Evaluation of Transdermal Fentanyl Patch as Pre-Emptive Analgesia for Improvement of Postoperative Pain Relief in Patients Undergoing Major Abdominal Surgeries under General Anaesthesia

Rallabhandi, Saranya; Chakole, Vivek; Singam, Amol; Verma, Neeta; Modak, Anjali; Taksande, Karuna; Madavi, Sheetal; Chaubey, Kashish; Bhalerao, Nikhil

doi:10.14260/jemds/2020/780

Cited by 4 publications

(3 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A thorough history of the patient's symptoms, particularly fecal incontinence vs constipation/obstructed defecation symptoms and stool consistency, should be taken at the time of diagnosis because their presence will help guide the choice of a suitable surgical technique. (17)(18)(19)(20)(21) Prolapse can be treated surgically, which also enhances gastrointestinal function. The most popular surgical treatments for rectal prolapse at the moment include rectopexy with sigmoid resection and conventional transabdominal rectopexy.…”

Section: Discussionmentioning

confidence: 99%

Case Report on Rectal Procidentia with Constipation in Young Adult

2022

pnr

View full text Add to dashboard Cite

Background: Rectal prolapse (RP) is a perineal disorder that affects a tiny number of young men. It is possible to define a full protrusion or intussusception of the rectum through the anus. Rectal prolapse is a chronic illness that worsens over time. It shows some symptoms including Constipation that appears and disappears, there has been a bulk protrusion during defecation for the past ten years, Tenderness in the rectum, as well as blood or mucus oozing. Patient presentation: We are presenting a 21-year-old young adult male who visited the surgical outpatient unit with the primary symptoms of difficulty passing stool and a lump protruding from his feces, a reddish mass that comes out of the anus. He observed the protrusion of mass ten years ago but at that time it was small then over time it gradually increased to its current size of 7x7 cm and it is visible outside. He had constipation and was straining during defecation. The patient has undergone laparoscopic rectopexy. He was treated with analgesics and antibiotics. After treatment, the patient's condition improves. Symptoms such as fecal incontinence and constipation are relieved after surgery. Conclusion: Rectal prolapse, also known as procidentia, is the extrusion of the rectum past the anus. At the age extremes, it frequently happens. Treatment strategies in patients with concurrent rectal prolapse require an interdisciplinary surgical approach, surgical therapy is intended to restore physiology by treating the prolapse and improving continence and constipation.

show abstract

Section: Discussionmentioning

confidence: 99%

Case Report on Rectal Procidentia with Constipation in Young Adult

2022

pnr

View full text Add to dashboard Cite

show abstract

“…It is also interesting to note that the pain progressively lessened across all the following sessions that were conducted. The qualitative feedback had also been informative of the fact that both subjects responded to the treatment with great vigour and we're very open to the idea of continuing treatment under this novel modality [11][12][13][14][15].…”

Section: Case Studiesmentioning

confidence: 99%

A Narrative Review of the Use of Augmented and Virtual Reality as an Alternate to Traditional Mirror Therapy in Dealing with Post Amputation Phantom Limb Pain (PLP)

Bhatnagar

Chandi

2021

JPRI

View full text Add to dashboard Cite

This article reviews the existing data on the use of augmented and virtual reality in the treatment of post amputation phantom limb pain (PLP) in order to curb the shortcomings of the treatment modality already in place: traditional mirror therapy. PLP is a highly prevalent condition- as high as used in 65%-70% amputees, which has many therapies in place varying from medicinal options such as anaesthetics, drugs that help cure depression and injections of botulism toxin, inter-positional treatments such as stimulation of spinal cord, correctional surgery and more. Visio- dynamic approaches such as reflective surface therapy (mirror) and augmented reality treatments which attempt at normalizing the representation of the amputated limb from the cortex and improving the correlation between the authentic and anticipated sensory feedback. Previous studies have consistently demonstrated the efficacy of traditional therapy using mirrors in post upper limb amputation PLP where a setup with a mirror is used to trick the mind of the patient in making the patient see a reflection of the good limb and exercising it to give the effect of exercise of the amputated limb, however because of its crude setup, it proves to have a few limitations which can be overcome using virtual reality. Virtual reality is integrating in our lives today as video games and simulations. It has a lot of application in diagnosing, prophylaxis and treatment. Virtual reality is a boon to the medical field in the sense that it allows one to visualize and practice endlessly without needing any additional resources. Incorporating VR into the treatment, patient centered holistic care can be achievable and patient's quality of life and satisfaction can be improved.

