Pain scores and recovery post tonsillectomy: intracapsular versus extracapsular coblation

2019 ◽  
Vol 133 (09) ◽  
pp. 775-781 ◽  
Author(s):  
M Junaid ◽  
S Sood ◽  
H Walijee ◽  
J Dorgham ◽  
S De
Keyword(s):  
Primary Care ◽  
General Practitioner ◽  
Visual Analogue Scale ◽  
Prospective Study ◽  
Analogue Scale ◽  
Normal Fluid ◽  
Pain Scores ◽  
Average Pain ◽  
A Prospective Study ◽  
Intracapsular Tonsillectomy

AbstractObjectiveThis study compared post-tonsillectomy pain scores and recovery using the coblation-only technique, comparing extracapsular versus intracapsular approaches.MethodsA prospective study was performed in our paediatric ENT department. Pain scores were recorded on days 0, 2, 4 and 8, using a visual analogue scale ranging from 0 (no pain) to 10 (extreme pain). Information was also collected on: return to normal fluid and solid intake, and any post-operative visits to primary care.ResultsIn total, 101 patients were included in the analysis. Average pain scores were statistically lower on days 2, 4 and 8 in the intracapsular group compared to the extracapsular cohort. The intracapsular cohort also returned sooner to normal fluid and solids intake. The extracapsular group were more likely to visit the general practitioner post-operatively.ConclusionIntracapsular tonsillectomy appears to result in reduced morbidity overall and should be considered as a viable alternative in relevant cases.

Dissection tonsillectomy: pattern of post-operative pain, medication and resumption of normal activity

1998 ◽  
Vol 112 (1) ◽  
pp. 41-44 ◽  
Author(s):  
P. Murthy ◽  
M. R. Laing
Keyword(s):  
Visual Analogue Scale ◽  
Return To Work ◽  
Prospective Study ◽  
Analogue Scale ◽  
Normal Activity ◽  
Pain Medication ◽  
Pain Scores ◽  
Normal Swallowing ◽  
Post Operative Pain ◽  
A Prospective Study

AbstractA prospective study of 99 adults undergoing tonsillectomy was carried out to determine the pattern of post-operative pain, intake of medication and timing of return to work and normal swallowing. The differences in the pain scores, as measured by a visual analogue scale, between every third consecutive day following post-operative day four were found to be highly significant (p<0.001). Sixty-six patients (66.6 per cent) required medication in the form of analgesics and/or antibiotics after the first post-operative day. Sixty-four out of a total of 82 patients (78.2 per cent) returned to work within 14 days of surgery. Ninety-six patients (97 per cent) reported normal swallowing within 14 days of surgery. These results suggest that the majority of adult patients undergoing tonsillectomy can be appropriately advised pre-operatively regarding the probable pattern and duration of post-operative pain and the timescales they can expect to return to work and normal swallowing.

Post-tonsillectomy pain: the first ten days

1995 ◽  
Vol 109 (10) ◽  
pp. 963-964 ◽  
Author(s):  
Abbad G. Toma ◽  
Jonathan Blanshard ◽  
Nick Eynon-Lewis ◽  
M. W. Bridger
Keyword(s):  
Visual Analogue Scale ◽  
Prospective Study ◽  
Analogue Scale ◽  
Day Case ◽  
Painful Experience ◽  
A Prospective Study

AbstractForty-one adults were entered into a prospective study to investigate the pattern of pain over 10 days after elective dissection tonsillectomy. The severity of pain was scored by the patient on a visual analogue scale. The results confirm that tonsillectomy is a very painful experience and the provision of adequate analgesia is of paramount importance, especially if day-case tonsillectomy is performed.

scholarly journals Analgesic Efficiency of Tramadol Administered Prior to Hysteroscopy Procedure

2016 ◽  
pp. 4
Author(s):  
Pınar Kadiroğulları ◽  
Kerem Doğa Seçkin ◽  
Burak Yücel ◽  
Berna Aslan Çetin ◽  
Sibel Arslan Barut ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Visual Analogue Scale ◽  
Prospective Study ◽  
Analogue Scale ◽  
The Other ◽  
Office Hysteroscopy ◽  
Pain Scores ◽  
Vas Scores ◽  
Group 2 ◽  
Group 1

