Prediction of post-operative pain by an electrical pain stimulus.

Abstract:

BACKGROUND:Treatment of post-operative pain is still a significant problem. Recently, interest has focused on pre-operative identification of patients who may experience severe post-operative pain in order to offer a more aggressive analgesic treatment. The nociceptive stimulation methods have included heat injury and pressure algometry. A simple method, Pain Matcher (PM), using electrical stimulation, is validated for pain assessment, but has not been evaluated as a tool for prediction of post-operative pain. Our aim was to assess the predictive value of pre-caesarean section pain threshold on intensity of post-caesarean section pain using the PM. PATIENTS AND METHODS:Thirty-nine healthy women scheduled for elective caesarean section were studied. The anaesthetic/analgesic procedures included spinal anaesthesia, paracetamol, diclofenac, controlled-release (CR) oxycodone and morphine on request. Pre-operatively, the sensory and pain thresholds were measured using the PM. Post-operatively, a midwife, blinded for pre-caesarean pain threshold assessments, assessed the pain at rest and during mobilization every 12 h for 2 days. Consumption of analgesics was also recorded. RESULTS:Pre-operative pain threshold correlated significantly with post-caesarean pain score (VAS) at rest and mobilization: [Spearman's rho =-0.65 (-0.30 to -0.75), P < 0.01] and [Spearman's rho =-0.52 (-0.23 to -0.72), P < 0.01], respectively. There was no significant correlation between pre-operative PM assessment of sensory threshold and post-operative pain. CONCLUSION:Electrical pain threshold before caesarean section seems to predict the intensity of post-operative pain. This method may be used as a screening tool to identify patients at high risk of post-operative pain.

authors

Nielsen PR,Nørgaard L,Rasmussen LS,Kehlet H

doi

10.1111/j.1399-6576.2007.01271.x

subject

Has Abstract

pub_date

2007-05-01 00:00:00

pages

582-6

issue

5

eissn

0001-5172

issn

1399-6576

pii

AAS1271

journal_volume

51

pub_type

杂志文章
  • A novel risk score for severe ARDS patients undergoing ECMO after retrieval from peripheral hospitals.

    abstract:BACKGROUND:Extracorporeal Membrane Oxygenation in severe ARDS unresponsive to conventional protective ventilation is associated with elevated costs, resource and complications, and appropriate risk stratification of candidate patients could be useful to recognize those more likely to benefit from ECMO. We aimed to deri...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.13022

    authors: Lazzeri C,Cianchi G,Mauri T,Pesenti A,Bonizzoli M,Batacchi S,Chiostri M,Socci F,Peris A

    更新日期:2018-01-01 00:00:00

  • A comparison of sugammadex and neostigmine for reversal of rocuronium-induced neuromuscular blockade in children.

    abstract:BACKGROUND:Sugammadex is designed to be a reversal agent for steroidal muscle relaxants. The current trial was aimed to compare between sugammadex and neostigmine concerning the recovery time from neuromuscular blockade. We hypothesised that sugammadex might have shorter recovery time than neostigmine. METHODS:Sixty p...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/aas.12868

    authors: Ammar AS,Mahmoud KM,Kasemy ZA

    更新日期:2017-04-01 00:00:00

  • Pharmacology of G-1-64, a new nondepolarizing neuromuscular blocking agent with rapid onset and short duration of action.

    abstract:BACKGROUND:Chances are slim that a clinically useful ultra-short-acting neuromuscular blocking agent of rapid onset will emerge from the benzylisoquinolinium or the aminosteroid series to which all currently popular relaxants belong. G-1-64 is a promising prototype of a new series of bis-quaternary ammonium salt of bis...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1034/j.1399-6576.1999.430610.x

    authors: Gyermek L,Lee C,Nguyen N

    更新日期:1999-07-01 00:00:00

  • The different responses of the hepatic arterial bed to hypovolaemia and to halothane anaesthesia.

    abstract::Ten dogs were subjected to a period of hypovolaemia (bleeding volume: 2% of body weight) and to a period of halothane anaesthesia (end-tidal halothane concentration: 1%). Mean arterial blood pressure decreased to 79% of control value during hypovolaemia and to 58% of control value during halothane anaesthesia. Mean to...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1977.tb01247.x

    authors: Andreen M,Irestedt L,Zetterström B

    更新日期:1977-01-01 00:00:00

  • Validation of a clinical assessment tool for spinal anaesthesia.

    abstract:BACKGROUND:There is a need for a procedure-specific means of assessment of clinical performance in anaesthesia. The aim of this study was to devise a tool for assessing the performance of spinal anaesthesia, which has both content and construct validity. METHODS:The clinical assessment tool was generated using a focus...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2011.02433.x

    authors: Breen D,Bogar L,Heigl P,Rittberger J,Shorten GD

    更新日期:2011-07-01 00:00:00

  • Cardiorespiratory effects of nalbuphine and morphine premedication in adult cardiac surgical patients.

