The Relationship of Pain and Nausea in Postoperative Patients for 1 Week After Ambulatory Surgery

Odom-Forren, Jan; Rayens, Mary Kay; Gokun, Yevgeniya; Jalota, Leena; Hooper, Vallire D.; Wiggins, Amanda; Apfel, Christian C.

doi:10.1097/ajp.0000000000000170

Cited by 43 publications

(35 citation statements)

References 42 publications

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“…Studies identify both orthopedic procedures and younger age as independent risk factors for higher reported pain. 25 The current study examined a younger cohort than the standard TJA patient; thus, pain management was viewed as a primary challenge to outpatient TJA. Advances in pain management protocols allow surgical teams to overcome many of the obstacles.…”

Section: Discussionmentioning

confidence: 99%

Total Joint Arthroplasty in a Stand-alone Ambulatory Surgical Center: Short-term Outcomes

Parcells¹,

Giacobbe²,

Macknet³

et al. 2016

Orthopedics

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A mbulatory surgical centers (ASCs) offer surgeons an effective setting to perform procedures that do not require prolonged postoperative monitoring or an inpatient hospital stay. Advances in minimally invasive surgical techniques, short-acting general anesthetics, long-acting local anesthetics, and blood loss management have improved the safety and recovery for many orthopedic procedures. These changes to perioperative care have reduced the need for postoperative hospitalization in many surgical specialties. As a result, the number of procedures performed in the ambulatory setting has grown significantly. The health care market has been pushing for an increased quality of care at a lower cost. Ambulatory surgical centers provide an average 84% cost reduction in proce-

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Section: Discussionmentioning

confidence: 99%

Total Joint Arthroplasty in a Stand-alone Ambulatory Surgical Center: Short-term Outcomes

Parcells¹,

Giacobbe²,

Macknet³

et al. 2016

Orthopedics

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“…This problem seems to be unsolvable but surely manageable if the patient could be monitored more closely and fastened follow-up after discharge [28]. …”

Section: Discussionmentioning

confidence: 99%

Postoperative Pain, an Unmet Problem in Day or Overnight Italian Surgery Patients: A Prospective Study

Campagna

D’Oulx

Paradiso

et al. 2016

Pain Research and Management

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Background. Because of economic reasons, day surgery rates have steadily increased in many countries and the trend is to perform around 70% of all surgical procedures as day surgery. Literature shows that postoperative pain treatment remains unfulfilled in several fields such as orthopedic and general surgery patients. In Italy, the day surgery program is not yet under governmental authority and is managed regionally by local practices. Aim. To investigate the trends in pain intensity and its relation to type of surgeries and pain therapy protocols, in postoperative patients, discharged from three different Ambulatory Surgeries located in North West Italy (Piedmont region). Method. The present study enrolled 276 patients who undergone different surgical procedures in ambulatory regimen. Patients recorded postoperative pain score twice a day, compliance with prescribed drugs, and pain related reasons for contacting the hospital. Monitoring lasted for 7 days. Results. At discharge, 72% of patients were under weak opioids, 12% interrupted the treatment due to side effects, 17% of patients required extra drugs, and 15% contacted the hospital reporting pain problems. About 50% of patients experienced moderate pain during the first day after surgery. Results from our study show that most of the patients experienced avoidable pain after discharge.

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“…Although these findings should thus be regarded with caution, they strengthen the hypothesis that women are more susceptible to experience severe postoperative acute pain. Other, smaller studies, found higher pain ratings in women admitted to the PACU [84 && ] in the first 24 h [85] and 5 postoperative days [86 && ] as well as a higher risk to develop a severe pain event in the first postoperative day (OR ¼ 1.14) but again with small differences [86 && ] or even no differences at all [87]. Recent pediatric studies on gender differences in postoperative pain can be consulted in Table 3.…”

Section: Miscellaneousmentioning

confidence: 99%

Gender aspects in postoperative pain

Pereira

Pogatzki-Zahn

2015

Current Opinion in Anaesthesiology

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The Relationship of Pain and Nausea in Postoperative Patients for 1 Week After Ambulatory Surgery

Cited by 43 publications

References 42 publications

Total Joint Arthroplasty in a Stand-alone Ambulatory Surgical Center: Short-term Outcomes

Total Joint Arthroplasty in a Stand-alone Ambulatory Surgical Center: Short-term Outcomes

Postoperative Pain, an Unmet Problem in Day or Overnight Italian Surgery Patients: A Prospective Study

Gender aspects in postoperative pain

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