Letter to the Editor Regarding “Effect of Transcutaneous Electrical Acupoint Stimulation Combined with Transversus Abdominis Plane Block on Postoperative Recovery in Elderly Patients Undergoing Laparoscopic Gastric Cancer Surgery: A Randomized Controlled Trial”

Yuan, Yu; Xue, Fu‐Shan; Cheng, Yi

doi:10.1007/s40122-023-00509-x

Cited by 1 publication

(2 citation statements)

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“…[ 49 ] Notably, it has been also shown that the proportion of patients reporting chronic thoracic pain at 3 months post-surgery is significantly higher in patients treated intraoperatively with RF compared to patients treated with fentanyl. [ 50 ] Patients referred pain mostly around the site of incision in both groups. However, there were no differences in pain perception between the two groups at 6- and 12-months following surgery, being the last the primary endpoint of the study.…”

Section: Literature Searchmentioning

confidence: 99%

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Perioperative analgesia in the elderly

Del Tedesco,

Sessa,

Xhemalaj

et al. 2023

Saudi Journal of Anaesthesia

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The administration of analgesic drugs in elderly patients should take into account age-related physiological changes, loss of efficiency of homeostatic mechanisms, and pharmacological interactions with chronic therapies. Underestimation of pain in patients with impaired cognition is often linked to difficulties in pain assessment. In the preoperative phase, it is essential to assess the physical status, cognitive reserve, and previous chronic pain conditions to plan effective analgesia. Furthermore, an accurate pharmacological history of the patient must be collected to establish any possible interaction with the whole perioperative analgesic plan. The use of analgesic drugs with different mechanisms of action for pain relief in the intraoperative phase is a crucial step to achieve adequate postoperative pain control in older adults. The combined multimodal and opioid-sparing strategy is strongly recommended to reduce side effects. The use of various adjuvants is also preferable. Moreover, the implementation of non-pharmacological approaches may lead to faster recovery. High-quality postoperative analgesia in older patients can be achieved only with a collaborative interdisciplinary team. The aim of this review is to highlight the perioperative pain management strategies in the elderly with a special focus on intraoperative pharmacological interventions.

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Section: Literature Searchmentioning

confidence: 99%

“…At 3 months, a dose-related effect of RF on pain was observed, with OR of 1.3 (95% 0.5 to 3.1) and 3.3 (95% CI 1.4 to 8.1) for a cumulative dose of <1.875 mcg and ≥1.875 mcg, respectively. [ 50 ]…”

Section: Literature Searchmentioning

confidence: 99%