Evidence-based perioperative pain management protocol for day case surgery in a resource limited setting: Systematic review

Abebe, Melkam Mulugeta; Arefayne, Nurhusen Riskey; Temesgen, Mamaru Mollalign; Admass, Biruk Adie

doi:10.1016/j.amsu.2022.104322

Cited by 6 publications

(6 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Patients preferred day surgery because of the advantages such as returning home after surgery on the same day, low rate of postponing or canceling their operations, returning to daily life activities in a short time, low complication rate and comfortable for the patient. 1,2,18 These positive aspects of day surgery reduce the surgical fear level of the patients.…”

Section: Discussionmentioning

confidence: 99%

Determination of Surgical Fear Levels of Patients Undergoing Day Surgery: Cross Sectional and Descriptive Study

ÇOLAK,

VURAL

2023

Turkiye Klinikleri J Nurs Sci

View full text Add to dashboard Cite

Day surgery is a surgical procedure in which most of the patients who are found suitable as a result of preoperative medical evaluations are operated and discharged on the same day. In an ambulatory surgery unit, patients usually discharged within 1-6 hours, however, longer stays may be required in case more surgical procedures needed. 1,2 Nowadays, day surgery preferred because of its advantages such as high patient satisfaction, shorter hospital stay, early mobilization, less hospital-acquired infection and venous thromboembolism, low mortality and morbidity rates, and faster return to daily life. [2][3][4] Nunes et al. found that day surgery patients experienced less complications than hospital-

show abstract

Section: Discussionmentioning

confidence: 99%

Determination of Surgical Fear Levels of Patients Undergoing Day Surgery: Cross Sectional and Descriptive Study

ÇOLAK,

VURAL

2023

Turkiye Klinikleri J Nurs Sci

View full text Add to dashboard Cite

show abstract

“…[ 4 ] Effective pain management facilitates early mobilisation and accelerates hospital discharge. [ 5 6 ]…”

Section: Introductionmentioning

confidence: 99%

Analgesic efficacy of classical thoracolumbar interfascial plane block versus modified thoracolumbar interfascial plane block in patients undergoing lumbar disc surgeries: A comparative, randomised controlled trial

Mondal,

Pandey,

Kumar

et al. 2024

Indian Journal of Anaesthesia

View full text Add to dashboard Cite

Background and Aims: We compared classical (medial) and modified (lateral) thoracolumbar interfascial plane block (TLIP) with only general anaesthesia (GA) using multimodal analgesia in patients undergoing lumbar disc surgeries. Methods: In this study, 100 patients aged 18–70 years were randomised to Group cTLIP (conventional TLIP block with 20 mL of 0.25% ropivacaine with GA), Group mTLIP (modified TLIP block with 20 mL of 0.25% ropivacaine with GA), and Group C (only GA using multimodal analgesia). The primary outcome was to assess the total peri-operative opioid consumption in the first 24 h. The secondary outcomes were to assess pain score upon arriving in the post-anaesthesia care unit, time to first analgesic need after surgery, post-operative opioid consumption in 24 h, and incidence of nausea and vomiting. Results: The total peri-operative opioid consumption in Group cTLIP (507.58 (258.55) μg) and Group mTLIP (491.67 (165.39) μg) was significantly lower than that in Group C (1225.4 (237.03) μg); (P < 0.001). However, it was comparable between groups cTLIP and mTLIP (P = 0.767). Pain score was comparable in groups cTLIP and mTLIP. It was significantly lower than Group C (P = 0.001). Rescue analgesia was needed in all (100%) patients of Group C but in only 15.2% of patients of the cTLIP and mTLIP groups. No patient in groups cTLIP and mTLIP complained of nausea and vomiting in the first 24 h, whereas it was significantly higher (61.8%) in Group C (P = 0.001). Conclusion: The analgesic effect of the modified TLIP block was not superior to the conventional TLIP block. Both techniques provided the same intra-operative and post-operative analgesia for lumbar disc surgeries.

show abstract

“…Surgeons used anaesthetics to control pain to reduce the likelihood of experiencing discomfort or severe pain during restorative and surgical procedures. 1 Hence, anesthetic drugs play a pivotal role in surgical procedures. In 2020, the Central Council of Indian Medicine issued a notification mandating that postgraduate students of two Ayurvedic programs (Shalya Tantra and Shalakya Tantra) be educated in multiple categories of modern surgeries as part of their curricula.…”

Section: Introductionmentioning

confidence: 99%

Pharmacological Evaluation of the Anesthetic and Analgesic Potential of Injection Harsha 22: A Novel Polyherbal Local Anesthetic Formulation Intended for Parenteral Administration in Wistar Albino Rats

Sasidharan¹,

Kaveri²,

Sithara³

et al. 2023

JEP

View full text Add to dashboard Cite

Background: Local anaesthetics are medications that cause numbness that can be reversed by applying them topically. Local anaesthetics are clinically used to control pain during minor surgeries or to treat other acute and chronic pain. The present investigation intended to investigate the anesthetic as well as analgesic potential of Injection Harsha 22, a novel polyherbal formulation in Wistar albino rats. Methods: The anesthetic potential of Injection Harsha 22 was evaluated by a heat tail-flick latency (TFL) test, whereas the analgesic effect was elevated by electrical stimulation testing. Here, lignocaine (2%) was used as the standard anesthetic drug. Results: In TFL, Injection Harsha 22 showed anesthetic effects up to 90 minutes after application. Also, the duration of anesthesia in rats that were administered subcutaneously with Injection Harsha 22 was comparable to that of the rats treated with commercial lignocaine (2%). In an electrical stimulation test, single administration of Injection Harsha 22 to rats significantly prolonged analgesia compared with the normal control group. The median duration of analgesia in rats administered subcutaneously with Injection Harsha 22 and lignocaine solution was 40 minutes and 35 minutes, respectively. Furthermore, Injection Harsha 22 does not interfere with the hematopoietic system of the experiment animals. Conclusion: Thus, the present investigation established the in vivo anesthetic and analgesic potential of Injection Harsha 22 in experimental animals. Hence, it can be concluded that Injection Harsha 22 can become a prominent substitute for lignocaine as a local anaesthetic agent after establishing its efficacy through stringent clinical trials in humans.

show abstract

Evidence-based perioperative pain management protocol for day case surgery in a resource limited setting: Systematic review

Cited by 6 publications

References 38 publications

Determination of Surgical Fear Levels of Patients Undergoing Day Surgery: Cross Sectional and Descriptive Study

Determination of Surgical Fear Levels of Patients Undergoing Day Surgery: Cross Sectional and Descriptive Study

Analgesic efficacy of classical thoracolumbar interfascial plane block versus modified thoracolumbar interfascial plane block in patients undergoing lumbar disc surgeries: A comparative, randomised controlled trial

Pharmacological Evaluation of the Anesthetic and Analgesic Potential of Injection Harsha 22: A Novel Polyherbal Local Anesthetic Formulation Intended for Parenteral Administration in Wistar Albino Rats

Contact Info

Product

Resources

About