Pain management and satisfaction in postsurgical patients

Tocher, Jennifer; Rodgers, Sheila; Smith, Margaret Coulter; Watt, Deborah; Dickson, Lesley R.

doi:10.1111/j.1365-2702.2012.04253.x

Cited by 23 publications

(26 citation statements)

References 52 publications

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“…2 In the United Kingdom a study performed in 2012 revealed that 68% of postoperative patients experienced pain, of which 38% reported severe pain and 52% moderate pain. 4 The incidence of acute postoperative pain in our single-centre developing country referral hospital was high in comparison with developed countries even though patients from lower income groups have a tendency to underreport their pain. 15 In 62% of patients, moderate or severe pain occurred at least once during the first postoperative day.…”

Section: Incidence Of Painmentioning

confidence: 99%

“…Patients who received emergency surgery had a much higher incidence of inadequate analgesia when compared with their elective counterparts in our and a previous study. 4 During emergency surgery the lack of premedication, inadequate preparation and other seemingly more important clinical challenges may take the focus away from measuring pain and administering analgesia. Preoperative pain has also been shown to be a predictor of worse postoperative pain.…”

Section: Comparison Of Patient Populations To Identify Risk Factorsmentioning

confidence: 99%

“…[2][3][4]8 Most studies only reported on the overall incidence of postoperative pain or compared different methods of analgesia. Few studies that aimed at identifying high-risk groups for practical clinical use were found.…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7] In a resource-limited environment with an expected high incidence of postoperative pain it is necessary to fully utilise basic analgesic modalities and to reserve more costly advanced methods for those who need it most. For this reason the incidence and risk factors associated with a higher incidence of postoperative pain need to be identified.…”

Section: Introductionmentioning

confidence: 99%

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Acute postoperative pain in 1 231 patients at a developing country referral hospital: incidence and risk factors

Murray

Retief

2015

Southern African Journal of Anaesthesia and Analgesia

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Background: Postoperative pain is poorly studied in developing countries. At a Western Cape referral hospital, it was aimed to determine the incidence of acute postoperative pain, to identify populations associated with a higher risk thereof (in order to guide resource allocation) and to investigate whether inexpensive analgesic modalities are currently utilised maximally. Methods: Patients completed visual analogue scales 24 h after surgery for pain immediately after surgery, maximum pain since surgery and current pain. The incidence of moderate or severe pain and median pain scores were calculated for each scale and for different patient populations. Post hoc logistic regression was performed. Morphine prescriptions were compared with the actual administration thereof. Results: Of 1 231 patients, 62% indicated their maximum pain as moderate or severe. Procedures with the highest incidences were caesarean section and lower limb orthopaedic surgery (> 80%). Younger age, female gender, emergency surgery, and surgery to the abdomen and lower limbs were associated with higher incidences. Patients experiencing moderate or severe pain received 46% of their prescribed morphine. Conclusion: In this institution, the incidence of postoperative pain is high as expected. Associations with postoperative pain are identified, which may guide resource allocation. At least one low-cost analgesic modality is currently underutilised.

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Section: Incidence Of Painmentioning

confidence: 99%

Section: Comparison Of Patient Populations To Identify Risk Factorsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Acute postoperative pain in 1 231 patients at a developing country referral hospital: incidence and risk factors

Murray

Retief

2015

Southern African Journal of Anaesthesia and Analgesia

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“…Accurately measuring the effectiveness of acute pain management post major surgery is intertwined with measuring overall patient satisfaction. Traditional patient satisfaction surveys depend on patient recall of their inpatient care after discharge (Tocher et al 2012). A critical element of quality evaluation is obtaining direct feedback from patients about the here-and-now pain experiences in the immediate phase post surgery.…”

Section: Study Backgroundmentioning

confidence: 99%

Developing ‘subject matter experts’: an improvement methodology programme for acute postoperative pain with patients post major surgery

Connor

2016

Journal of Clinical Nursing

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Light-Emitting Diode Phototherapy Reduces Nocifensive Behavior Induced by Thermal and Chemical Noxious Stimuli in Mice: Evidence for the Involvement of Capsaicin-Sensitive Central Afferent Fibers

et al. 2016

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Low-intensity phototherapy using light fonts, like light-emitting diode (LED), in the red to infrared spectrum is a promising alternative for the treatment of pain. However, the underlying mechanisms by which LED phototherapy reduces acute pain are not yet well understood. This study investigated the analgesic effect of multisource LED phototherapy on the acute nocifensive behavior of mice induced by thermal and chemical noxious stimuli. The involvement of central afferent C fibers sensitive to capsaicin in this effect was also investigated. Mice exposed to multisource LED (output power 234, 390, or 780 mW and power density 10.4, 17.3, and 34.6 mW/cm, respectively, from 10 to 30 min of stimulation with a wavelength of 890 nm) showed rapid and significant reductions in formalin- and acetic acid-induced nocifensive behavior. This effect gradually reduced but remained significant for up to 7 h after LED treatment in the last model used. Moreover, LED (390 mW, 17.3 mW/cm/20 min) irradiation also reduced nocifensive behavior in mice due to chemical [endogenous (i.e., glutamate, prostaglandins, and bradykinin) or exogenous (i.e., formalin, acetic acid, TRPs and ASIC agonist, and protein kinase A and C activators)] and thermal (hot plate test) stimuli. Finally, ablating central afferent C fibers abolished LED analgesia. These experimental results indicate that LED phototherapy reduces the acute painful behavior of animals caused by chemical and thermal stimuli and that LED analgesia depends on the integrity of central afferent C fibers sensitive to capsaicin. These findings provide new information regarding the underlying mechanism by which LED phototherapy reduces acute pain. Thus, LED phototherapy may be an important tool for the management of acute pain.

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Pain management and satisfaction in postsurgical patients

Abstract: Acute postoperative pain is an ongoing issue for postsurgical patients. It is crucial to understand and recognise issues that can adversely contribute to increased pain severity.

Cited by 23 publications

References 52 publications

Acute postoperative pain in 1 231 patients at a developing country referral hospital: incidence and risk factors

Acute postoperative pain in 1 231 patients at a developing country referral hospital: incidence and risk factors

Developing ‘subject matter experts’: an improvement methodology programme for acute postoperative pain with patients post major surgery

Light-Emitting Diode Phototherapy Reduces Nocifensive Behavior Induced by Thermal and Chemical Noxious Stimuli in Mice: Evidence for the Involvement of Capsaicin-Sensitive Central Afferent Fibers

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