show abstract

“…2 This might be due to hindrances faced in the assessment of pain that depends on a number of factors like child's perception of pain, age and clinical condition. 3 Adequate pain relief is part and parcel of modern-day anaesthesia, and paediatric age group is no exemption. With the increasing trend of day-care surgeries, opioid painkillers have largely been replaced by regional anaesthesia, peripheral nerve blocks and non-steroidal anti-inflammatory drugs (NSAIDs).…”

Section: Introductionmentioning

confidence: 99%

Comparison of intravenous ibuprofen and paracetamol for peri-operative analgesia in paediatric day care tonsillectomy: research article

Zaheer,

Majeed,

Sharif

et al. 2023

J Pak Med Assoc

View full text Add to dashboard Cite

Objective: To determine the effectiveness of intravenous ibuprofen and acetaminophen as perioperative analgesics in paediatric patients undergoing day-care tonsillectomy with general anaesthesia. Method: The quasi-experimental study was conducted at the Anaesthesia Department of Pak Emirates Military Hospital, Rawalpindi, Pakistan, from July 2021 to June 2022, and comprised paediatric patients aged 5-12 years undergoing day-care tonsillectomy with general anaesthesia. The subjects were divided into two equal groups. Patients in Group I received intravenous ibuprofen 7mg/kg and patients in Group P received intravenous paracetamol 10mg/kg immediately after induction of anaesthesia. All patients received standard general anaesthesia with endotracheal intubation. The primary outcome measured was revised faces pain score immediately after recovery and at the time of discharge 6 hours later. Adverse events were also noted. Data was analysed using SPSS 26. Results: Of the 100 patients, there were 50(50%) in Group I; 21(42%) boys and 29(58%) girls with mean age 7.82±1.903 years. The remaining 50(50%) subjects were in Group P; 25(50%) boys and 25(50%) girls with mean age 7.68±1.812 years. At baseline, 44(88%) patients in Group I and 42(84%) in Group P reported no pain, while 6(12%) and 8(16%) patients in the two groups, respectively, reported pain (p=0.56). At discharge, 35(70%) patients in Group I and 18(36%) in Group P reported no pain (p<0.001). Adverse events were not significantly different between the groups (p>0.05). Conclusion: Intravenous ibuprofen was found to be a superior pain-killer than intravenous paracetamol for peri-operative care of paediatric patients in day-care tonsillectomy. Key Words: Acetaminophen, Analgesia, Ibuprofen, Paracetamol, Revised faces pain score, FPS-R.

show abstract

Evaluation of Transdermal Fentanyl Patch as Pre-Emptive Analgesia for Improvement of Postoperative Pain Relief in Patients Undergoing Major Abdominal Surgeries under General Anaesthesia

Cited by 4 publications

References 10 publications

Case Report on Rectal Procidentia with Constipation in Young Adult

Case Report on Rectal Procidentia with Constipation in Young Adult

A Narrative Review of the Use of Augmented and Virtual Reality as an Alternate to Traditional Mirror Therapy in Dealing with Post Amputation Phantom Limb Pain (PLP)

Comparison of intravenous ibuprofen and paracetamol for peri-operative analgesia in paediatric day care tonsillectomy: research article

Contact Info

Product

Resources

About