Factors Predisposing to Postoperative Pain and Pulmonary Complications

Dalrymple, D.G.; Parbrook, G.D.; Steel, D.F.

doi:10.1097/00132586-197406000-00062

Cited by 2 publications

(3 citation statements)

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“…Such cases were common in all ethnic groups. Other reports of pain as a major problem following abdominal surgery were based on studies of patients receiving 10 mg of morphine IM several times a day-much higher doses than our subjects received (2)(3)(4).…”

Section: Discussionmentioning

confidence: 89%

“…For instance, pain has been reported to be the most distressing part of the postoperative course for patients having abdominal surgery (2). Likewise, studies of cholecystectomy patients have indicated that pain 1 is a major problem and that it correlates with decreased vital capacity and increased pulmonary complications (3,4). Some of the difficulty in treatment may lie in the great variation in individual susceptibility and response to pain.…”

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confidence: 99%

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The Influence of Cultural Group on the Undertreatment of Postoperative Pain1

Streltzer¹,

Wade²

1981

Psychosomatic Medicine

104

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Culture is widely recognized to be an important determinant of pain response, yet little is known about the interactions of culture with other variables or about the relationship between culture and the treatment of pain in the clinical setting. This study analyzes the variance in postcholecystectomy narcotic requirements accounted for by racial group in a multiethnic setting. Caucasians and Hawaiians received significantly more analgesics than Filipinos, Japanese, or Chinese. Race and its interactions with age and sex accounted for 11% of the variance. All groups were notably undertreated for pain. While individual factors are probably of greatest importance in the treatment of postoperative pain, cultural factors do contribute to the variability. Whether this reflects ethnic differences in analgesic requirements or reflects cultural bias in treatment remains to be determined. In a milieu of undertreatment of pain, some cultural styles may be more susceptible to undertreatment than others.

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