Prediction of post‐operative pain after a laparoscopic tubal ligation procedure

Rudin, Åsa; Wølner‐Hanssen, Pål; Hellbom, Maria; Werner, Mads U.

doi:10.1111/j.1399-6576.2008.01641.x

Cited by 71 publications

(84 citation statements)

References 16 publications

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“…While studies have found preoperative HPT and cold pressor pain to predict acute resting pain after cesarean section [48,64], laparoscopic tubal ligation [59], and laparoscopic cholecystectomy [5], other studies have demonstrated a direct relationship between pain sensitivity and movement pain but not resting pain [15,18,40,72]. A reduction in pricking pain thresholds corresponded to lower movement pain but not resting pain in patients after renal surgery [72], and a reduction in von frey pain thresholds correlated with movement pain but not resting pain after major gynecologic surgery [40].…”

Section: Discussionmentioning

confidence: 99%

“…Studies that have included pain sensitivity measures as possible predictors of pain following obstetrics and gynecology surgery consistently identify higher thermal pain sensitivity to be predictive of postoperative pain [5,48,59,64]. A systematic review of 43 studies with 23,057 patients undergoing a variety of surgical procedures found that higher preoperative pain and anxiety, younger age, and abdominal, orthopedic, and thoracic surgery consistently predicted higher postoperative pain.…”

Section: Introductionmentioning

confidence: 99%

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Predictors of postoperative movement and resting pain following total knee replacement

Rakel

Blodgett

Zimmerman

et al. 2012

Pain

154

174

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This study determined preoperative predictors of movement and resting pain following total knee replacement (TKR). We hypothesized that younger patients with higher preoperative pain intensity, pain sensitivity, trait anxiety, pain catastrophizing, and depression would be more likely to experience higher postoperative movement pain than older patients with lower scores on these variables prior to surgery and that predictors would be similar for resting pain. Demographics, analgesic intake, anxiety, depression, pain catastrophizing, resting pain, movement pain (i.e., during active knee range of motion), and quantitative sensory tests, were performed pre-operatively on 215 participants scheduled for a unilateral TKR. On postoperative day 2 (POD2), analgesic intake, resting pain, and movement pain were again assessed. Significant predictors of moderate or severe movement pain were higher preoperative movement pain, von Frey pain intensity (VFPI) and heat pain threshold (HPT). People with severe movement pain preoperatively were 20 times more likely to have severe movement pain postoperatively. When the influence of preoperative movement pain was removed, depression became a predictor. Significant predictors of moderate to severe resting pain were higher preoperative resting pain, depression, and younger age. These results suggest that patients with higher preoperative pain and depression are more likely to have higher pain following TKR and younger patients may have higher resting pain. Cutaneous pain sensitivity predicted movement pain but not resting pain, suggesting that mechanisms underlying movement pain are different from resting pain. Aggressive management of preoperative pain, pain sensitivity, and depression prior to surgery may facilitate postoperative recovery.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Predictors of postoperative movement and resting pain following total knee replacement

Rakel

Blodgett

Zimmerman

et al. 2012

Pain

154

174

View full text Add to dashboard Cite

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“…17 Pos to pe ra tif ağ rı ki şi nin fi zik sel ve psi ko lo jik özel-lik le rin den et ki len mek te ve ki şi ye gö re fark lı lık gös ter mek te dir. [2][3][4][5]16,18 Cin si ye tin ba sınç ağ rı eşi ği ni ve ank si ye te dü-ze yi ni et ki le di ği, ka dın cin si ye tin ba sınç ağ rı eşi ği -nin da ha dü şük ol du ğu, 19,20 an cak ank si ye te dü ze yi nin da ha yük sek 11,[21][22][23][24] ol du ğu be lir til miş tir.…”

Section: Tar Tiş Maunclassified

“…Ağ rı eşi ği sı cak, so ğuk, kuta nöz ve ba sınç ağ rı eşi ği ola rak çe şit li şekil ler de öl çül müş tür. [2][3][4][5][6][7] Ank si ye te nin ağ rı eşi ği nin düş mesi ne ne den olan bir fak tör ol du ğu be lir til miş tir. 8 Ay rı ca cer ra hi iş lem stre si ce va bı be lir le yen bir seri hor mo nal ve me ta bo lik de ği şik lik le ri sti mü le eder.…”

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Can Postoperative Pain and Analgesic Need be Predicted in Preoperative Period?