<p><strong>OBJECTIVE:</strong> In this study, our objective was to assess the pain scores using the Visual Analogue Scale (VAS) in patients who were given tramadol prior to office hysteroscopy in order to demonstrate its analgesic activity when given before this procedure. <br /><strong>STUDY DESIGN:</strong> This prospective study conducted in year 2015 included two group of patients undergoing office hysteroscopy that were defined on the basis of the type of analgesia. Patients in the first group (Group 1, n=44) received oral tramadol prior to the procedure, while patients in the other group (Group 2, n=44) received placebo. VAS scores were determined during (0 minutes) and after (15 minutes) the procedure. <br /><strong>RESULTS:</strong> There were no significant differences between groups in terms of age, parity and body mass index (p&gt;0.05). Comparison of VAS scores at 0 and 15 minutes, lower values were observed in tramadol patients at 0 minutes (p&lt;0.05), while scores at 15 minutes were not significantly different between the groups (p&gt;0.05). <br /><strong>CONCLUSION:</strong> Although oral tramadol given prior to office hysteroscopy was effective and safe in reducing pain during the procedure, it is not useful for the pain that occurs after processing.</p>

Upper Arm Tourniquet Pain in Local Anaesthetic Surgery

1995 ◽  
Vol 20 (3) ◽  
pp. 413-414 ◽  
Author(s):  
W. E. OGUFERE ◽  
G. E. B. GIDDINS ◽  
J. S. THOM
Keyword(s):  
Visual Analogue Scale ◽  
Prospective Study ◽  
Local Anaesthetic ◽  
Analogue Scale ◽  
Upper Arm ◽  
Tourniquet Pain ◽  
Anaesthetic Procedure ◽  
Idiosyncratic Response ◽  
A Prospective Study

A prospective study was performed on 100 consecutive patients (110 procedures) of the perception of pain from an arm tourniquet during a local anaesthetic procedure. This was assessed subjectively, and objectively using a visual analogue scale. For tourniquet times up to 20 minutes, the tourniquet was well tolerated with only one failure (1% of patients) and all successful patients stated that they would be happy to have a similar procedure again. Unlike previous studies, there appeared to be no correlation between time of tourniquet use and the pain perceived. Rather, there appeared to be an idiosyncratic response to the tourniquet which was borne out by the ten patients who had bilateral procedures at least 6 weeks apart and showed consistently repeatable scores.

The Learning Curve and Clinical Safety of Stapled Haemorrhoidectomy: A Prospective Study of 61 Patients

Swiss Surgery ◽  
2002 ◽  
Vol 8 (1) ◽  
pp. 31-36 ◽  
Author(s):  
Hetzer ◽  
Schäfer ◽  
Demartines ◽  
Clavien
Keyword(s):  
Visual Analogue Scale ◽  
Learning Curve ◽  
Prospective Study ◽  
Analogue Scale ◽  
Perioperative Komplikationen ◽  
Postoperative Schmerzen ◽  
Clinical Safety ◽  
Glatte Muskulatur ◽  
Stapled Haemorrhoidectomy ◽  
A Prospective Study

Einleitung: Mit der Stapler-Hämorrhoidektomie (SH) ist ein neues Verfahren zur Behandlung der prolabierenden Hämorrhoiden entwickelt worden. Über Lernkurve, Komplikationsrate und Langzeitverlauf gibt es bis heute nur wenige Berichte in der Literatur. Wir haben deshalb unsere Patienten prospektiv erfasst und ambulant nachkontrolliert. Methoden: Von März 1999 bis Mai 2001 wurde bei 61 Patienten mit Hämorrhoiden II (n = 18), Grad III (n = 38) und Grad IV (n = 5) nach schriftlicher Einwilligung eine SH durchgeführt. Operationszeit und perioperative Komplikationen wurden prospektiv erfasst und mit der Erfahrung des Operationsteams korreliert. Anhand der visual analogue scale (VAS) konnte die postoperative Schmerzintensität gemessen werden. Mittels prä- und postoperativ erhobenen Inkontinenzscore nach Williams und der histologischen Untersuchung des Exzisates wurde nach Sphinkterläsionen gesucht. Ambulante Nachkontrollen erfolgten nach drei Wochen und drei Monaten. Ergebnisse: Operationsdauer und Komplikationsrate nahmen mit zunehmender Erfahrung des Operationsteams deutlich ab. Insgesamt betrug die Komplikationsrate 9.9%. Die durchschnittliche postoperative Schmerzintensität betrug in den ersten vier Tagen 1.9 (min 0, max 8). Die mittlere Hospitalisationsdauer betrug 1,7 Tage (1-5 Tage) und die Rekonvaleszenzzeit zehn Tage (1-31 Tage). In 29 Fällen wurde histologisch glatte Muskulatur, in sechs Fällen Epithel des Analkanals nachgewiesen. Der prä- und postoperative Kontinenzscore wies keine signifikanten Unterschiede auf (1.2 vs 1.0). Schlussfolgerungen: Die SH ist bei korrekter Anwendung und nach Durchlaufen einer Lernkurve von 25 Resektionen ein sicheres Verfahren. Die Vorteile dieser Technik, wie geringere postoperative Schmerzen, kurze Hospitalisations- und Rekonvaleszenzzeit, sind überzeugend, so dass die SH in unserer Klinik einen festen Platz in der Therapie von Hämorrhoiden Grad III und Rezidivhämorrhoiden Grad II gefunden hat.

