Prediction of postoperative pain from assessment of pain induced by venous cannulation and propofol infusion

Persson, Annette; Pettersson, Fatimah Dabo; Dyrehag, L-E; Åkeson, Jonas

doi:10.1111/aas.12634

Cited by 19 publications

(29 citation statements)

References 40 publications

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“…Peripheral venous cannulation, a routine clinical preoperative procedure, is sometimes considered painful . In our previous study, the median level of pain intensity resulting from venous cannulation on the hand was found to be close to our proposed cut‐off level of the VCP test (2.0 VAS units) . In the present study, less than one fourth of patients subjected to different kinds of elective surgery were cannulated on the hand.…”

Section: Discussionsupporting

confidence: 78%

“…Pain intensity levels associated with peripheral venous cannulation can be used to predict risks for postoperative pain after various common surgical procedures in both genders, as recently shown in a cohort subjected to laparoscopic cholecystectomy . In this follow‐up study, we now show that this method can be used in a cohort of patients subjected to various surgical procedures, and that the risk for moderate or severe postoperative pain is 1.5 times higher in patients scoring VCP at or above 2.0 VAS units regardless of patient age or gender.…”

Section: Discussionsupporting

confidence: 67%

“…In this observational study, designed to reflect everyday anesthetic in‐hospital practice, alternative sites of venous cannulation were taken into consideration, based on patient characteristics and preferences of the operator. Hence, the ability of the present study to predict postoperative pain from our originally determined cut‐off level of VCP (2.0 VAS units), recorded in a considerably less heterogeneous group of patients, was found to be lower than if the logistic regression analysis had used the median VCP actually obtained in the present study (1.0 VAS unit) as cut‐off level (OR 1.7 vs. 2.2) . However, we strongly believe that such a low cut‐off level (close to the lower edge of the VAS) would make bedside application less clinically relevant, and we do consider 2.0 VAS units to represent a more reasonable cut‐off level of VCP for prediction of postoperative pain …”

Section: Discussioncontrasting

confidence: 59%

“…Individual cannulation sites and catheter sizes, chosen according to locally established standards of care, were recorded. Based on recent findings, each study patient was classified according to the assessment of VCP as a low responder (scoring <2.0 VAS units) or high responder (scoring ≥2.0 VAS units) …”

Section: Methodsmentioning

confidence: 99%

“…It was recently shown that peripheral venous cannulation‐induced pain (VCP) intensity can be used to predict the risk for postoperative pain in patients subjected to elective laparoscopic cholecystectomy. Patients scoring VCP at or above 2.0 VAS units had 3.4 times higher risk for moderate or severe postoperative pain …”

Section: Introductionmentioning

confidence: 99%

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Prediction of Acute Postoperative Pain from Assessment of Pain Associated With Venous Cannulation

Persson

Åkeson

2018

Pain Practice

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Background It has previously been reported that venous cannulation‐induced pain (VCP) can be used to predict acute postoperative pain after laparoscopic cholecystectomy. Patients rating VCP at ≥2.0 VAS units had 3.4 times higher risk for moderate or severe pain. The purpose of this study was to evaluate if VCP scores of ≥2.0 VAS units are associated with higher risk for acute postoperative pain after various common surgical procedures. Methods In a prospective clinical observational study, 600 male and female 18‐ to 80‐year‐old patients scheduled for elective surgery were included. The primary outcome measure was the difference in maximum postoperative pain intensity between low responders (VCP < 2.0) and high responders (VCP ≥ 2.0) to VCP. Secondary outcome measures were the difference in proportion of patients with moderate or severe postoperative pain between low and high responders, and potential influence of age, gender, and preoperative habitual pain. Results Patients scoring VCP ≥2.0 VAS units reported higher acute postoperative pain intensity levels than those scoring VCP <2.0 VAS units (median 3.0 [interquartile range 0.0 to 5.0] vs. 0.2 [interquartile range 0.0 to 4.0], P = 0.001), and also had 1.7 times higher risk for moderate or severe postoperative pain (P = 0.005). Moderate or severe postoperative pain was reported by 38% of patients with VCP scores of ≥2.0 VAS units and by 26% with VCP scores of <2.0 VAS units (P = 0.005). Conclusion Scoring of VCP intensity before surgery, requiring no specific equipment or training, is useful to predict individual risks for moderate or severe postoperative pain, regardless of patient age or gender, in a setting involving different kinds of surgery.

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Section: Discussionsupporting

confidence: 78%

Section: Discussionsupporting

confidence: 67%

Section: Discussioncontrasting

confidence: 59%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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