Can Postoperative Pain and Analgesic Need be Predicted in Preoperative Period?

Kirdemi̇r, Pakize; Özorak, Özlem

doi:10.5336/medsci.2010-19299

Cited by 7 publications

(10 citation statements)

References 27 publications

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“…Similar results were obtained by Turner et al, in which female patients who had spinal cord damage tended to catastrophize significantly more than male patients (19). In a recent study, Kırdemir and Özorak put forth that women perceived pain more intensely due to the fact that their threshold to pressure pain was lower than men's (20). In a study of 36 male and 64 female patients with knee osteoarthritis, Keefe et al also suggested that female patients' PCS scores were higher than those of males (16).…”

Section: Discussionsupporting

confidence: 74%

Factors associated with the Pain Catastrophizing Scale and validation in a sample of the Turkish population

Süren¹,

Okan²,

Gökbakan³

et al. 2014

Turk J Med Sci

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The reaction of N-(4-aminophenyl)aza-15-crown-5 (1) with anti -chlorophenylglyoxime (2) produces a novel azacrown ether containing vic-dioxime, N-(4-aminophenyl)aza-15-crown-5-phenylglyoxime (LH 2) . LH 2 reacts with Ni(II), Cu(II), Co(II), Cd(II), and Zn(II) ions to yield the mononuclear transition and nontransition metal complexes [M(LH) 2 ] (M = Ni and Cu), [M(LH)2 (H 2 O) 2 ] (M = Co), and [M(LH)(H 2 O)(Cl)] (M = Cd and Zn). The structural features of LH 2 were studied using several techniques including elemental analysis, Fourier transform infrared spectroscopy (FT-IR), ultraviolet visible (UV-Vis), mass spectrometry (MS), 1-dimensional (1D) 1 H-NMR and 13 CNMR, distortionless enhancement by polarization transfer (DEPT) 2-dimensional (2D) heteronuclear single-quantum coherence (HSQC), and heteronuclear multiplebond correlation (HMBC) techniques. The structures of the complexes were confirmed by elemental analyses and with the use of magnetic susceptibility measurements, MS, UV-Vis, FT-IR, 1 H-NMR, and 13 C-NMR techniques. The redox behaviors of the ligand and its complexes were verified with cyclic voltammetry (CV) at a glassy carbon (GC) electrode in 0.1 M tetrabutylammoniumtetrafluoroborate (TBATFB) in dimethyl sulfoxide (DMSO).

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Section: Discussionsupporting

confidence: 74%

Factors associated with the Pain Catastrophizing Scale and validation in a sample of the Turkish population

Süren¹,

Okan²,

Gökbakan³

et al. 2014

Turk J Med Sci

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show abstract

“…In the literature, it has been stated that gender has an association with pain, and women complain about pain more frequently than men and use analgesic drugs more regularly (Önder, Koçıa et al 2002 , Kırdemir andÖzorak 2011). In the present study, women in the control group had higher VPS (pain) values prior to the procedure, and this result is similar with those in the literature.…”

Section: Discussionsupporting

confidence: 90%

“…In the present study; the age, educational status and the presence of a chronic disease, which are included in the sociodemographic characteristics, were not found to significantly affect the perception of pain (Kırdemir and Özorak 2011). Reported that there is no correlation between age and pressure pain threshold (Kırdemir and Özorak 2011).…”

Section: Discussioncontrasting

confidence: 51%

“…Postoperative pain is an acute pathological pain starting with surgical trauma, decreasing gradually, and ceasing with tissue healing. Postoperative pain is the most commonly encountered surgical complication (Kırdemir and Özorak 2011). The factors leading to pain after a surgical intervention may be listed as follows: surgical intervention not accepted by the patient, the previous pain and surgical experiences, muscle degradation due to incision, extremely tight sutures, inappropriately placed tubes and drains, wound dehiscence, and changing the dressing (Erdinç and Yücel 1993, http://www.e-kutuphane.teb.org.tr.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Effects of Muscle Relaxation Exercise and Music Therapy before Drain Removal on Pain and Psychometric Variables

