Attitudes to pain and pain relief in adult surgical patients.

Abstract:

:Pain relief after surgery is frequently inadequate. In the last few years much research has been devoted to improving the situation. Unfortunately, very little work has been undertaken to explore the patients' contribution to pain management. The beliefs and attitudes held by patients when they enter the hospital environment may be responsible in some instances for their not achieving optimal pain relief from the available techniques. We have studied some of these attitudes with a survey of 180 adult patients admitted for elective surgery. We found that most patients still expect pain following surgery. However, they are not afraid to ask for analgesics when in pain and do not attribute pain to their own wrong doing. There are, however, some patients who appear to have 'deviant' pain beliefs that could hinder their appropriate use of analgesics. Sadly, it is impossible to identify these patients according to age, gender, socio-economic group or previous experience of pain or surgery.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Brydon CW,Asbury AJ

doi

10.1111/j.1365-2044.1996.tb13647.x

subject

Has Abstract

pub_date

1996-03-01 00:00:00

pages

279-81

issue

3

eissn

0003-2409

issn

1365-2044

journal_volume

51

pub_type

杂志文章
  • Safe pre-operative fasting times after milk or clear fluid in children. A preliminary study using real-time ultrasound.

    abstract::Gastric emptying of orange-flavoured glucose (group I), low-fat milk (group II) and breast milk (group III) was evaluated in 45 ASA grade I children of < or = 5 years of age by using real-time ultrasonography and residual gastric volume and pH was then measured. In 15 more children, residual gastric volume and pH was ...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2044.1999.00660.x

    authors: Sethi AK,Chatterji C,Bhargava SK,Narang P,Tyagi A

    更新日期:1999-01-01 00:00:00

  • The potencies of edrophonium and neostigmine as antagonists of pancuronium.

    abstract::Dose response curves were constructed for edrophonium and neostigmine when used to antagonise pancuronium, 0.07 mg/kg during thiopentone-nitrous oxide-halothane anaesthesia. The antagonist was given when 10% twitch height had been restored and the effect was measured 10 minutes later. Recoveries to 50% and 90% twitch ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1985.tb11044.x

    authors: Breen PJ,Doherty WG,Donati F,Bevan DR

    更新日期:1985-09-01 00:00:00

  • EchoComTEE - a simulator for transoesophageal echocardiography.

    abstract::Transoesophageal echocardiography (TOE) requires extensive hands-on training, and it is for this purpose we have designed EchoComTEE, a simulator for TOE. It consists of a manikin and dummy probe; according to the position of the dummy probe (tracked by an electromagnetic sensor), two-dimensional (2D) images are calcu...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2007.04978.x

    authors: Weidenbach M,Drachsler H,Wild F,Kreutter S,Razek V,Grunst G,Ender J,Berlage T,Janousek J

    更新日期:2007-04-01 00:00:00

  • Postmortem findings after epidural anaesthesia.

    abstract::Postmortem specimens of 10 patients who had received continuous epidural anaesthesia postoperatively (ranging from 2-21 days) were examined. Slight epidural haemorrhage was observed in six patients and a macroscopically visible haematoma in a thrombocytopenic patient. Nonspecific epidural inflammatory reactions were o...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1990.tb14775.x

    authors: Wulf H,Striepling E

    更新日期:1990-05-01 00:00:00

  • Comparison of the C-MAC videolaryngoscope with the Macintosh, Glidescope, and Airtraq laryngoscopes in easy and difficult laryngoscopy scenarios in manikins.

    abstract::The C-MAC comprises a Macintosh blade connected to a video unit. The familiarity of the Macintosh blade, and the ability to use the C-MAC as a direct or indirect laryngoscope, may be advantageous. We wished to compare the C-MAC with Macintosh, Glidescope and Airtraq laryngoscopes in easy and simulated difficult laryng...

