Pain as a Factor Complicating Recovery and Discharge After Ambulatory Surgery

Pavlin, D. Janet; Chen, C.; Penaloza, D. A.; Polissar, Nayak L.; Buckley, F. Peter

doi:10.1213/00000539-200209000-00025

Cited by 251 publications

(115 citation statements)

References 23 publications

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“…3 Inadequate relief of pain after ambulatory surgery increases morbidity and health care costs and reduces patients' quality of life. 4,5 To improve postoperative pain relief, an integrative approach combining pharmacologic methods and various complementary nonpharmacologic analgesic techniques has been recommended. 6 Auricular acupuncture holds promise, as it is an easily performed technique that might be effective for treatment of both preoperative anxiety and postoperative pain in patients undergoing ambulatory surgery.…”

mentioning

confidence: 99%

Auricular acupuncture for pain relief after ambulatory knee surgery: a randomized trial

Usichenko¹,

Kuchling²,

Witstruck³

et al. 2007

Canadian Medical Association Journal

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A lmost 70% of operative procedures in North America are currently performed in an ambulatory setting.1 Despite advances in surgical techniques and modern methods of analgesia, 45% of patients suffer pain at home after ambulatory surgery, 2 and moderate to severe pain intensity at home is reported by 30% of ambulatory patients.3 Inadequate relief of pain after ambulatory surgery increases morbidity and health care costs and reduces patients' quality of life.4,5 To improve postoperative pain relief, an integrative approach combining pharmacologic methods and various complementary nonpharmacologic analgesic techniques has been recommended.6 Auricular acupuncture holds promise, as it is an easily performed technique that might be effective for treatment of both preoperative anxiety and postoperative pain in patients undergoing ambulatory surgery.7,8 However, there are reasonable doubts in the scientific community concerning the specificity of acupuncture, 9 because the large randomized trials on auricular acupuncture for treatment of cocaine and alcohol dependence have found no difference between treatment and invasive needle control. 10,11Thus, after refining the methodology in a pilot study, 12 we performed a randomized controlled trial to compare the postoperative analgesic effect of auricular acupuncture with invasive needle control in patients after ambulatory knee surgery. MethodsThis prospective, patient-and evaluator-blinded, controlled study was performed between August 2003 and September 2004 at the Ambulatory Orthopedic Surgery Center of the Ernst Moritz Arndt University, Greifswald, Germany. The study was approved by the university's ethics committee. Consecutive patients scheduled for arthroscopic ambulatory knee surgery under general anesthesia (without premedication) were enrolled in the study. Exclusion criteria were age younger than 18 years or older than 70 years; American Society of Anesthesiologists physical status III (severe systemic disease with functional limitation); history of opioid, sedative or hypnotic medication or excess alcohol use; inability to understand the consent form or how to use a visual analogue scale for pain measurement; local auricular infection or significant auricular deformation; or presence of prosthetic cardiac valves. Patients were withdrawn from the study if it was necessary to change the perioperative analgesia scheme, if the arthroscopic procedure was turned into open knee surgery or if the patient was unexpectedly admitted to hospital after the procedure.On the day before surgery the patients were told that they would receive auricular acupuncture at specific points or Auricular acupuncture for pain relief after ambulatory knee surgery: a randomized trial Background: Auricular acupuncture is a promising method for postoperative pain relief. However, there is no evidence for its use after ambulatory surgery. Our aim was to test whether auricular acupuncture is better than invasive needle control for complementary analgesia after ambulatory knee surgery. Methods:O...

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confidence: 99%

Auricular acupuncture for pain relief after ambulatory knee surgery: a randomized trial

Usichenko¹,

Kuchling²,

Witstruck³

et al. 2007

Canadian Medical Association Journal

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“…76,77 Pain remains a common reason for delay in discharge 78,79 and is responsible for delay in discharge from the PACU and ASU in 30% and 13% of patients, respectively. 80 Pain is one of the top three postoperative symptoms which patients prefer to avoid during their perioperative experience. 81,82 Gagging on the endotracheal tube and PONV are two other key patient concerns.…”

Section: Factors Delaying Discharge Following Ambulatory Surgerymentioning

confidence: 99%

Factors affecting recovery and discharge following ambulatory surgery

Awad

Chung

2006

Can J Anesth/J Can Anesth

141

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“…Insufficient postoperative pain control may increase morbidity, delay hospital discharge, reduce patient satisfaction [1]. Intravenous Patient-Controlled Analgesia (IV-PCA) was shown to be superior to conventional methods in the patients who could not undergo peripheral block or epidural block applications.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Dexamethasone in Tramadol Induced Nausea and Vomiting

Gülhaş¹,

Şanlı²,

Aslan³

et al. 2016

Med-Science

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We aimed to investigate the efficacy of a single dose bolus of dexamethasone on tramadol induced nausea and vomiting in our study. After 2, 4, 6, 12 and 24 hours. Although the incidence of nausea and vomiting, and pain scores at 2 and 4 hours were not statistically significant, they were lower in Gorup D compared to Group K (p>0.05). 14 patients in Group K required additional antiemetics and 12 patients in Group D required additional antiemetics (p>0.05

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Pain as a Factor Complicating Recovery and Discharge After Ambulatory Surgery

Cited by 251 publications

References 23 publications

Auricular acupuncture for pain relief after ambulatory knee surgery: a randomized trial

Auricular acupuncture for pain relief after ambulatory knee surgery: a randomized trial

Factors affecting recovery and discharge following ambulatory surgery

The Effect of Dexamethasone in Tramadol Induced Nausea and Vomiting

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