Evaluation of a Preoperative Pain Score in Response to Pressure as a Marker of Postoperative Pain and Drugs Consumption in Surgical Thyroidectomy

Rago, Rocco; Forfori, Francesco; Materazzi, Gabriele; Abramo, Antonio Carlos; Collareta, Michele; Miccoli, Paolo; Giunta, Francesco

doi:10.1097/ajp.0b013e3182326495

Cited by 14 publications

(6 citation statements)

References 27 publications

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“…The total score is 15 and the risk of postoperative pain is considered significant if the score is[4. Preoperative tests may be predictive of postoperative pain [15], and thus could have an impact on use of resources. The ASA score [16] is a subjective assessment of a patient's overall health that is based on five classes (I to V).…”

Section: Data Sourcementioning

confidence: 99%

Time spent per patient in lumbar spinal stenosis surgery

Kaminski

Banse

2013

Eur Spine J

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Purpose To examine the time needed from a surgeon's viewpoint to treat a patient operated for lumbar spinal stenosis. We firstly aimed to give evidence of the wide ranging duration of standardized procedure. Secondly, we investigated factors affecting the time allocated to each patient. Methods 438 medical records of patients operated on for lumbar decompression without fusion (2005)(2006)(2007)(2008)(2009)(2010)(2011) were retrospectively examined. Primary data were operative time (OT, min), length of stay (LoS, days) and number of postoperative visits. A fourth parameter was calculated, the time spent per patient (TSPP, min) by summing the time spent in surgery, during inpatient and outpatient follow-up visits. Factors that influenced these medical resources were examined. Results Median (5th-95th percentile) LoS was 5 days (2-15), , number of medical visits 5 (2-11) and TSPP 329 min (206-533). In descending order, factors predicting LoS were age, no. of levels, sex, operative technique, cardiovascular risk index, dural tear and haematoma. Factors predicting OT were number of levels, dural tear, foraminotomy, synovial cyst and body mass index. The statistical model could predict 36 % of the TSPP variance. We recommend that surgeons add 35 min for each level, 29 min for patients over 65 years, 30 min for women, 132 min for dural tear and 108 min for epidural haematoma.Conclusion TSPP treated for lumbar spinal stenosis is highly variable, yet partially predictable. These data may help individual surgeons or heads of departments to plan their activities.

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Section: Data Sourcementioning

confidence: 99%

Time spent per patient in lumbar spinal stenosis surgery

Kaminski

Banse

2013

Eur Spine J

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“…Features of successful patient experience of day surgery include an uneventful postoperative self‐care recovery and adequate pain management (Rago et al . ). However, unlike inpatient care where there is 24‐hour nursing and medical assistance, day surgery requires patients, families and communities to undertake recovery self‐care (Fetzer et al .…”

Section: Introductionmentioning

confidence: 97%

“…), which includes the administration of pain management strategies (Rago et al . ). Self‐care during recovery following a wide variety of surgical procedures has been reported as problematic, with eventful recovery, patient discomfort and negative experiences being reported (McHugh & Thoms , Pavlin et al .…”

Section: Introductionmentioning

confidence: 97%

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

McCloud

Harrington

King

2014

Journal of Clinical Nursing

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“…[16] Similarly, Rago et al used a sphygmomanometer cuff to produce a pressure of 250 mm Hg for assessment of pain tolerance and correlated this with pain scores and analgesic requirements after thyroidectomy. [17] Pain induced by electrical stimulation was used by Nielsen et al for similar prediction regarding post-cesarean pain. [18] However, all the above modalities would need extra-equipment and trained manpower to conduct the prediction tests.…”

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confidence: 99%