Aygin¹,

Akman²,

Kılıç³

et al. 2017

IOSR JNHS

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Background and aims: This study aims to investigate the effects of muscle relaxation exercise and music therapy applied before the drain removal operation on pain, vital signs, and psychometric variables. Methods: This study was carried out with 90 volunteer patients (45 experiment, 45 control group) between May 2014 and November 2014. Data were collected using the Patient Identification Forms, the Visual Analogue Scale (VAS) and Vital Signs forms with the face-to-face interviews. For the control group, the VAS scores and vital signs were noted and evaluated 15 minutes before the drain removal, immediately after the drain removal and at 15 min. The Music (Rast Mode), which was selected 15 minutes before the operation was listened by the experiment group patients, while muscle relaxation exercise was instructed and performed. Results: In the experimental group, 53.3% were women, 61.4% were married and 28.9% were between 46 and 60 years of age. In the control group 62.2% were women, 82.2% were married and 33.3% were over 61 years of old. Compared to the control group, the VAS scores and systolic blood pressure increased immediately after the drain removed in the experiment group, falling below the initial value at 15 min. In terms of the type of the drain used, the number, diastolic pressure, and pulse rate, no relationship was found between the two groups (p>0.05). Conclusion: During the removal of drains, nurses play an important role in the practice of nonpharmacological methods, and may prevent the unnecessary use of analgesics. Muscle relaxation exercises and music therapy should be applied prior to drain removal procedures, as effective non-pharmacological methods for pain control, and health personnel should have sufficient expertise regarding the importance of nonpharmacological methods in pain management.

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“…Another study used a psychological test (State-Trait Anxiety Inventory – STAI) to measure preoperative state and trait anxiety of the patients and demonstrated that preoperative STAI scores correlated with postoperative analgesic consumption [28]. Kırdemir and Özorak [29] suggested that the dose of required postoperative analgesics should be planned preoperatively based on the physical and psychological state of the patients. Our findings also suggest that the postoperative analgesic requirements may vary among patients and that their requirements might be predicted using preoperative indicators; serum leptin levels could be one such indicator, and the patient’s postoperative analgesic regimen might be planned accordingly.…”

Section: Discussionmentioning

confidence: 99%

Preoperative Serum Leptin Level Is Associated with Preoperative Pain Threshold and Postoperative Analgesic Consumption in Patients Undergoing Cesarean Section

et al. 2019

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Objective: This study aimed to investigate the preoperative level of serum leptin in cesarean section (C-section) patients with and without acute labor pain and its association with postoperative analgesic consumption and preoperative pain threshold. Materials and Methods: Preoperative leptin levels, preoperative pain threshold, postoperative analgesic consumption in the first 24 h, and postoperative pain severity (visual analog scale (VAS) scores at 1, 2, 4, 6, 12, and 24 h postoperatively) in C-section patients with labor pain (emergency C-section; n = 21) and without labor pain (elective C-section; n = 25) were compared. Results: There were no signiﬁcant differences between the groups regarding the demographic characteristics. Leptin levels, postoperative VAS scores, and analgesic consumption were significantly higher in the group with labor pain, while the preoperative pain threshold was lower. Serum leptin levels correlated negatively with pain threshold and positively with postoperative analgesic consumption. Multiple linear regression analyses in our study revealed that the preoperative leptin levels and having an emergency C-section independently affected the postoperative analgesic consumption and preoperative pain threshold, whereas their combined effects on these parameters were statistically not significant. Conclusion: Preoperative levels of serum leptin were higher in C-section patients with labor pain than in those without labor pain, and increased serum leptin levels were associated with decreased preoperative pain threshold and increased postoperative analgesic consumption in our study population. Postoperative analgesic requirements may vary among patients, and their requirements might be predicted using preoperative indicators. Serum levels of leptin might be one such indicator and this warrants further studies with larger sample sizes.

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Can Postoperative Pain and Analgesic Need be Predicted in Preoperative Period?

Cited by 7 publications

References 27 publications

Factors associated with the Pain Catastrophizing Scale and validation in a sample of the Turkish population

Factors associated with the Pain Catastrophizing Scale and validation in a sample of the Turkish population

The Effects of Muscle Relaxation Exercise and Music Therapy before Drain Removal on Pain and Psychometric Variables

Preoperative Serum Leptin Level Is Associated with Preoperative Pain Threshold and Postoperative Analgesic Consumption in Patients Undergoing Cesarean Section

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