Acute Postoperative Pain Management

Ramsay, Michael A. E.

doi:10.1080/08998280.2000.11927683

Cited by 115 publications

(81 citation statements)

References 22 publications

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“…Postoperative analgesia in hospital until discharge was also analysed as an indirect measure of postoperative surgical pain, as pharmacological agents are the cornerstone of acute postoperative pain management. 22,23 Drugs used for postoperative pain include weak analgesia (paracetamol, non-steroidal anti-inflammatory drugs [NSAID]), opioids and adjuvants (antiepileptics, antidepressants). 24 Pain medications that the patient was consuming prior to surgery for other conditions (for instance, arthritis) that were continued postoperatively during their hospital stay were included if they were opioids, NSAID or paracetamol as they would also contribute to treating postoperative pain.…”

Section: Assessment Of Resultsmentioning

confidence: 99%

“…23,24,41 The decreased postoperative pain associated with MIS techniques potentially reduces narcotic use, which in turn make the goals of postoperative pain management more easily achievable. 13,40 Our study showed a statistically significant difference in opioid usage between the MIS approach (85 mg) and the open approach (168 mg) suggesting that MIS techniques reduce narcotic use along with their undesirable side effects.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Minimally invasive surgery compared to open spinal fusion for the treatment of degenerative lumbar spine pathologies

Mobbs

Sivabalan

2012

Journal of Clinical Neuroscience

121

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Section: Assessment Of Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Minimally invasive surgery compared to open spinal fusion for the treatment of degenerative lumbar spine pathologies

Mobbs

Sivabalan

2012

Journal of Clinical Neuroscience

121

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“…1 In modern anesthesia practice, peripheral nerve block has a significant contributory role to avail these benefits. Upper limb surgeries are mostly performed under the brachial plexus block.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Magnesium Sulfate as Adjuvant to Ropivacaine 0.4% for Supraclavicular Brachial Plexus Block in Patients undergoing Upper Limb Surgery: A Randomized Controlled Trial

Gupta

Mangal

Sharma

et al. 2017

Journal on Recent Advances in Pain

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Objectives: To prolong the duration of brachial plexus block, different adjuvants have been used. We evaluated the effect of adding magnesium sulfate to local anesthetic ropivacaine 0.4% for institution of supraclavicular brachia plexus block. Onset of sensory and motor block, duration of motor block, and rescue analgesia were observed. Materials and methods:Total 120 patients (20-50 years) scheduled for elective surgeries of upper limb under supraclavicular brachial plexus block were randomized into two groups. Group I received 24 mL 0.5% ropivacaine (120 mg) + 6.0 mL normal saline (NS) to make total volume of 30 mL. Group II received 24 mL 0.5% ropivacaine (120 mg) + 150 mg magnesium sulfate + 5.5 mL NS to make total volume of 30 mL. Results:Onset of sensory block in group I was 16.63 ± 2.79 min and in group II was 17.33 ± 2.25 min (statistically not significant, p > 0.05). Onset of motor block in group I was 18.63 ± 2.79 min and in group II was 19.76 ± 2.18 min (statistically significant, p < 0.05). The duration of motor block was significantly longer in group II; 322.00 ± 81.35 min than group I; 260.25 ± 66.79 min (p < 0.05). Similarly, time of rescue analgesia was significantly prolonged in group II; 491 ± 100.22 min than group I; 377.67 ± 73.31 min (p < 0.05). Conclusion:From our study, we concluded that the addition of 150 mg magnesium sulfate as adjuvant to 30 mL of 0.4% ropivacaine in comparison to 30 mL of 0.4% ropivacaine provides longer duration of analgesia. Although the onset of sensory block is not affected, onset of motor block is delayed. Motor block lasts for longer duration.

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“…[6,8] On the other side, controlling pain can enhance patients' quality of life, increase their satisfaction, decrease the length of stay in hospitals, reduce hospital costs, and accelerate the healing process. [8,[12][13][14][15] Several factors have been found to contribute to inadequate pain assessment and management in children. [16][17][18] These factors include lack of knowledge, poor communication between children and/or families from one side and nurses from the other side, misconceptions and negative attitudes that nurses have about pain in children.…”

Section: Introductionmentioning

confidence: 99%

Knowledge and attitudes of Jordanian nursing students toward children’s pain assessment and management: A cross-sectional study

Omari

2015

JNEP

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Successful pain assessment and management require nurses with sufficient knowledge and appropriate attitudes. A cross-sectional study was conducted to test the nursing students' knowledge and attitudes toward children's pain management across three private universities in Jordan. A convenient sample of 101 nursing students completed the Paediatric Nurses' Knowledge and Attitudes Survey (PNKAS). The total mean score on the PNKAS scale was 18.36% (SD = +6.30), with a minimum score of 8 and a maximum score of 40. The results showed that Jordanian nursing students have poor knowledge and attitudes towards paediatric pain assessment and management. Jordanian nursing students need more educational materials throughout their study plans and curriculums in regards to paediatric pain assessment and management.

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Acute Postoperative Pain Management

Cited by 115 publications

References 22 publications

Minimally invasive surgery compared to open spinal fusion for the treatment of degenerative lumbar spine pathologies

Minimally invasive surgery compared to open spinal fusion for the treatment of degenerative lumbar spine pathologies

Efficacy of Magnesium Sulfate as Adjuvant to Ropivacaine 0.4% for Supraclavicular Brachial Plexus Block in Patients undergoing Upper Limb Surgery: A Randomized Controlled Trial

Knowledge and attitudes of Jordanian nursing students toward children’s pain assessment and management: A cross-sectional study

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