Net Guide Post Operative Pain

August 20, 2010
Pain Management, July 2010, Volume 3, Issue 5

A collection of links and resources from across the web focused on one specific condition. These resource range from useful websites to clinical trials.

//THE EDUCATED PATIENT™What Is Post-operative Pain?

This site lays out the basics of postoperative pain, including when it can become an issue. As the site explains, when postoperative pain becomes “poorly controlled, the pain can cause increased heart and respiratory rate, anxiety, nausea and vomiting, urinary retention, and elevated adrenalin and cortisol levels, or reduced immune response and

increased risk of infection.” Send your patients here to learn about the causes and treatment options associated with this type of pain.

Link Code: pm3528

http://hcp.lv/dy6v1u

Post Surgical Pain Treatment

For a concise explanation of what to expect with postoperative pain, direct your patients to this Q&A section of Health Central. The article here explains how postoperative pain

is treated through the use of pain medications, “including opiates or narcotics, local anesthetics, and antiinflammatory medications.”

Link Code: pm3529

http://hcp.lv/9zGEOQ

Pain Relief after Surgery

Here, patients can become well acquainted with efficient postoperative pain relief and the factors that aid in producing positive results. The site features a chart listing the advantages of “good postoperative pain relief” along with consequences of “poor postoperative care.” The site also lists common surgeries, such as lower abdominal surgery and major joint surgery, and relative expectations of when post-operative pain

relief would be likely.

Link Code: pm35291

http://hcp.lv/bF79at

//eABSTRACTSSupplementing Relaxation and Music for Pain After Surgery

Journal: Nursing Research (July/August 2010)

Authors: Good M, Albert J, Anderson G, et al

Purpose: To “test an intervention of patient teaching for pain management (PT) and compare it with RM for immediate and general effects on postoperative pain.”

Results: After patients “were randomized into four groups: PT, RM, a combination (PTRM), and a control,” researchers found that “RM-Effects supported the proposition that nonpharmacological adjuvants to analgesics can ease the pain without adding side effects.”

Link Code: pm35592

The Effect of Therapeutic Touch on Postoperative PatientsJournal: Journal of Holistic Nursing (June 28, 2010)

Authors: Coakley A, Duffy M

Purpose: To evaluate the effect of therapeutic touch (TT) on “pain and behavioral markers in patients recovering from vascular surgery.”

Results: The researchers found that “participants who received TT had a significantly lower level of pain, lower cortisol level, and higher NKC level.” They concluded that TT is a “beneficial intervention.”

Link Code: pm35593

Effect of Celecoxib Combined with Thoracic Epidural Analgesia on Pain After Thoracotomy

Journal: British Journal of Anesthaesia (June 25, 2010)

Authors: Senard M, Defl andre E, Ledoux D, et al

Purpose: To evaluate the effect of celecoxib combined with thoracic epidural analgesia on pain following a thoracotomy.

Results: The team studied 40 patients “undergoing thoracotomy” through a prospective, randomized, double-blind, placebo-controlled study. Each patient was given general

anesthesia, and patient-controlled epidural analgesia was used during 48 hours after surgery. The patients either received oral celecoxib or placebo “from the evening before surgery until 48 hours after operation.” Results of the study demonstrated that the celecoxib group reported lower “postoperative pain scores at rest and during coughing.”

Link Code: pm35594

Effects of Guided Imagery on Postoperative Outcomes in Patients Undergoing Same-day Surgical Procedures: a Randomized, Single-blind Study

Journal: AANA Journal (June 2010)

Authors: Gonzales E, Ledesma R, McAllister D, et al

Purpose: “To evaluate the effects of guided imagery on postoperative outcomes in patients undergoing same-day surgical procedures.”

Results: The researchers studied 44 adults scheduled for head and neck procedures. The participants were “randomly assigned into 2 groups for the single-blind investigation,” with both groups received 28 minutes of privacy. The experimental group “listened to a guided imagery compact disk (CD)” and the control group patients “received no intervention.” The researchers collected data on “pain and narcotic consumption at 1- and 2- hour postoperative intervals.”

Results demonstrated that the guided imagery group experienced a significant decrease “in anxiety levels” and at two hours the group “reported less pain.” The “length of stay in PACU in the guided imagery group was an average of 9 minutes less than in the control group.”

Link Code: pm35595

//CLINICAL TRIALS

Post-operative Pain Control Using Direct Continuous Bupivacaine Infusion After Pelvic Organ Prolapse RepairStudy Type: Interventional

Age/Gender Requirements: 28 years+ (female)

Sponsor: St. Luke’s Hospital, Kansas City, MO

Purpose: “This prospective randomized controlled study will determine the efficacy of continuous local anesthesia at decreasing pain scores compared to patient controlled analgesia for pelvic organ prolapse procedures including posterior colporrhaphy and

sacrospinous ligament fixation.”

Link Code: pm3569

Clinical Trial of Gabapentin to Improve Postoperative Pain in Surgical Patients

Study Type: Interventional

Age/Gender Requirements: 65 years+ (male/female)

Sponsor: University of California, San Francisco

Purpose: This double blind, placebocontrolled study will evaluate the efficacy of gabapentin in improving postoperative pain in surgical patients.

Link Code: pm35691

Effect of Oral Choline Supplementation on Postoperative Pain

Study Type: Interventional

Age/Gender Requirements: 18-60 years (female)

Sponsor: Columbia University

Purpose: The study is designed to “test whether consuming additional choline before gynecological surgery decreases postoperative pain.”

Link Code: pm35692

P H A R M A F O C U S

Ultram ER (Tramadol)The Educated Patient™

Ultram ER (Tramadol)

Send your patients here to learn more about the 24-hour prescription medication for moderate to severe chronic pain. Visitors can learn more about how Ultram ER’s extended release technology delivers a lasting dose of tramadol for a total of 24-hours, how to properly take the medication, and possible side effects to look out for. There are also tips on managing pain through lifestyle changes, a checklist of questions to ask your doctor, safety information, and information for prescribers.

LINK CODE: pm35292

Clinical TrialsEffi cacy of Extended Release Tramadol for Treating Prescription Opioid WithdrawalSTUDY TYPE: Interventional

AGE/GENDER REQUIREMENTS: 18-55 years (male/female)

SPONSOR: University of Kentucky

PURPOSE: “This study will determine whether two different doses of extended release tramadol can treat opioid withdrawal and whether tramadol itself produces withdrawal after it is no longer taken.”

LINK CODE: pm35693

The Discriminative Effects of Tramadol in HumansSTUDY TYPE: Interventional

AGE/GENDER REQUIREMENTS: 21 months-55 years (male/female)

SPONSOR: National Institute on Drug Abuse

PURPOSE: This study is designed to “to test whether tramadol can be used for the treatment of opioid addiction” at higher “doses than those generally used for the treatment of pain.” Researchers seek participants who are users of opioids and stimulants but not addicted to either.

LINK CODE: pm35694