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.2010.06307.x

    authors: McElwain J,Malik MA,Harte BH,Flynn NM,Laffey JG

    更新日期:2010-05-01 00:00:00

  • Where is T5? A survey of anaesthetists.

    abstract::The extent of a regional block for Caesarean section must be tested and documented before surgery commences. In recent years a block to 'touch' that includes T5 has increasingly been considered the best predictive test for a pain-free Caesarean section. Our survey examines the consistency with which different anaesthe...

    journal_title:Anaesthesia

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1365-2044.2006.04609.x

    authors: Congreve K,Gardner I,Laxton C,Scrutton M

    更新日期:2006-05-01 00:00:00

  • A national survey of obstetric early warning systems in the United Kingdom: five years on.

    abstract::The Confidential Enquiries into Maternal Deaths in the UK have recommended obstetric early warning systems for early identification of clinical deterioration to reduce maternal morbidity and mortality. This survey explored early warning systems currently used by maternity units in the UK. An electronic questionnaire w...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.12708

    authors: Isaacs RA,Wee MY,Bick DE,Beake S,Sheppard ZA,Thomas S,Hundley V,Smith GB,van Teijlingen E,Thomas PW,Members of the Modified Obstetric Early Warning Systems Research Group.

    更新日期:2014-07-01 00:00:00

  • Anaesthesia for Caesarean section: a survey in a UK region from 1992 to 2002.

    abstract::Data are presented for anaesthesia for Caesarean section (CS) in the South-west Thames region of the UK. The CS rate rose from 12.7% in 1987 to 24.2% in 2002. The rate of increase shows no sign of slowing. The rate of regional anaesthesia (RA) for elective CS rose from 69.4% in 1992 to 94.9% in 2002, when spinal anaes...

    journal_title:Anaesthesia

    pub_type: 杂志文章,多中心研究

    doi:10.1046/j.1365-2044.2003.03446.x

    authors: Jenkins JG,Khan MM

    更新日期:2003-11-01 00:00:00

  • The loss of sevoflurane from a closed breathing system.

    abstract::When volatile anaesthetics are used in a closed breathing system it is usually assumed that inflow of anaesthetic to the system matches uptake by the patient. Early laboratory reports on the interactions between sevoflurane and soda lime cast doubt on that assumption. We have measured the loss of sevoflurane, desflura...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1997.135-az0135.x

    authors: Vagts DA,Lockwood GG

    更新日期:1997-07-01 00:00:00

  • Continuous intravenous anaesthesia with Althesin for resection of tracheal stenosis.

    abstract::The anaesthetic management of patients undergoing tracheal resection for tracheal stenosis and the advantage of the maintenance of spontaneous respiration without intubation of the distal tracheal segment is discussed. The case reports of two such patients using a continuous intravenous infusion of Althesin with maint...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1983.tb13931.x

    authors: Vyas AB,Lyons SM,Dundee JW

    更新日期:1983-02-01 00:00:00

  • A disposable device for patient-controlled analgesia with fentanyl.

    abstract::A disposable nonelectronic patient-controlled analgesia device was used to deliver fentanyl after upper abdominal surgery. Pain relief was satisfactory and plasma fentanyl concentrations were similar to those obtained by other workers who used electronic patient-controlled analgesia devices. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1989.tb09151.x

    authors: Rowbotham DJ,Wyld R,Nimmo WS

    更新日期:1989-11-01 00:00:00

  • Ketamine infusions. Observations on technique, dosage and cardiovascular effects.

    abstract::A continuous infusion of ketamine, following an initial dose of 1 mg/kg, has been used as sole anaesthetic in over 200 adult patients. The pre-operative use of 4 mg lorazepam has made this acceptable with respect to emergence sequelae and dreams. The technique can be used with neuromuscular blocking drugs and controll...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1978.tb12414.x

    authors: Lilburn JK,Dundee JW,Moore J

    更新日期:1978-04-01 00:00:00

  • Intensive care medicine in rural sub-Saharan Africa.

    abstract::We undertook an audit in a rural Ugandan hospital that describes the epidemiology and mortality of 5147 patients admitted to the intensive care unit. The most frequent admission diagnoses were postoperative state (including following trauma) (2014/5147; 39.1%), medical conditions (709; 13.8%) and traumatic brain injur...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.13710

    authors: Dünser MW,Towey RM,Amito J,Mer M

    更新日期:2017-02-01 00:00:00

  • A prospective randomised study of a rigid video-stylet vs. conventional lightwand intubation in cervical spine-immobilised patients.

    abstract::Compared with a lightwand which is used blind, Optiscope™ , a rigid video-stylet, can provide direct imaging of airway structures, potentially offering improved conditions in cervical spine-immobilised patients. We randomly assigned 168 patients who required cervical immobilisation during tracheal intubation to use of...

