Preoperative Predictors of Postoperative Pain

Scott, Linda E.; Clum, George A.; Peoples, J. B.

doi:10.1097/00132586-198402000-00057

Cited by 22 publications

(23 citation statements)

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“…In accordance with our results, elderly patients describe lower pain susceptibility than younger patients (Bisgaard et al, 2001;Thomas et al, 1998). Elderly patients require lesser amount of opioids for postoperative pain control than younger patients (Macintyre and Jarvis, 1996) Besides surgical intensity, the emotional status is known to determine pain susceptibility (Kain et al, 2000;Scott et al, 1983;Turk and Okifuji, 1996). In our study, emotional status was not well matched preoperatively.…”

Section: Discussionsupporting

confidence: 78%

Surgical Invasiveness is Important for Determining Severity of Postoperative Pain after Oral & Maxillofacial Surgery

Shin

Park

Seo

et al. 2011

J Korean Dent Soc Anesthesiol

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Section: Discussionsupporting

confidence: 78%

Surgical Invasiveness is Important for Determining Severity of Postoperative Pain after Oral & Maxillofacial Surgery

Shin

Park

Seo

et al. 2011

J Korean Dent Soc Anesthesiol

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“…It leads to sympathetic stimulation [38], can affect anaesthetic induction [19], increases intra-and postoperative pain and analgesic requirements [39,40] and adversely affects patient satisfaction with the overall peri-operative experience [41,42]. In the present study, we chose to examine the impact of pre-operative warming on neurosurgical patients as we expected them to be more anxious than patients undergoing minor surgery.…”

Section: Discussionmentioning

confidence: 99%

The effect of skin surface warming on pre‐operative anxiety in neurosurgery patients*

2007

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SummarySkin surface warming of patients not only improves thermal comfort, but has been shown to reduce anxiety in a pre-hospital setting. We tested the hypothesis that pre-operative warming can reduce pre-operative anxiety as effectively as a conventional dose of intravenous midazolam in patients undergoing neurosurgery. We randomly allocated 80 patients to four groups in the pre-operative holding area. Treatment was applied for 30-45 min with (1) passive insulation and placebo; (2) passive insulation and intravenous midazolam (30 lg.kg )1 ); (3) warming with forced-air and placebo; and (4) warming with forced-air and intravenous midazolam (30 lg.kg )1 ). Thermal comfort levels (VAS 0-100 mm) and anxiety levels (VAS 0-100 mm, Spielberger State-Trait Anxiety Inventory) were assessed twice: before the designated treatment was started and before induction of anaesthesia. In the midazolam and the midazolam ⁄ warming groups, anxiety VAS and Spielberger state anxiety scores decreased by ) 19 (95% CI: ) 29 to ) 9, p < 0.01) and ) 10 (95% CI: ) 14 to ) 6, p < 0.01), respectively. In the warming and the combined groups, thermal VAS increased by + 26 (95% CI: 17-34, p < 0.01). [7], and prolonged hospitalisation [5]. Pre-operative warming before induction can prevent redistribution hypothermia and can improve thermal comfort by keeping the patient warm during the preoperative period [8,9]. This benefit of pre-operative warming has been demonstrated in several studies during regional [10] and general anaesthesia [8,11,12]. The administration of pre-operative warming has even been shown to abolish completely the need for any additional intra-operative warming in certain patient populations [13,14].There is, however, another potential benefit of preoperative warming: it may reduce anxiety. In four recent studies, minor trauma victims [15], patients with lower back pain [16], patients with renal colic [17] and cholelithiasis pain [18] were assigned to passive insulation or carbon-fibre warming: The warmed patients had improved thermal comfort, less pain, and were significantly less anxious.For the reduction of pre-operative anxiety, patients typically receive medications such as oral or intravenous benzodiazepines, yet these medications are not always effective and can be associated with respiratory depression and delayed discharge [19][20][21][22][23]. Thus, several non-pharmacological methods to reduce pre-operative anxiety have been considered, including music therapy [24,25], supply of in-depth information with leaflets [26] or videos

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“…Research with patients awaiting breast surgery for treatment or diagnosis of breast cancer consistently support the time before surgery as a period of heightened distress (Carver, Pozo, & Harris, 1993;Montgomery, Weltz, & Seltz, 2002;Northhouse, Tocco, & West, 1997). Generally, higher levels of distress have been associated with poorer postoperative outcomes in various surgical patient samples (Scott, Clum, & Peoples, 1983;Urrutia, 1975). The presurgical period thus offers a unique opportunity to investigate the impact of relations between optimism, pessimism, and coping in predicting distress.…”

Section: Introductionmentioning

confidence: 99%

Relations between coping responses and optimism–pessimism in predicting anticipatory psychological distress in surgical breast cancer patients

David

Montgomery

Bovbjerg

2006

Personality and Individual Differences

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Individual differences in characteristics such as optimism, pessimism, and coping responses have been shown to contribute to variability in distress during stressful situations. However, the interrelationships among these characteristics are not well established. The purpose of this study was to investigate the interrelations among optimism, pessimism, and coping in predicting distress levels among patients scheduled for surgery related to breast cancer. Sixty surgical patients (mean age = 52; SD = 12.21) completed the Brief Cope and the Life Orientation Test as a part of a presurgery take-home packet. Distress was measured with the Profile of Mood States in the waiting area, just prior to surgery. Results revealed that optimism and pessimism were directly related to distress levels prior to surgery (p < 0.05). Coping responses also were related to distress (p < 0.05); however, these effects appeared to be largely mediated by optimism and pessimism.

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Preoperative Predictors of Postoperative Pain

Cited by 22 publications

References 0 publications

Surgical Invasiveness is Important for Determining Severity of Postoperative Pain after Oral & Maxillofacial Surgery

Surgical Invasiveness is Important for Determining Severity of Postoperative Pain after Oral & Maxillofacial Surgery

The effect of skin surface warming on pre‐operative anxiety in neurosurgery patients*

Relations between coping responses and optimism–pessimism in predicting anticipatory psychological distress in surgical breast cancer patients

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