Postoperative Pain Assessment and Analgesic Administration in Native American Patients Undergoing Laparoscopic Cholecystectomy

Lee, Elizabeth; Teeple, Mary; Bagrodia, Naina; Hannallah, Jack; Yazzie, Nazhone P.; Adamas-Rappaport, William J.

doi:10.1001/jamasurg.2013.682

Cited by 9 publications

(6 citation statements)

References 20 publications

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“…40,41 Cultural factors may also influence these interactions; a study involving postcholecystectomy Native American patients indicate that usual Western assessments for pain or discomfort may not apply in some cultures. 42 Further exploration of the causes for ethnic disparities in sedation during colonoscopy revealed by our study is needed.…”

Section: Discussionmentioning

confidence: 95%

Practice patterns of sedation for colonoscopy

Childers

Williams

Sonnenberg

2015

Gastrointestinal Endoscopy

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Background Sedative and analgesic medications have been routinely used for decades to provide patient comfort, reduce procedure time, and improve examination quality during colonoscopy. Objective To evaluate trends of sedation during colonoscopy in the United States Setting Endoscopic data repository of U.S. gastroenterology practices (Clinical Outcomes Research Initiative, CORI database from 2000 until 2013). Patients The study population comprised patients undergoing a total of 1,385,436 colonoscopies. Interventions Colonoscopy without any intervention or with mucosal biopsy, polypectomy, various means of hemostasis, luminal dilation, stent placement, or ablation. Main Outcome Measurements Dose of midazolam, diazepam, fentanyl, meperidine, diphenhydramine, promethazine, and propofol used for sedation during colonoscopy. Results During the past 14 years, midazolam, fentanyl and propofol have become the most commonly used sedatives for colonoscopy. Except for benzodiapenzines, which were dosed higher in women than men, equal doses of sedation were given to female and male patients. Whites were given higher doses than other ethnic groups undergoing sedation for colonoscopy. Except for histamine-1 receptor antagonists, all sedative medications were given at lower doses to patients with increasing age. The dose of sedatives was higher in colonoscopies associated with procedural interventions or of long duration. Conclusions The findings reflect on colonoscopy practice in the United States during the last 14 years, and provide an incentive for future research on how gender and ethnicity influence sedation practices.

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Section: Discussionmentioning

confidence: 95%

Practice patterns of sedation for colonoscopy

Childers

Williams

Sonnenberg

2015

Gastrointestinal Endoscopy

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“…Are certain numbers perceived as “good” vs “bad” or taboo? American Indian patients may select favorite or sacred numbers rather than the number that represented their true pain intensity [19].…”

Section: Validity and Pain Assessment Toolsmentioning

confidence: 99%

The State-of-“Cultural Validity” of Self-Report Pain Assessment Tools in Diverse Older Adults: Table 1

Booker¹,

Herr²

2015

Pain Med

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The multiculturalism of health care and the use of existing pain assessment tools globally require that clinicians and researchers consider tool validity that incorporates the individual's cultural system in order to provide quality pain assessment. This article addresses one aspect of tool development and application across populations, the validation of self-report pain assessment tools for culturally diverse older adults. Recommendations for each the research and clinician are provided to assist in development, translation, and use of various self-report pain assessment tools.

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“…At present, laparoscopic surgery is the most commonly performed surgery (1). Patients undergoing laparoscopic surgery experience pain, with more severe pain in open surgery (2,3). Despite increased knowledge on pain and pain management, introduction of new pharmacological agents into clinical practice, and technological developments in routes of administration in the last 20 years, >50% of the patients still have postoperative pain that is not adequately treated (1,(4)(5)(6).…”

Section: Introductionmentioning

confidence: 99%

A Comparison of Pregabalin and Ketamine in Acute Pain Management After Laparoscopic Cholecystectomy

Haliloğlu¹,

Bilgili²,

Zengin³

et al. 2018

Bezmialem Science

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Objective: Pregabalin and ketamine are popular analgesic adjuvants for improving perioperative pain management. We designated this double-blind, placebo controlled study to test and compare the preventive effects of pregabalin and ketamine on postoperative pain management after elective laparoscopic cholecystectomy. Methods: Seventy five patients (18 to 65 years of age) undergoing laparoscopic cholecystectomy were randomly assigned to one of the following 3 groups: control group (group C) received oral placebo capsule 1 h before surgery and bolus plus intravenous (iv) infusion of saline during surgery; ketamine group (group K) received oral placebo capsule 1 h before surgery and 0.3 mg kg-1 iv bolus plus 0.05 mg kg-1 h-1 iv infusion of ketamine during the surgery; pregabalin group (group P) received oral pregabalin 150 mg 1 h before surgery and bolus plus iv infusion of saline during surgery. The anesthetic technique was standardized, total tramadol consumption, visual analog scale (VAS), incidence of postoperative nausea and vomiting (PONV), sedation score and complications related to the drugs used in the study were assessed in the postoperative 24 h period. Results: Postoperative total tramadol consumption were significantly lower in the pregabalin and ketamine group compared to the group C (p=0.001). Tramadol requirement was similar between pregabalin and ketamine groups. At 30 min postoperatively, VAS values were lower in the pregabalin and ketamine groups compared with group C (p=0.001). There was no difference between the three groups in the need for supplemental analgesia, incidence of PONV and sedation score >2. Discussion: Pregabalin and ketamine improved postoperative pain control and decreased analgesic consumption after laparoscopic cholecystectomy with a good safety profile without any changes in sedation level or PONV.

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Postoperative Pain Assessment and Analgesic Administration in Native American Patients Undergoing Laparoscopic Cholecystectomy

Cited by 9 publications

References 20 publications

Practice patterns of sedation for colonoscopy

Practice patterns of sedation for colonoscopy

The State-of-“Cultural Validity” of Self-Report Pain Assessment Tools in Diverse Older Adults: Table 1

A Comparison of Pregabalin and Ketamine in Acute Pain Management After Laparoscopic Cholecystectomy

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