Evaluation of the Determinants of Satisfaction With Postoperative Pain Control After Thoracoscopic Surgery: A Single-Center, Survey-Based Study

Siu, Emily; Quick, John S.; Xu, Xinling; Correll, Darin

doi:10.1213/ane.0000000000003756

Cited by 25 publications

(24 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although the pain did not reach the most severe level at its peak, pain control did not meet patient expectations, indicating that it was not satisfactory and that postoperative pain management was inadequate. Therefore, pain control requires further improvement, consistent with the results reported in the literature [1,[10][11][12][13][14]. Table 3 indicates that as the pain score increases, the degree of in uence on daily aspects increases while the in uence on satisfaction decreases, which further suggests that the quality of life and satisfaction of patients can be improved by reducing the degree of pain.…”

Section: Analysis Of Pain and Satisfaction Degrees After Arthroscopysupporting

confidence: 82%

Study of Pain Level Control Targets After Arthroscopic Surgery

Wang

Liu

Zhang

et al. 2021

Preprint

View full text Add to dashboard Cite

Objective: To explore the goal of pain control in patients after arthroscopic surgery.Design: Investigation. Postoperative pain, pain control satisfaction and the effect of pain on daily activities were investigated and evaluated.Setting: Department of Sports Medicine,Peking University 3rd Hospital,Beijing, P.R.ChinaSubjects: 514 patients selected by convenience sampling from patients hospitalized in a level A hospital in Beijing from 2020.06-2020.11. The patient inclusion criteria were an age of at least 18 years, no history of diagnosis of mental illness, the ability to clearly express his or her pain and an agreement to voluntarily cooperate with the investigators. The exclusion criteria were patients who were unable to complete follow-up.Methods: Postoperative pain, pain control satisfaction and the effect of pain on daily activities were investigated and evaluated by administering a homemade questionnaire to 514 patients selected by convenience sampling from patients hospitalized in a level A hospital in Beijing from 2020.06-2020.11. Pain was assessed using a digital pain numerical rating scale (NRS) (0-10), and a digital score ranging from 0 to 10 was used for satisfaction with pain control and the impact of pain on aspects of daily living.Results: The pain level was most severe in patients 6-24 hours after arthroscopic surgery, during which pain control satisfaction was at its worst. The pain score was significantly related to the effects of pain on aspects of daily life, and the degree of these effects changed significantly for pain scores greater than 2 points.Conclusion: Pain control 6 to 24 hours after surgery is not satisfactory. It is recommended that a pain score of 2 points is used as the goal for pain control after arthroscopic surgery to guide both doctors and patients to effectively control postoperative pain.

show abstract

Section: Analysis Of Pain and Satisfaction Degrees After Arthroscopysupporting

confidence: 82%

Study of Pain Level Control Targets After Arthroscopic Surgery

Wang

Liu

Zhang

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Although the pain did not reach the most severe level at its peak, pain control did not meet patient expectations, indicating that it was not satisfactory and that postoperative pain management was inadequate. Therefore, pain control requires further improvement, consistent with the results reported in the literature [1,[9][10][11]. The reason for the dissatisfaction with pain control may be related to the administration of analgesic medication after the operation, which in this study was guided by the principle of cancer pain degree score management, that is, that analgesic drugs be given at or above 4 points.…”

Section: Analysis Of Pain and Satisfaction Degrees After Arthroscopysupporting

confidence: 79%

“…However, some studies have noted that the pain management target score should be set at 2 points, indicating that paint scoring 3 or more points should be treated accordingly. Although the standards for postoperative pain control have not yet been harmonized across various countries, a number of studies from China and other countries have shown that [1,[9][10][11] postoperative pain control remains unideal and that if postoperative pain is not effectively controlled, it will seriously affect the patient's prognosis and satisfaction.…”