EFFICACY OF TRANSVERSUS ABDOMINIS PLANE BLOCK FOR POST CESAREAN DELIVERY ANALGESIA

2018 ◽  
Vol 8 (5) ◽  
pp. 37-41
Author(s):  
Minh Nguyen Van ◽  
Nga Bui Thi Thuy ◽  
Thinh Tran Xuan
Keyword(s):  
Caesarean Section ◽  
Visual Analogue Scale ◽  
Analogue Scale ◽  
Transversus Abdominis Plane Block ◽  
Transversus Abdominis ◽  
Morphine Consumption ◽  
Block Group ◽  
Tap Block ◽  
Transversus Abdominis Plane ◽  
Pain Scores

Background: The transversus abdominis plane block (TAP block), a regional block, provides effective analgesia after lower abdominal surgeries. The objective of this study was to assess whether transversus abdominis plane block is effective as part of multimodal pain management following Cesarean section. Materials and Method: Totally, 60 ASA I and II parturients for Cesarean section via Pfannenstiel incision under spinal anesthesia were randomly allocated to either the TAP block group or the control. The TAP block group received a landmark-orientated, bilateral TAP block with 0.25% levobupivacain 17,5ml each side in the triangle of Petit. Postoperative pain treatment followed the same protocole for both groups with 1gram paracetamol intravenously and received patrient-controlled analgesia with intravenous morphine. The time to first request of analgesic, morphine consumption, visual analogue scale (VAS) pain scores and side effects were scored at 2, 4, 6, 8, 12 h postoperatively. Results: The time to first request of analgesic was longer, morphine consumption was lower in TAP group than in the control (p < 0.05). Visual analogue scale (VAS) pain scores at rest and on mouvement were similar in two groups at 2h, but lower in TAP group from 4h (p < 0.05). No severe adverse effects were detected in two groups. Conclusion: TAP block prolonged the time to fisrt request of analgesic and reduced morphine consumption, the VAS pain scores significantly both at rest and on mouvement. Therefore, TAP block is feasible and effective as part of a multimodal analgesia regimen after Caesarean section. Key words: Caesarean section, multimodal pain management, transversus abdominis plane block

scholarly journals Attendance, activation and health profiles of participants, a prospective study on a regional cardiometabolic disease self-management program in Laval, Canada

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Magali Girard ◽  
Janusz Kaczorowski ◽  
Marie-Thérèse Lussier ◽  
Vivianne Martin
Keyword(s):  
Primary Care ◽  
Waist Circumference ◽  
Prospective Study ◽  
Cardiovascular Health ◽  
Descriptive Analysis ◽  
Management Program ◽  
Self Management ◽  
Controlled Study ◽  
Cardiometabolic Disease ◽  
A Prospective Study

Abstract Background Chronic diseases are responsible for over 70% of all deaths globally. While some self-management programs have been shown to be efficacious in preventing or altering trajectories for some chronic conditions, scaling-up and sustaining such programs beyond tightly-controlled study conditions remain a major challenge. CISSS-Laval partnered with the Cardiovascular Health Awareness Program team to co-develop Cible-santé/prévention and evaluate the first cohort of participants enrolled in the program, in order to better understand the program’s implementation and scope. The objective of the current study was to describe the profile of attendees and the level of engagement of participants in a new, region-wide cardiometabolic disease self-management program offered in Laval, Canada. Methods This was a prospective study with no comparison group. Potential participants were identified and referred to the program from April to December 2015 by their primary care health professional practicing in one of the city’s interdisciplinary primary care clinics. They had their blood pressure, waist circumference and body mass index measured by trained volunteers, and completed a questionnaire on health habits, level of activation and the risk of developing prediabetes and type 2 diabetes over the next 10 years. Results A descriptive analysis of the first cohort of 141 Cible-Santé/prévention participants showed very low attendance. Furthermore, only 1 in 10 of enrolled participants completed the full program. The program typically attracted adults with some risk factors associated with their conditions (high waist circumference, obesity), but with an already high level of knowledge, skills and confidence to participate in self-management activities. Conclusion This study provides a portrait of new participants to a self-management cardiometabolic disease program, which highlights the potential of supporting patients ready to make changes but also exposes the difficulty of attracting a larger number and diversity of participants and in encouraging completion of the program.

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