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/anae.13606

    authors: Seo H,Kim E,Son JD,Ji S,Min SW,Park HP

    更新日期:2016-11-01 00:00:00

  • Hypomagnesaemia, cardiac arrhythmias and orthotopic liver transplantation.

    abstract::Two patients who underwent orthotopic liver transplantation and developed peroperative cardiac arrhythmias are presented. In one, the arrhythmias were refractory to treatment with anti-arrhythmic drug therapy until serum magnesium levels were restored to normal. The other patient had a low pre-operative serum magnesiu...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1994.tb03472.x

    authors: Ranasinghe DN,Mallett SV

    更新日期:1994-05-01 00:00:00

  • Pulmonary oedema after ophthalmic regional anaesthesia in an unfasted patient undergoing elective surgery.

    abstract::An elderly female patient presenting for phaco-emulsification and intra-ocular lens implant under local anaesthesia developed pulmonary oedema after surgery and underwent emergency tracheal intubation. The pulmonary oedema may have been caused by her omission of routine oral diuretic medication before surgery and havi...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.2001.01967.x

    authors: Taylor I,Watters M

    更新日期:2001-05-01 00:00:00

  • Unrecognized tracheo-oesophageal fistula.

    abstract::A patient with a retropharyngeal carcinoma was anaesthetized for laryngoscopy, oesophagoscopy and biopsy. Suggestive symptoms of a tracheo-oesophageal fistula were absent and a barium swallow did not demonstrate its presence. Sign of an abnormal communication appeared for the first time after the patient had been intu...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1977.tb11554.x

    authors: Ng TY,Kirimli BI,Datta TD

    更新日期:1977-01-01 00:00:00

  • Isoflurane, desflurane and sevoflurane for carotid endarterectomy.

    abstract::After carotid endarterectomy under general anaesthesia, the rapid elimination of desflurane and sevoflurane may allow earlier postoperative neurological assessment than after the use of isoflurane. However, desflurane may be associated with tachycardia and hypertension and may therefore increase cardiovascular risk. W...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1046/j.1365-2044.2000.01617.x

    authors: Umbrain V,Keeris J,D'Haese J,Verborgh C,Debing E,Van den Brande P,Camu F

    更新日期:2000-11-01 00:00:00

  • Spinal anaesthesia for outpatient surgery.

    abstract::In a prospective study of 51 young male outpatients given spinal anaesthesia through a 25-gauge needle, we found a 37.2% incidence of postdural puncture headache. In addition, 54.9% complained of backache after surgery. Occurrence of headache significantly prolonged the sick-leave from work. General anaesthesia would ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1985.tb10612.x

    authors: Flaatten H,Raeder J

    更新日期:1985-11-01 00:00:00

  • A multipurpose rubber adaptor.

    abstract::A multipurpose rubber right-angle adaptor has been described. Thic can connect the patient to both masks and endotracheal tubes in several anaesthetic systems. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1976.tb12362.x

    authors: Gran L

    更新日期:1976-05-01 00:00:00

  • An evaluation of oxygen delivery using nasal prongs.

    abstract::Oxygen delivery using nasal prongs was assessed using a lung model for spontaneous ventilation. The analogue lung was attached to a manikin, which provided a model of the 'face and pharynx' to which the nasal prongs were applied. Oxygen concentrations were measured in the model trachea at varying fresh gas inflow and ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1992.tb02331.x

    authors: Ooi R,Joshi P,Soni N

    更新日期:1992-07-01 00:00:00

  • Impact of dose-finding studies on administration of oxytocin during caesarean section in the UK.

