Evaluation of the contribution to postoperative analgesia by local cooling of the wound

Brandner, Brigitta; Munro, BH; Bromley, Lesley; Hetreed, M.

doi:10.1111/j.1365-2044.1996.tb14995.x

Cited by 36 publications

(20 citation statements)

References 19 publications

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“…These include reduction of tissue metabolism and vasoconstriction, thereby reducing the inflow of inflammatory mediators and decreasing oedema. This may explain the successful application of topical cooling to reduce bruising, bleeding and oedema in sports injuries [20,21] and after orthopaedic surgery [22,23,25,26]. Local cooling is also believed to slow or eliminate pain signal transmission [31].…”

Section: Discussionmentioning

confidence: 99%

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The effect of local cooling on pain perception during infiltration of local anaesthetic agents, a prospective randomised controlled trial*

Leff

Nortley²,

Dang³

et al. 2007

Anaesthesia

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SummaryThe effect of pre‐infiltration local cooling of the site of inguinal herniorrhaphy on pain perception during infiltration of local anaesthetic was studied in a prospective randomised controlled trial. One hundred patients were randomly allocated to receive topical application of either a cooled saline bag (study group) or a saline bag at room temperature (control group) prior to injection of local anaesthetic. Pain scores were recorded using a visual analogue scale following application of the saline bags and again on completion of infiltration with local anaesthetic. There was no significant difference in pain scores following topical saline bag application. However, a highly significant difference (p = 0.0001, Mann–Whitney U) was observed between post‐infiltration pain scores of the study group (median = 2) and the control group (median = 6).

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Section: Discussionmentioning

confidence: 99%

“…The benefits of regional skin cooling to reduce pain from sports injuries are well recognised [20,21]. A number of studies have shown the benefits of postoperative skin cooling to reduce wound pain and oedema [22][23][24][25][26]. Attempts have been made to capitalise on these benefits peri-operatively [27].…”

mentioning

confidence: 99%

The effect of local cooling on pain perception during infiltration of local anaesthetic agents, a prospective randomised controlled trial*

Leff

Nortley²,

Dang³

et al. 2007

Anaesthesia

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“…Lidocaine) [2], warming the local anesthetic agents [3]. buffering the local anesthetics [4–6], adjusting the rate of the infiltration by reducing the speed of injection [7], counter-irritation [8], distraction techniques [9], vibrating the surrounding tissue while administering the injection, applying pressure to the injection site, and use of a mechanical delivery system [10,11]. …”

Section: Introductionmentioning

confidence: 99%

Effect of injection site pre-cooling on pain perception in patients attending a dental camp at Life Line Express: A split mouth interventional study

Bhadauria

Dasar

Nagarajappa

et al. 2017

Medicine and Pharmacy Reports

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Background and aimTo determine the effect of pre-cooling injection site on pain perception in patients attending a dental camp at lifeline express, Habibganj.MethodsA split mouth interventional study assessed the effect of pre cooling the injection site in patients (n=33) requiring bilateral buccal infiltration prior to extraction. One side of the patient’s mouth received the intervention after the injection site was pre cooled with ice for 3 minutes along with topical Lidocaine, while the other mouth side of the same patient received only topical Lidocaine and served as control group. A structured proforma assessed the demographic characteristics and risk factors that influence pain perception in patients. Mann-Whitney U tests and Wicoxon rank sum test were used for statistical analysis. Statistical significance was defined at P<0.05.ResultsThe results revealed a significant difference in pain perception between control and intervention group as assessed using both Heft-Parker Visual Analog Scale (median score 3.0 and 1.0) and Sound Eye Motor scale (median score=1.0 and 0.0) (P<0.01). For both the scales the assessed and self reported variables Gender, Location, Chief Complaint, Region and Arch were found to be statistically significant.ConclusionPre cooling injection site reduced pain perception in patients.

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“…Cryogenic temperatures trigger physiological thermoregulation mechanisms, which results in analgesic (Long et al, 2005; Brandner et al, 1996; Ingersoll et al, 1991), anti-inflammatory (Banfi et al, 2010; Knight, 1995), anti-oedematic (Meeusun et al, 1998) and anti-oxidative effects (Akhalaya et al, 2006; Dugue et al, 2005) and stimulate the immune system (Lubkowska et al, 2010b). The effect of low temperature is especially pronounced in skin microcirculation of upper and lower limbs.…”

Section: Introductionmentioning

confidence: 99%

Impact of 10 Sessions of Whole Body Cryostimulation on Cutaneous Microcirculation Measured by Laser Doppler Flowmetry

Szyguła

Dybek

Klimek

et al. 2011

Journal of Human Kinetics

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The aim of the present study was to evaluate the basic and evoked blood flow in the skin microcirculation of the hand, one day and ten days after a series of 10 whole body cryostimulation sessions, in healthy individuals.The study group included 32 volunteers – 16 women and 16 men. The volunteers underwent 10 sessions of cryotherapy in a cryogenic chamber. The variables were recorded before the series of 10 whole body cryostimulation sessions (first measurement), one day after the last session (second measurement) and ten days later (third measurement). Rest flow, post-occlusive hyperaemic reaction, reaction to temperature and arterio–venous reflex index were evaluated by laser Doppler flowmetry.The values recorded for rest flow, a post-occlusive hyperaemic reaction, a reaction to temperature and arterio – venous reflex index were significantly higher both in the second and third measurement compared to the initial one. Differences were recorded both in men and women. The values of frequency in the range of 0,01 Hz to 2 Hz (heart frequency dependent) were significantly lower after whole-body cryostimulation in both men and women. In the range of myogenic frequency significantly higher values were recorded in the second and third measurement compared to the first one.Recorded data suggest improved response of the cutaneous microcirculation to applied stimuli in both women and men. Positive effects of cryostimulation persist in the tested group for 10 consecutive days.

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Evaluation of the contribution to postoperative analgesia by local cooling of the wound

Abstract: S u m m a r y

Cited by 36 publications

References 19 publications

The effect of local cooling on pain perception during infiltration of local anaesthetic agents, a prospective randomised controlled trial*

The effect of local cooling on pain perception during infiltration of local anaesthetic agents, a prospective randomised controlled trial*

Effect of injection site pre-cooling on pain perception in patients attending a dental camp at Life Line Express: A split mouth interventional study

Impact of 10 Sessions of Whole Body Cryostimulation on Cutaneous Microcirculation Measured by Laser Doppler Flowmetry

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