    abstract::Premedication for cardiac surgical patients attempts to achieve relief of anxiety with minimal or no cardiorespiratory changes. Nalbuphine (NUBAIN) and morphine produced similar decreases in respiratory rate (1-3 breaths per min) and PaO2 (averaging 1.34 kPa), and increases in arterial PaCO2 (averaging 0.56 kPa). Card...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1984.tb02066.x

    authors: Lake CL,Duckworth EN,DiFazio CA,Magruder MR

    更新日期:1984-06-01 00:00:00

  • Cardiovascular effects of pregnanolone emulsion: an experimental study in artificially ventilated dogs.

    abstract::The acute cardiovascular effects of pregnanolone emulsion, a new steroid preparation for intravenous anaesthesia, were investigated in artificially ventilated dogs. The anaesthetic was administered as repeated intravenous bolus injections, doubling the dosage with each injection. The plasma concentration of pregnanolo...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1991.tb03370.x

    authors: Høgskilde S,Wagner J,Strøm J,Sjøntoft E,Olesen HP,Bredgaard Sørensen M

    更新日期:1991-10-01 00:00:00

  • Haemodynamic stability after paracervical block: A randomized, controlled, double-blind study comparing bupivacaine-adrenaline with bupivacaine.

    abstract:BACKGROUND:Paracervical block is widely used in gynaecological interventions on cervix and uterus. Many surgeons add adrenaline 100 μg or pitressin 3-5 IU in a total volume of 10-20 mL to reduce total blood loss. We wanted to examine haemodynamic stability in healthy patients given bupivacaine with and without adrenali...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/aas.13259

    authors: Sjoeen GH,Falk RS,Hauge TH,Langesaeter E

    更新日期:2019-03-01 00:00:00

  • Post-void residual volume in labor: a prospective study comparing parturients with and without epidural analgesia.

    abstract:BACKGROUND:This prospective, non-randomized study compared post-void residual volume in laboring and postpartum women with or without epidural analgesia. METHODS:The study was conducted over 1 year with institutional review board approval. Parturients were recruited in early labor and self-selected to either the study...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2006.01122.x

    authors: Weiniger CF,Wand S,Nadjari M,Elchalal U,Mankuta D,Ginosar Y,Matot I

    更新日期:2006-11-01 00:00:00

  • Survey of postoperative analgesia following ambulatory surgery.

    abstract:BACKGROUND:The quality of pain relief during the first 48 hours following ambulatory surgery has been poorly documented. This questionnaire study was performed to evaluate the nature and severity of pain after the patient leaves the hospital. METHODS:1100 patients in the age group 5-88 years who underwent ambulatory s...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1997.tb04829.x

    authors: Rawal N,Hylander J,Nydahl PA,Olofsson I,Gupta A

    更新日期:1997-09-01 00:00:00

  • A clinical prospective comparison of anesthetics sensitivity and hemodynamic effect among patients with or without obstructive jaundice.

    abstract:BACKGROUND:To compare isoflurane anesthesia in patients with or without hyperbilirubinemia undergoing hepatobiliary surgery. METHODS:Forty-two patients with obstructive jaundice and 40 control patients with normal liver function scheduled for hepatobiliary surgery under isoflurane anesthesia were studied. Anesthesia w...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2010.02222.x

    authors: Yang LQ,Song JC,Irwin MG,Song JG,Sun YM,Yu WF

    更新日期:2010-08-01 00:00:00

  • Ultrasound-guided peripheral nerve blocks: what are the benefits?

    abstract:BACKGROUND:Use of ultrasound by anaesthesiologists performing regional blocks is rapidly gaining popularity. The aims of this review were to summarize and update accumulating evidence on ultrasound-guided nerve blocks, with an emphasis on the clinical relevance of the results and to critically appraise changing standar...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,评审

    doi:10.1111/j.1399-6576.2008.01666.x

    authors: Koscielniak-Nielsen ZJ

    更新日期:2008-07-01 00:00:00

  • Ethical issues in intensive care--a survey among Scandinavian intensivists.

    abstract:BACKGROUND:The general principles of medical ethics are universally accepted. In practice, however, there is variation on how these principles are interpreted by people with different cultural backgrounds. The aim of this study was to document the views of Scandinavian intensive care physicians on intensive care unit (...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2005.00799.x

    authors: Tallgren M,Klepstad P,Petersson J,Skram U,Hynninen M

    更新日期:2005-09-01 00:00:00

  • Intraoperative methadone for postoperative pain after laparoscopic hysterectomy: Protocol for a randomised, double-blind trial.

