reported outcome measures (PROMs) for assessing pain include the brief pain inventory (BPI), the numerical rating scale (NRS), the visual analogue scale (VAS) and the verbal rating scale (VRS) (5,(14)(15)(16).…”

The Rectus Sheath Block (RSB) Analgesia Following Laparotomy Could Affect Malonidialdehyde (MDA) Concentrations in Benign Disease and Cancer

“…The primary outcome measures were the plasma concentrations of CAT, NT and MDA biomarkers measured at three time points with high-sensitivity assays: before (PRE), immediately after (POP1) and 24 h postoperatively (POP2) in the control group versus three active groups. The patient satisfaction, the overall pain at rest NRS r and at 2 kg pressing NRS p were surveyed and filed on a 11point numeric rating scale as shown previously (17).…”