    abstract::Debate continues over the dose and methods of administration of oxytocin for the prevention of haemorrhage during caesarean section. We surveyed 206 lead obstetric anaesthetists in the UK to determine standard practice in their unit as well as any differences in practice for high-risk cases. There were 150 responses (...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.12381

    authors: West R,West S,Simons R,McGlennan A

    更新日期:2013-10-01 00:00:00

  • Impact of a physician-led pre-hospital critical care team on outcomes after major trauma.

    abstract::The deployment of physician-led pre-hospital enhanced care teams capable of critical care interventions at the scene of injury may confer a survival benefit to victims of major trauma. However, the evidence base for this widely adopted model is disputed. Failure to identify a clear survival benefit has been attributed...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.14501

    authors: Hepple DJ,Durrand JW,Bouamra O,Godfrey P

    更新日期:2019-04-01 00:00:00

  • Oxytocin at elective caesarean delivery: a dose-finding study in women with obesity.

    abstract::Prophylactic oxytocin administration at the third stage of labour reduces blood loss and the need for additional uterotonic drugs. Obesity is known to be associated with an increased risk of uterine atony and postpartum haemorrhage. It is unknown whether women with obesity require higher doses of oxytocin in order to ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.15322

    authors: Peska E,Balki M,Maxwell C,Ye XY,Downey K,Carvalho JCA

    更新日期:2020-11-23 00:00:00

  • Pulse oximetry. An assessment in anaesthetised dental patients.

    abstract::The applications of a pulse oximeter were studied in dental day case surgery using nasal mask anaesthesia. Changes in arterial oxygen saturation were sensitively and rapidly detected, in the absence of cyanosis. Impaired oxygenation can be detected before cyanosis develops. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1986.tb12750.x

    authors: Clapham MC,Mackie AM

    更新日期:1986-10-01 00:00:00

  • Anaphylactic reaction after atropine.

    abstract::A 38-year-old woman developed symptoms of anaphylactic shock after intravenous atropine and required adrenaline to maintain perfusion pressure. A strongly positive response was obtained on intradermal testing. The Prausnitz-Kuestner test was also positive, which indicated the presence of drug specific IgE antibodies. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1988.tb05661.x

    authors: Aguilera L,Martinez-Bourio R,Cid C,Arino JJ,Saez de Eguilaz JL,Arizaga A

    更新日期:1988-11-01 00:00:00

  • Efficacy of microfiltration in decreasing propofol-induced pain.

    abstract::In a randomised, double-blinded, two-centre trial we evaluated the effect of a microbiological filter (Supor, Pall Life Sciences) on propofol injection pain. We studied 336 unpremedicated adult patients, who graded pain experienced during induction of anaesthesia with propofol on a 4-point verbal rating scale. Use of ...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1046/j.1365-2044.2002.02602.x

    authors: Davies AF,Vadodaria B,Hopwood B,Dexter T,Conn D

    更新日期:2002-06-01 00:00:00

  • Acid aspiration prophylaxis for emergency Caesarean section.

    abstract::Over a 3.5 year period, 384 patients requiring emergency Caesarean section under general anaesthesia received at random one of six acid aspiration prophylaxis regimens as soon as the decision was made for surgery. In the first phase of the study, sodium citrate administered orally 0.3 M, 30 ml (group C, n = 120) was c...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1996.tb07782.x

    authors: Stuart JC,Kan AF,Rowbottom SJ,Yau G,Gin T

    更新日期:1996-05-01 00:00:00

  • Post-operative convulsions due to penicillin applied to the spinal theca.

    abstract::Two cases are described and discussed in which penicillin powder applied to the theca at the end of laminectomy caused delayed convulsions. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1975.tb00796.x

    authors: Bordbar A,Beheshti M

    更新日期:1975-01-01 00:00:00

  • Subarachnoid spread of epidural local anaesthetic following dural puncture.

    abstract::A case is described of an extensive block and hypotension which occurred after inadvertent dural puncture and subsequent epidural injection of bupivacaine. The subarachnoid spread of solution from the extradural space was confirmed radiologically. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1988.tb04155.x

    authors: Leach A,Smith GB

    更新日期:1988-08-01 00:00:00