    abstract:BACKGROUND:Hysterectomy is often carried out as same-day surgery. Treatment of postoperative pain is, therefore, of utmost importance to ensure timely discharge from hospital. Methadone has several desirable pharmacological features, including a long elimination half-life. Theoretically, a single intraoperative dose co...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/aas.13433

    authors: Friesgaard KD,Brix LD,Kristensen CB,Rian O,Nikolajsen L

    更新日期:2019-10-01 00:00:00

  • Can public health registry data improve Emergency Medical Dispatch?

    abstract:BACKGROUND:Emergency Medical Dispatchers make decisions based on limited information. We aimed to investigate if adding demographic and hospitalization history information to the dispatch process improved precision. METHODS:This 30-day follow-up study evaluated time-critical emergencies in contact with the emergency p...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.12654

    authors: Andersen MS,Christensen EF,Jepsen SB,Nørtved J,Hansen JB,Johnsen SP

    更新日期:2016-03-01 00:00:00

  • Cognitive function in patients with chronic pain treated with opioids: characteristics and associated factors.

    abstract:BACKGROUND:The paucity of studies regarding cognitive function in patients with chronic pain, and growing evidence regarding the cognitive effects of pain and opioids on cognitive function prompted us to assess cognition via neuropsychological measurement in patients with chronic non-cancer pain treated with opioids. ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2012.02760.x

    authors: Kurita GP,de Mattos Pimenta CA,Braga PE,Frich L,Jørgensen MM,Nielsen PR,Højsted J,Sjøgren P

    更新日期:2012-11-01 00:00:00

  • Vasopressin and nitroglycerin decrease portal and hepatic venous pressure and hepato-splanchnic blood flow.

    abstract:BACKGROUND:Various methods are used to reduce venous blood pressure in the hepato-splanchnic circulation, and hence minimise blood loss during liver surgery. Previous studies show that combination of vasopressin and nitroglycerin reduces portal pressure and flow in patients with portal hypertension, and in this study w...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.13117

    authors: Wisén E,Svennerholm K,Bown LS,Houltz E,Rizell M,Lundin S,Ricksten SE

    更新日期:2018-08-01 00:00:00

  • Diaphragmatic activity during isoflurane anaesthesia in dogs.

    abstract::The effect of isoflurane administration on diaphragmatic activity was investigated in six anaesthetized mechanically ventilated dogs. Diaphragmatic strength was assessed by measuring the transdiaphragmatic pressure (Pdi) generated during supramaximal stimulation of both cervical phrenic nerves at frequencies of 0.5, 1...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1993.tb03710.x

    authors: Ide T,Kochi T,Isono S,Mizuguchi T

    更新日期:1993-04-01 00:00:00

  • Comparison of ketamine and pentobarbital anesthesia with the conscious state in a porcine model of Pseudomonas aeruginosa septicemia.

    abstract::Live Pseudomonas aeruginosa (2.5.10(9).kg-1.h-1) were administered to awake (Group A, n = 10) and anesthetized piglets, which were given intravenous ketamine (Group K, 10 mg.kg-1.h-1, n = 8) or pentobarbital (Group P, 15 mg.kg-1.h-1, n = 8). The anesthetized animals were mechanically ventilated. In addition, a pentoba...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1988.tb02777.x

    authors: Worek FS,Blümel G,Zeravik J,Zimmermann GJ,Pfeiffer UJ

    更新日期:1988-10-01 00:00:00

  • Neuroleptic malignant syndrome with severe liver failure.

    abstract::A schizophrenic patient on long-time neuroleptic medication was admitted with ileus. Secondarily, a high fever, rigidity, mental confusion, tachycardia and hypotension developed. After bromocriptine was given, the temperature dropped by 2 degrees C and the patient improved markedly. A diagnosis of neuroleptic malignan...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1034/j.1399-6576.2003.00193.x

    authors: Urving SH,Nielsen EW

    更新日期:2003-09-01 00:00:00

  • Analgesic, respiratory and endocrine responses in normal man to THIP, a GABA-agonist.

    abstract::In a controlled study, the effects of THIP (a synthetic gamma-aminobutyric-acid-agonist) on respiratory function (ventilatory response to CO2), first detection of stimulation (electrical stimulation of a tooth), pain threshold, magnitude of maximal tolerated pain stimulation, and plasma cortisol, prolactin and glucose...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1983.tb01896.x

    authors: Lindeburg T,Følsgård S,Sillesen H,Jacobsen E,Kehlet H

    更新日期:1983-02-01 00:00:00

  • Perivascular axillary block VI: the distribution of gelatine solution injected into the axillary neurovascular sheath of cadavers.

