Time to Onset of Sustained Postoperative Pain Relief (SuPPR)

Tighe, Patrick J.; King, Christopher D.; Zou, Baiming; Fillingim, Roger B.

doi:10.1097/ajp.0000000000000285

Cited by 11 publications

(6 citation statements)

References 33 publications

(33 reference statements)

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“…1; [47]). Der Zeitraum bis zum Einsetzen einer anhaltenden Schmerzlinderung gilt daher auch als wichtige Evaluierungsgröße für die Qualität des postoperativen Schmerzmanagements [137,153].…”

Section: Risikofaktoren Für Die Entwicklung Chronischer Postoperativeunclassified

Interdisziplinäres Positionspapier „Perioperatives Schmerzmanagement“

Likar

Jaksch

Aigmüller

et al. 2017

Schmerz

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Despite many positive developments, postoperative pain and its treatment is still not always given the necessary attention. Severe pain after surgical procedures affects a significant proportion of patients. This very fact is not only detrimental to the immediate recovery process, but can also form the basis for the development of chronic pain conditions.An adequate and effective management of perioperative pain requires appropriate organizational structures. This multidisciplinary paper which was initiated by the Austrian Society for Anaesthesiology and Intensive Care and the Austrian Pain Society and developed together with numerous specialist and professional societies dealing with the subject aims at supporting the organization of perioperative pain management structures and to make best use of proven concepts. Additional recommendations describe specific interventions for selected types of intervention.

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Section: Risikofaktoren Für Die Entwicklung Chronischer Postoperativeunclassified

Interdisziplinäres Positionspapier „Perioperatives Schmerzmanagement“

Likar

Jaksch

Aigmüller

et al. 2017

Schmerz

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“…A further drawback is that the study was not designed to examine the later phase of recovery, beyond day 3. Previous research has shown that the usual postoperative pain trajectory decreases during the few days after surgery, 25,26 thereby supporting measuring acute postoperative recovery during the first few days. However, it is possible to have a slight increase of pain when patients start to mobilize after surgery.…”

Section: Limitationsmentioning

confidence: 85%

“Patient-reported quality of recovery after local anesthesia versus brachial plexus block in hand surgery: a prospective randomized controlled study”

Meng

Baradaran

Jaberi

et al. 2023

Plastic &Amp; Reconstructive Surgery

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In hospitals worldwide, the benefits of local anesthesia (LA) have resulted in minor hand operations, such as carpal tunnel and trigger finger release, being moved out of the main operating room (OR). The sensory blockade, performed by the operating surgeon, uses LA with epinephrine to achieve pain control and Background: Both local anesthesia (LA) and brachial plexus (BP) anesthesia are commonly used in hand surgery. LA has increased efficiency and reduced costs, but BP is often favored for more complex hand surgery, despite requiring greater time and resources. The primary objective of this study was to assess the quality of recovery of patients who received LA or BP block for hand surgery. Secondary objectives were to compare postoperative pain and opioid use. Methods: This randomized, controlled, noninferiority study enrolled patients undergoing surgery distal to the carpal bones. Patients were randomized to either LA (wrist or digital block) or BP block (infraclavicular block) before surgery. Patients completed the Quality of Recovery-15 questionnaire on postoperative day (POD) 1. Pain level was assessed with a numeric pain rating scale, and narcotic consumption was recorded on POD1 and POD3. Results: A total of 76 patients completed the study (LA, n = 46, BP, n = 30). No statistically significant difference was found for median Quality of Recovery-15 score between LA [127.5 (interquartile range, 28)] and BP block [123.5 (interquartile range, 31)]. The inferiority margin of LA to BP block at the 95% confidence interval was less than the minimal clinically important difference of 8, demonstrating noninferiority of LA compared with BP block. There was no statistically significant difference between LA and BP block for numeric pain rating scale scores or narcotic consumption on POD1 and POD3 (P > 0.05). Conclusion: LA is noninferior to BP block for hand surgery with regard to patient-reported quality of recovery, postoperative pain, and narcotic use.

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“…In fact, a large proportion of patients have pain scores that remain the same or even increase with time. Recent studies have demonstrated that age, gender, type of surgery, and preoperative chronic opioid use influences the postoperative pain course [39, 40]. …”

Section: Personalized Carementioning

confidence: 99%

Goals and Objectives to Optimize the Value of an Acute Pain Service in Perioperative Pain Management

Le-Wendling

Glick

Tighe

2017

Techniques in Orthopaedics

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As newer pharmacologic and procedural interventions, technology, and data on outcomes in pain management are becoming available, effective acute pain management will require a dedicated Acute Pain Service (APS) to help determine the most optimal pain management plan for the patients. Goals for pain management must take into consideration the side effect profile of drugs and potential complications of procedural interventions. Multiple objective optimization is the combination of multiple different objectives for acute pain management. Simple use of opioids, for example, can reduce all pain to minimal levels, but at what cost to the patient, the medical system, and to public health as a whole? Many models for APS exist based on personnel’s skills, knowledge and experience, but effective use of an APS will also require allocation of time, space, financial, and personnel resources with clear objectives and a feedback mechanism to guide changes to acute pain medicine practices to meet the constantly evolving medical field. Physician-based practices have the advantage of developing protocols for the management of low-variability, high-occurrence scenarios in addition to tailoring care to individual patients with high-variability, low-occurrence scenarios. Frequent feedback and data collection/assessment on patient outcomes is essential in evaluating the efficacy of the Acute Pain Service’s intervention in improving patient outcomes in the acute and perioperative setting.

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Time to Onset of Sustained Postoperative Pain Relief (SuPPR)

Cited by 11 publications

References 33 publications

Interdisziplinäres Positionspapier „Perioperatives Schmerzmanagement“

Interdisziplinäres Positionspapier „Perioperatives Schmerzmanagement“

“Patient-reported quality of recovery after local anesthesia versus brachial plexus block in hand surgery: a prospective randomized controlled study”

Goals and Objectives to Optimize the Value of an Acute Pain Service in Perioperative Pain Management

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