Section: Introductionmentioning

confidence: 99%

Study of pain level control targets after arthroscopic surgery

Wang

Liu

Zhang

et al. 2021

Preprint

View full text Add to dashboard Cite

Objective: To explore the goal of pain control in patients after arthroscopic surgery.Design: Investigation. Postoperative pain, pain control satisfaction and the effect of pain on daily activities were investigated and evaluated.Setting: Department of Sports Medicine,Peking University 3rd Hospital,Beijing, P.R.ChinaSubjects: 514 patients selected by convenience sampling from patients hospitalized in a level A hospital in Beijing from 2020.06-2020.11. The patient inclusion criteria were an age of at least 18 years, a lack of significant personality disorders, stable social and psychological factors, the ability to clearly express his or her pain and an agreement to voluntarily cooperate with the investigators. The exclusion criteria were patients who had been using painkillers long-term and those with other acute and chronic pain disorders.Methods: Postoperative pain, pain control satisfaction and the effect of pain on daily activities were investigated and evaluated by administering a homemade questionnaire to 514 patients selected by convenience sampling from patients hospitalized in a level A hospital in Beijing from 2020.06-2020.11. Pain was assessed using a digital pain numerical rating scale (NRS) (0-10), and a digital score ranging from 0 to 10 was used for satisfaction with pain control and the impact of pain on aspects of daily living.Results: The pain level was most severe in patients 6-24 hours after arthroscopic surgery, during which pain control satisfaction was at its worst. The pain score was significantly related to the effects of pain on aspects of daily life, and the degree of these effects changed significantly for pain scores greater than 2 points.Conclusion: Pain control 6 to 24 hours after surgery is not satisfactory. It is recommended that a pain score of 2 points is used as the goal for pain control after arthroscopic surgery to guide both doctors and patients to effectively control postoperative pain.

show abstract

“…Regarding postoperative pain, it is believed that injury to the intercostal nerve induced by the maneuvering of the instruments through the intercostal space is an important etiological factor (28). The post-operative pain experienced by the patients undergoing SVATS was significantly lower at all three time points suggesting that avoidance of intercostal nerve handling and injury may lead to reduced short and medium-term pain following VATS procedures.…”

Section: Discussionmentioning

confidence: 93%

Comparison of post-operative pain and quality of life between uniportal subxiphoid and intercostal video-assisted thoracoscopic lobectomy

Chen¹,

Volpi²,

Ali³

et al. 2020

J Thorac Dis

View full text Add to dashboard Cite

Background: Uniportal video-assisted thoracoscopic surgery (VATS) although considered less invasive than the multi-port techniques, is still an intercostal approach, resulting in intercostal nerve injury. Recently, some surgeons have tried to address this problem by attempting a subxiphoid approach. The aim of our study was to assess and compare results between intercostal and subxiphoid uniportal VATS lobectomy in terms of postoperative pain and quality of life (QoL). Methods: Patients from January 2014 to January 2018 undergoing subxiphoid and intercostal VATS lobectomy were prospectively assessed for pain and QoL at 1, 3, and 6 months following discharge.Postoperative pain was measured using a numeric rating scale (NRS) and QoL was assessed with the EuroQoL 5-dimension questionnaire (EQ5D) Results: Eight hundred and thirty-three patients undergoing lobectomy were included: 373 in the intercostal VATS group and 459 in the subxiphoid group. The proportion of patients with moderate or worse clinical pain was significantly lower at 1 and 3 months after subxiphoid VATS (P<0.01) compared with intercostal VATS. QoL was significantly higher following subxiphoid VATS at these same time points (P<0.001). Conclusions: Uniportal subxiphoid VATS is a safe and feasible minimally invasive approach for undertaking pulmonary lobectomy that may result in reduced postoperative pain compared to conventional VATS. There may also be earlier return of QoL. A randomized controlled trial examining this further would provide further insight into our observations.

show abstract

Evaluation of the Determinants of Satisfaction With Postoperative Pain Control After Thoracoscopic Surgery: A Single-Center, Survey-Based Study

Cited by 25 publications

References 20 publications

Study of Pain Level Control Targets After Arthroscopic Surgery

Study of Pain Level Control Targets After Arthroscopic Surgery

Study of pain level control targets after arthroscopic surgery

Comparison of post-operative pain and quality of life between uniportal subxiphoid and intercostal video-assisted thoracoscopic lobectomy

Contact Info

Product

Resources

About