    abstract::Axillary perivascular injection of 50 ml blue-stained gelatine was made in 20 cadavers, and a total dissection of the axilla was performed. The distribution of injected gelatine and the contact between nerves and gelatine were examined on cross-sections of the neurovascular bundle. The spread of gelatine was character...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1986.tb02359.x

    authors: Vester-Andersen T,Broby-Johansen U,Bro-Rasmussen F

    更新日期:1986-01-01 00:00:00

  • Analysis of left ventricular systolic function during elevated external cardiac pressures: an examination of measured transmural left ventricular pressure during pressure-volume analysis.

    abstract:BACKGROUND:Variations or disturbances in intrathoracic and extracardiac pressures (ECP) occur in critically ill and anaesthetised patients. There are uncertainties concerning the analysis of left ventricular pressure-volume relationship (LVPVR) and the calculation of systolic function parameters when conducted without ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1034/j.1399-6576.2001.045007868.x

    authors: Haney MF,Johansson G,Häggmark S,Biber B

    更新日期:2001-08-01 00:00:00

  • Efficacy of simulation-based trauma team training of non-technical skills. A systematic review.

    abstract::Trauma resuscitation is a complex situation, and most organisations have multi-professional trauma teams. Non-technical skills are challenged during trauma resuscitation, and they play an important role in the prevention of critical incidents. Simulation-based training of these is recommended. Our research question wa...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,评审

    doi:10.1111/aas.12336

    authors: Gjeraa K,Møller TP,Østergaard D

    更新日期:2014-08-01 00:00:00

  • PCEA compared to continuous epidural infusion in an ultra-low-dose regimen for labor pain relief: a randomized study.

    abstract:BACKGROUND:Patient-controlled epidural analgesia, PCEA, has been introduced in obstetric analgesia during the past decade. Many studies have shown that the consumption of analgesic is reduced when the parturient requests her own doses. This study investigates whether this is also true when using an ultra-low-dose regim...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1034/j.1399-6576.2003.00207.x

    authors: Ledin Eriksson S,Gentele C,Olofsson CH

    更新日期:2003-10-01 00:00:00

  • Psychomotor and cognitive functioning in cancer patients.

    abstract::Psychomotor and cognitive dysfunction in cancer patients can be classified into two main categories according to etiology: disease-induced factors (metabolic disturbances, brain metastasis, pain, etc.) and treatment-related factors (drugs, antineoplastic therapy, etc.). In particular, the effects of chronic opioid adm...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1997.tb04631.x

    authors: Sjøgren P

    更新日期:1997-01-01 00:00:00

  • Colloid osmotic pressure of plasma replacement fluids.

    abstract::Colloid osmotic pressure (COP) of some of the most frequently used plasma replacement fluids was measured with a colloid osmometer. COP of 4% human albumin solutions was only half that of normal human serum (13.6 +/- 0.6 vs. 27.5 +/- 2.7 mmHg (1.8 +/- 0.1 vs. 3.7 +/- 0.4 kPa)) (mean +/- s.d.), whereas COP of 20% human...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1993.tb03741.x

    authors: Tønnessen T,Tølløfsrud S,Kongsgaard UE,Noddeland H

    更新日期:1993-05-01 00:00:00

  • The effect of intranasally administered nitroglycerin on the blood pressure response to laryngoscopy and intubation in patients undergoing coronary artery by-pass surgery.

    abstract::The effect of intranasally administered nitroglycerin (NTG) on the cardiovascular response to laryngoscopy and intubation was studied. Thirty patients scheduled to undergo coronary artery by-pass surgery under thiopentone, enflurane and pancuronium anaesthesia were randomly divided into three groups. Group I received ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1986.tb02360.x

    authors: Dich-Nielsen J,Hole P,Lang-Jensen T,Owen-Falkenberg A,Skovsted P

    更新日期:1986-01-01 00:00:00

  • Lung function during anesthesia and respiratory insufficiency in the postoperative period: physiological and clinical implications.

    abstract::This review covers the physiological and clinical implications of lung function during anesthesia and respiratory insufficiency in the postoperative period. We have divided it into 3 main sections: 1) lung function changes induced by anesthesia and surgery, in which the impact on pulmonary mechanics, ventilation/perfu...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,评审

    doi:10.1111/j.1399-6576.1989.tb02960.x

    authors: Schwieger I,Gamulin Z,Suter PM

    更新日期:1989-10-01 00:00:00

  • Effect of different general anaesthetics on ventricular repolarisation in robot-assisted laparoscopic prostatectomy.

    abstract:BACKGROUND:Ventricular repolarisation is affected differently by the types of anaesthetics used. This study aimed to compare the effect of different types of anaesthetics on ventricular repolarisation during robot-assisted laparoscopic radical prostatectomy (RALP). METHODS:Sixty-nine patients were randomly assigned in...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.13653

    authors: Park JH,Lee KY,Choi YD,Lee J,Shin HJ,Han DW,Baek J,Kim SY

    更新日期:2020-10-01 00:00:00