Prevalence of postoperative pain after hospital discharge: systematic review and meta-analysis

Park, Rex; Mohiuddin, Mohammed; Arellano, Ramiro; Pogatzki-Zahn, Esther; Klar, Gregory; Gilron, Ian

doi:10.1097/pr9.0000000000001075

Cited by 7 publications

(2 citation statements)

References 52 publications

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“…Early adverse effects associated with poor functional analgesia include cardiorespiratory complications including atelectasis, hypoxia, and pulmonary infection [1][2][3], while poorly managed pain may precipitate the onset of neuropathic pain post thoracotomy [4,5]. Although the development of various complications after all neuraxial blocks were extensively studied during the last decades [6][7][8][9][10], the development of post thoracotomy chronic pain remains an issue resulting in patient suffering, increased health resource utilization, and persistent post-operative opioid use (PPOU) [11]. Post-thoracotomy pain syndrome (PTPS) is a well-investigated medical entity with nearly a 10% of the patients affected developing life-changing chronic pain issues [12].…”

Section: Introductionmentioning

confidence: 99%

Post-Operative Thoracic Epidural Analgesia and Incidence of Major Complications according to Specific Safety Standardized Documentation: A Large Retrospective Dual Center Experience

Sarridou,

Mouratoglou,

Mitchell

et al. 2023

JPM

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(1) Background: Thoracic epidural analgesia is considered the gold standard in post-operative pain management following thoracic surgery. This study was designed to explore the safety of thoracic epidural analgesia and to quantify the incidence of its post-operative complications and side effects in patients undergoing thoracotomy for major surgery, such as resection of lung malignancies and lung transplantation. (2) Methods: This is a retrospective, dual-center observational study including patients that underwent major thoracic surgery including lung transplantation and received concurrent placement of thoracic epidural catheters for post-operative analgesia. An electronic system of referral and documentation of complications was used, and information was retrieved from our electronic critical care charting system. (3) Results: In total, 1145 patients were included in the study. None of the patients suffered any major complication, including hematoma, abscess, or permanent nerve damage. (4) Conclusions: the present study showed that in experienced centers, post-operative epidural analgesia in patients with thoracotomy is a safe technique, manifesting minimal, none-serious complications.

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Section: Introductionmentioning

confidence: 99%

Post-Operative Thoracic Epidural Analgesia and Incidence of Major Complications according to Specific Safety Standardized Documentation: A Large Retrospective Dual Center Experience

Sarridou,

Mouratoglou,

Mitchell

et al. 2023

JPM

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show abstract

“…The incidence of postoperative pain may be a bit higher than we thought. A recent meta-analysis showed that the incidence of moderate to severe postoperative pain in discharged patients ranged from 31% one day after discharge to 58% one to two weeks after discharge [ 6 ]. Therefore, perioperative pain management is still one of the main concerns of anesthesiologists.…”

Section: Introductionmentioning

confidence: 99%

Ultrasound-guided medial branch of the superior laryngeal nerve block to reduce peri-operative opioids dosage and accelerate patient recovery

Kang,

Wu,

Liu

et al. 2023

PLoS ONE

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Background To explore whether the medial branch block of superior laryngeal nerve can reduce the stress response of patients undergoing intubation and further reduce the dosage of opioids. Methods 80 patients undergoing gynecological laparoscopic surgery were selected, and randomly divided into 4 groups. All patients in the experimental groups received bilateral internal branch of superior laryngeal nerve block and transversus abdominis plane block. But the dosage of sufentanil used for anesthesia induction in the group A, B, and C was 0.4, 0.2, and 0μg/kg, respectively. Group D do not underwent supralaryngeal nerve block and the dosage of sufentanil was 0.4μg/kg. The heart rate (HR) and mean arterial pressure(MAP) were recorded at the time of entering the operating room(T1), before intubation after induction(T2), immediately after intubation(T3), 5min after intubation(T4), before extubation(T5), immediately after extubation(T6), 5min after extubation(T7). We also recorded the stay time in the recovery room, the number of cases of postoperative sore throat, the number of cases of nausea and vomiting, the first intestinal exhaust time, the length of hospital stay after operation. Results The HR of group A, C and D at T3 was significantly higher than that at T2(P < 0.01), while the HR of group B had no significant change. The HR of group A, C and D at T4 was lower than that at T3(P < 0.01), while the HR of group B had no obvious change. The HR of group C and D at T3 was significantly higher than that at T1 (P < 0.01). The MAP of group A and D at T4 was significantly lower than that at T1 (P<0.001). The first postoperative intestinal exhaust time in group A, B and C was significantly shorter than that in group D. The length of hospital stay after operation in group B and C was shorter than that in group D. Conclusions Ultrasound-guided superior laryngeal nerve block combined with 0.2μg/kg sufentanil can reduce the intubation reaction, have better hemodynamic stability, reduce the first postoperative intestinal exhaust time and postoperative hospital stay, thereby accelerating the postoperative recovery of patients.

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Acupoint catgut from electrospun tri-layer core–shell fibers loaded with adenosine for a long-term analgesia effect

Li,

Zhang,

Chen

et al. 2024

European Polymer Journal

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Prevalence of postoperative pain after hospital discharge: systematic review and meta-analysis

Abstract: Supplemental Digital Content is Available in the Text. This systematic review of 27 studies estimated the prevalence of moderate-to-severe pain after hospital discharge to be from 31% to 58%.

Cited by 7 publications

References 52 publications

Post-Operative Thoracic Epidural Analgesia and Incidence of Major Complications according to Specific Safety Standardized Documentation: A Large Retrospective Dual Center Experience

Post-Operative Thoracic Epidural Analgesia and Incidence of Major Complications according to Specific Safety Standardized Documentation: A Large Retrospective Dual Center Experience

Ultrasound-guided medial branch of the superior laryngeal nerve block to reduce peri-operative opioids dosage and accelerate patient recovery

Acupoint catgut from electrospun tri-layer core–shell fibers loaded with adenosine for a long-term analgesia effect

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