Có 20+ tài liệu thuộc chủ đề "Postoperative pain"
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Evaluate construct validity of the Revised American Pain Society Patient Outcome Questionnaire in gynecological. Background: The Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R) evaluates the patient-reported quality of pain management in adults. A validated APS-POQ-R is pivotal to guide effective pain management with better patient satisfaction. Previous studies revealed that subscales of “ patients ’ perception of pain management...
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Psoas compartment block efficacy and safety for perioperative analgesia in the elderly. with proximal femur fractures: a randomized controlled study. Background: Proximal femur fractures are most common fractures in the elderly and associated with significant mortality and morbidity, with high economic and social impact. Perioperative pain management influence outcomes and mortality after surgery with early mobilization being possible. The goal...
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This randomised single- centre study aimed to compare pain and opioid consumption the first three days post-surgery between SCB-mepiv- acaine vs. Study objectives compared postoperative pain with Numeric Rating Scale (NRS) and sum postoperative Opioid Equivalent Consumption (OEC) during the first 3 days post-surgery between study-groups.. Mean NRS at 24 h was significantly lower for the SCB-mepivacaine group (p =...
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anesthesia offer advantages compared to an intravenous or volatile anesthesia alone:. a systematic review and meta-analysis. The combination of propofol with volatile anesthetics is rather unusual but might have advantages compared to the single use regarding PONV, time to extubation, movement during surgery and postoperative pain perception.. summarized in a meta-analysis with the standardized mean difference or risk ratio as...
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Effects of dexmedetomidine on. Background: To investigate the optimal dose of dexmedetomidine to maintain hemodynamic stability, prevent of cough and minimize postoperative pain for patients undergoing laparoscopic cholecystectomy.. The incidence of cough was recorded. The incidence of cough was lower in D 2 and D 3 groups than NS group ( P <. Conclusions: Intravenous infusion of 0.6 μ g/kg...
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There are significant individual dif- ferences in the amount of opioids used after hepatectomy, and the metabolism of opioids is liver-dependent. The purpose of our study was to explore the possible risk factors for opioid consumption during the first 48 h after surgery.. Methods: In a retrospective study design involving 562 patients undergoing open or laparoscopic hepatectomy, all patients were...
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Result: Regional anesthesia was associated with significantly lower pain scores both at rest and with movement on arrival to the post-anesthetic care unit. and at 1, 2, 24 and 48 h after surgery (p ≤ 0.001 at rest and with movement).. Morphine consumption in the post-anesthetic care unit was significantly lower in the regional anesthesia group (p<. Patient satisfaction was...
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We aimed to evaluate the efficacy of lidocaine infusion on postoperative pain-related outcomes in patients undergoing totally extraperitoneal (TEP) laparoscopies inguinal hernioplasty.. (intravenous bolus 1.5 mg. The primary outcome of the study was postoperative morphine equivalent consumption up to 24 h after surgery.. Secondary outcomes included postoperative pain scores, nausea/vomiting (PONV), sedation, quality of recovery (scores based on QoR-40 questionnaire),...
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A preliminary assessment of vital-signs- integrated patient-assisted intravenous opioid analgesia (VPIA) for postsurgical pain. Background: We developed a Vital-signs-integrated Patient-assisted Intravenous opioid Analgesia (VPIA) analgesic infusion pump, a closed-loop vital signs monitoring and drug delivery system which embodied in a novel algorithm that took into account patients ’ vital signs (oxygen saturation, heart rate). The subjects were followed up from...
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Ropivacaine infiltration analgesia of the drainage exit site enhanced analgesic effects after breast Cancer surgery: a randomized controlled trial. Background: Postoperative pain after breast cancer surgery remains a major challenge in patient care. This study aimed to investigate the effect of ropivacaine infiltration of drainage exit site in ameliorating the postoperative pain after mastectomy.. Both intervention group and control group...
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Effect of low dose naloxone on the immune system function of a patient. Background: Perioperative immune function plays an important role in the prognosis of patients. Several studies have indicated that low-dose opioid receptor blockers can improve immune function.. Methods: Sixty-nine patients undergoing video-assisted thoracoscopic resection of the lung cancer were randomly assigned to either the naloxone group ( n...
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A prospective, randomized comparison of ultrasonographic visualization of proximal intercostal block vs paravertebral block. Background: Thoracic paravertebral blockade is an accepted anesthetic and analgesic technique for breast surgery.. However, real-time ultrasound visualization of landmarks in the paravertebral space remains challenging. We aimed to compare ultrasound-image quality, performance times, and clinical outcomes between the traditional parasagittal ultrasound-guided paravertebral block and a...
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associated with postoperative inadequate analgesia after single-port VATS in Chinese population. Background: Postoperative inadequate analgesia following video-assisted thoracoscopic surgery (VATS) is a common and significant clinical problem. While genetic polymorphisms may play role in the variability of postoperative analgesia effect, few studies have evaluated the associations between genetic mutations and inadequate analgesia after single-port VATS.. The primary outcome was the...
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Background: Treatment of postoperative pain remains a significant clinical problem, and prediction of patients with a risk of higher postoperative pain levels is an important focus. We aimed to identify patients undergoing total hip arthroplasty (THA) with risk of higher pain levels at 24 h postoperatively by using four simple and easily. The following predictive tools were investigated for identifying...
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The effect of ultrasound-guided erector spinae plane block on postsurgical pain: a meta-analysis of randomized controlled trials. Background: The effect of erector spinae plane block has been evaluated by clinical trials leading to a diversity of results. The main objective of the current investigation is to compare the analgesic efficacy of erector spinae plane block to no block intervention in...
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Preemptive oxycodone is superior to equal dose of sufentanil to reduce visceral pain and inflammatory markers after surgery: a randomized controlled trail. Background: Postoperative visceral pain is common after surgery and previous studies have demonstrated that oxycodone is an effective treatment. In this study, we compared the effects of preemptive oxycodone to equal dose of sufentanil on postoperative pain and...
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Comparison of several methods for pain management after video-assisted thoracic surgery for pneumothorax: an. Background: There is no defined gold standard for pain management after video-assisted thoracic surgery (VATS) for pneumothorax. The primary endpoint criterion was the cumulative oral morphine consumption at the end of the third postoperative day. Results: Mean pain scores and morphine consumption were not significantly different...
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repeated cesarean section: a prospective cohort study. Background: The differences in post-operative pain are unclear between the primiparas who underwent a primary cesarean section and multiparas who underwent their first repeat cesarean section. The relative risk for multiparas to experience inadequate analgesia on incision pain was 0.42 (95% CI: 0.25 to 0.74) compared to primiparas. 30 years, inadequate analgesia on...
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analgesia in laparoscopic cholecystectomy:. We aimed to assess if intraoperative esmolol infusion is not inferior to lidocaine infusion for opioid consumption after laparoscopic cholecystectomy.. The postoperative median (IQR) morphine equivalent consumption in patients receiving esmolol was mg compared to mg in lidocaine group ( p = 0.27). The median pain scores at various time points were similar between the two...