Patient Perception and Duration of Pain after Microdirect Laryngoscopy

Tsang, Trylon Matthew; Brett, Oliver; Hu, Amanda

doi:10.1177/0194599820907904

Cited by 3 publications

(2 citation statements)

References 27 publications

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“…MPQ [ 20 ]: adopted McGill pain questionnaire (MPQ) to score. It is composed of pain grading index (PRI), pain visual analog scale (VAS), and present pain intensity (PPI).…”

Section: Methodsmentioning

confidence: 99%

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The Effect of Fu’s Subcutaneous Needling Combined with Reperfusion Approach on Surface Electromyography Signals in Patients with Cervical Spondylosis and Neck Pain: A Clinical Trial Protocol

Peng

Yang

Feng

et al. 2022

BioMed Research International

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Background. Neck pain is one of the most common musculoskeletal diseases. Fu’s subcutaneous needling therapy is a special acupuncture method that targets muscle trigger points. It has been proven to have a positive effect on the treatment of neck pain. The access to its curative effect may be related to the improvement of muscle and soft tissue condition. The purpose of this study is to evaluate the outcome of Fu’s subcutaneous needling therapy for patients with neck pain by collecting changes in the sEMG of the patient’s neck muscles and related data from evaluation scales and explore the feasibility and safety of Fu’s subcutaneous needling therapy for neck pain. Methods. 72 patients meeting the inclusion criteria were randomly divided into FSN group and acupuncture group for corresponding treatment. FSN group was treated once every other day for 5 consecutive treatments; the acupuncture group was treated once a day for 10 consecutive treatments. Result. Outcome indicators were measured at baseline, after the first treatment and the end of the treatment. Primary outcome indicators: average EMG (AEMG) and (mean power frequency) MPF of sternocleidomastoid muscle and superior trapezius muscle. Secondary outcome indicators: Mc Gill pain questionnaire (MPQ), neck disability index (NDI), and adverse reactions. Conclusions. This study will explore the efficacy, safety, and possible mechanism of Fu’s subcutaneous needling therapy for patients with neck pain, thus to provide more evidence support for clinical decision-making. This trial is registered with Chinese Clinical Trial Register Center (registration number ChiCTR2100043529).

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“…MPQ [ 20 ]: adopted McGill pain questionnaire (MPQ) to score. It is composed of pain grading index (PRI), pain visual analog scale (VAS), and present pain intensity (PPI).…”

Section: Methodsmentioning

confidence: 99%

“…Detect the obtained sEMG signal, and calculate the average EMG (AEMG) and mean power frequency (MPF). [20]: adopted McGill pain questionnaire (MPQ) to score. It is composed of pain grading index (PRI), pain visual analog scale (VAS), and present pain intensity (PPI).…”

Section: Sample Sizementioning

confidence: 99%

The Effect of Fu’s Subcutaneous Needling Combined with Reperfusion Approach on Surface Electromyography Signals in Patients with Cervical Spondylosis and Neck Pain: A Clinical Trial Protocol

Peng

Yang

Feng

et al. 2022

BioMed Research International

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Preoperative Acetaminophen For Microsuspension Laryngoscopy Reduces Postoperative Opioid Use

Lagos‐Villaseca,

Lappin,

Perrin

et al. 2024

The Laryngoscope

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ObjectivesThe opioid crisis has prompted consideration of analgesic prescriptions. This study explored the value of preoperative acetaminophen for pain control following microsuspension laryngoscopy (MSL) and compared the results with a previous study of pain and opioid use following MSL (Tsang et al.).MethodsA prospective open‐label clinical trial was conducted in patients undergoing MSL. All patients were administered preoperative acetaminophen. Short‐form McGill Pain Questionnaire (SF‐MPQ), pain visual analogue scale (VAS), and present pain intensity (PPI) scores were collected preoperatively and on postoperative days (PODs) 1, 3, 7, and 14. Statistical analysis identified variables associated with opioid use or increased pain scores, and compared outcomes with Tsang et al.ResultsEighty‐nine patients were included (mean age 52.8 ± 17.3 years, 40 males). All patients received preoperative 1 g acetaminophen (77 (86.5%) orally) with no adverse effects. On POD1, opioid usage was 10%. Median [IQR] pain scores were 5 [2–11], 21 [12.3–56.8], and 3 [2–3.3] on SF‐MPQ, VAS, and PPI, respectively. Post‐Anesthesia Care Unit (PACU) opioid requirements significantly correlated with POD1 opioid consumption (τb = 0.214; p ≤ 0.05), and significant associations with PACU opioid administration were found for total anesthesia time (OR (95%CI) = 1.271 (1.043–1.548), p = 0.017) and total laryngoscope suspension time (OR (95%CI) = 0.791 (0.651–0.962, p = 0.019)). This cohort demonstrated reduced opioid usage on POD1 compared with Tsang et al (23%).ConclusionsPreoperative acetaminophen is a safe intervention, resulting in decreased postoperative opioid use following MSL. Anesthesia time correlated with need for postoperative opioids.Level of EvidenceLevel 4 Laryngoscope, 2024

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Adequate short- and long-term pain control with non-opiate analgesics after microdirect laryngoscopy

Bisarya

Jiang

Chao

et al. 2022

American Journal of Otolaryngology

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Patient Perception and Duration of Pain after Microdirect Laryngoscopy

Cited by 3 publications

References 27 publications

The Effect of Fu’s Subcutaneous Needling Combined with Reperfusion Approach on Surface Electromyography Signals in Patients with Cervical Spondylosis and Neck Pain: A Clinical Trial Protocol

The Effect of Fu’s Subcutaneous Needling Combined with Reperfusion Approach on Surface Electromyography Signals in Patients with Cervical Spondylosis and Neck Pain: A Clinical Trial Protocol

Preoperative Acetaminophen For Microsuspension Laryngoscopy Reduces Postoperative Opioid Use

Adequate short- and long-term pain control with non-opiate analgesics after microdirect laryngoscopy

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