Kirdemi̇r¹,

Özorak²

2011

Turkiye Klinikleri J Med Sci

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Ö ÖZ ZE ET T A Am ma aç ç: : Bu ça lış may la has ta nın pre o pe ra tif ba sınç ağ rı eşi ği, ank si ye te ve kor ti zol dü zey le ri ve de mog ra fik ve ri leri ile pos to pe ra tif ağ rı dü ze yi ve anal je zik ih ti ya cı ara sın da ki iliş ki yi de ğer lendir me yi amaç la dık. G Ge e r re eç ç v ve e Y Yö ön n t te em m l le er r: : Etik ku rul ona yı ve has ta la rın ya zı lı iz ni alın dık tan son ra la pa ros ko pik ko le sis tek to mi uy gu la na cak ASA I-II 40 has ta ça lış ma ya alın dı. Pre o pe ra tif du rum luluk kay gı öl çe ği uy gu lan dı. Ba sınç ağ rı eşi ği her iki el 3 ve 4. par mak pul pa la rın dan al go met re ile öl çül dü. Ope ras yon ön ce si ve son ra sı kor ti zol dü ze yi için kan alın dı. Tra ma dol 50 mg ve ril dik ten son ra has ta kon trol lü anal je zi (HKA) ağ rı pom pa sı 10 mg bo lus, 10 dk ki lit sü re si ayar la na rak ta kıl -dı. Has ta la rın "10., 20., 30." da ki ka lar da ve "2., 4., 6., 12., 24." sa at ler de vi sü el ana log ska la (VAS) sko ru, bo lus doz sa yı sı, bu to na bas ma sa yı sı ve ve ri len anal je zik mik tar la rı kay de dil di. Has ta la rın cin si yet, yaş, beden kitle indeksi, eği tim dü ze yi, anes te zi de ne yi mi, du rum lu luk kay gı pu an la rı, kor ti zol ve ba sınç ağ rı eşi ği dü zey le ri ile pos to pe ra tif VAS, bo lus doz, bu to na bas ma ve ve ri len analje zik mik tar la rı kar şı laş tı rıl dı. B Bu ul l g gu u l la ar r: : Ba sınç ağ rı eşi ği ka dın lar da er kek le re gö re da ha dü şük tü (p= 0.021). Eği tim se vi ye si art tık ça ba sınç ağ rı eşi ği dü ze yin de düş me göz len di (p= 0.016). Er ken posto pe ra tif dö nem de bu to na bas ma sa yı sı en di şe li grup ta an lam lı ola rak yük sek ti. Ba sınç ağ rı eşi ği yük sek olan lar da en di şe dü ze yi da ha az dı (p= 0.03). S So o n nu uç ç: : Pos to pe ra tif ağ rı ve ge re ke bi le cek analje zik mik ta rı has ta la rın fi zik sel ve psi ko lo jik du rum la rı ile bir lik te pre o pe ra tif ola rak plan lan ma lı -dır.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Ağ rı eşi ği; ağ rı, pos to pe ra tif; ank si ye te A AB BS S T TR RA AC CT T O Ob b j je ec c t ti i v ve e: : In this study, we ai med to eva lu a te the re la ti ons hip bet we en pre o pe ra ti ve pa in pres su re thres hold (PPT), an xi ety, cor ti so l le vels and de mog rap hic da ta of the pa ti ents and level of pos to pe ra ti ve pa in and anal ge sic ne ed. M Ma a t te e r ri i a al l a an nd d M Me et t h ho od ds s: : Fo urty ASA I-II pa ti ents who wo uld un der go la pa ras co pic cho lecy stec tomy we re en rol led in the study af ter et hi cal com met tee ap pro val and writ ten in for med con sents were obtained. Pre o pe ra ti ve con di ti o nal an xi ety sca le was app li ed. PPT was me a su red from 3. and 4. di gi tal pulps of both hands using an al go me ter. Blood was drawn be fo re and af ter sur gery for cor ti so l me a su re ments. Pos to pe ra ti vely 50 mg tra madol was gi ven, pa ti ent con trol led anal ge si a (PCA) pa in pump was in ser ted by ad jus ting 10 mg bo lu...

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“…15 Average operative times for each procedure were estimated using data from our institution, and we supplemented procedure data not currently performed at our institution with average procedure times from published series. [16][17][18][19][20][21] The number of cylinders and CO 2 emissions were calculated from these data.…”

Section: Methodsmentioning

confidence: 99%

Environmental Impact of Minimally Invasive Surgery in the United States: An Estimate of the Carbon Dioxide Footprint

Power

Silberstein

Ghoneim

et al. 2012

Journal of Endourology

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Purpose: To attempt to quantitate the carbon footprint of minimally invasive surgery (MIS) through approximated scope 1 to 3 CO 2 emissions to identify its potential role in global warming. Patients and Methods: To estimate national usage, we determined the number of inpatient and outpatient MIS procedures using International Classification of Diseases, ninth revision-clinical modification codes for all MIS procedures in a 2009 sample collected in national databases. Need for surgery was considered essential, and therefore traditional open surgery was used as the comparator. Scope 1 (direct) CO 2 emissions resulting from CO 2 gas used for insufflation were based on both escaping procedural CO 2 and metabolic CO 2 eliminated via respiration. Scopes 2 and 3 (indirect) emissions related to capture, compression, and transportation of CO 2 to hospitals and the disposal of single-use equipment not used in open surgery were calculated. Results: The total CO 2 emissions were calculated to be 355,924 tonnes/year. For perspective, if MIS in the United States was considered a country, it would rank 189th on the United Nations 2008 list of countries' carbon emissions per year. Limitations include the inability to account for uncertainty using the various models and tools for approximating CO 2 emissions. Conclusion: CO 2 emission of MIS in the United States may have a significant environmental impact. This is the first attempt to quantify CO 2 emissions related to MIS in the United States. Strategies for reduction, while maintaining high quality medical care, should be considered.

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Prediction of post‐operative pain after a laparoscopic tubal ligation procedure

Cited by 71 publications

References 16 publications

Predictors of postoperative movement and resting pain following total knee replacement

Predictors of postoperative movement and resting pain following total knee replacement

Can Postoperative Pain and Analgesic Need be Predicted in Preoperative Period?

Environmental Impact of Minimally Invasive Surgery in the United States: An Estimate of the Carbon Dioxide Footprint

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