Article

Expectations, experiences and attitudes of orthopedic patients undergoing arthroscopic cruciate ligament reconstruction toward postoperative pain and its management

Department of Anesthesiology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.
Journal of the Medical Association of Thailand = Chotmaihet thangphaet 11/2010; 93(11):1268-73.
Source: PubMed

ABSTRACT

To evaluate expectations, experiences, and attitudes of orthopedic patients undergoing arthroscopic cruciate ligament reconstruction in terms of postoperative pain and management.
This prospective study involved 115 patients. Preoperatively, patients completed a preoperative questionnaire regarding expectations toward postoperative pain and management. Postoperatively, they completed a postoperative questionnaire regarding exact pain experiences and attitudes in relation to their pain and management.
Almost all expected (95.6%) and experienced (98.3%) pain. The median values of maximum and average pain measured by a verbal numerical rating score were 7.7 and 5.6, respectively. Approximately 3/5 reported marked and maximum relief from analgesics received Only one patient was not satisfied with pain management while the rest were satisfied in varying degrees. A large proportion showed incorrect conceptions concerning postoperative pain and management.
Postoperative pain management is still an area for improvement. Misunderstandings of patients should be explored and corrected as they can pose a barrier for effective pain relief Pain management should begin with preoperative explanations and advice followed by good care intraoperatively and postoperatively.

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Available from: Sasikaan Nimmaanrat, May 26, 2015
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    ABSTRACT: To evaluate the analgesic effect of perioperative administration of pregabalin in patients undergoing arthroscopic anterior cruciate ligament reconstruction. Fifty-six patients were randomly assigned to receive either pregabalin 75 mg or a matching placebo, one hour prior to spinal anesthesia, with the second dose repeated 12 hours after the first dose in this comparative study. The means of postoperative pain intensity measured by a verbal rating scale (VRS) of 0 to 10, sedation score of 0 to 3, requirement for morphine using a patient-controlled analgesia (PCA) device, and the median respiratory rate, as well as adverse effect were recorded every four-hour up to 24 hours. Twenty-seven patients received pregabalin, and 29 cases got placebo. Characteristics were not significantly different between the two groups, except for the ages of 29.3 years in the pregabalin group, and 33.8 years in the placebo group. The means of postoperative pain severity, sedation score, consumption of PCA morphine, median respiratory rate, and adverse effects were not significantly different between the two groups. Perioperative administration of pregabalin was not superior to placebo in terms of reducing postoperative pain intensity and PCA morphine requirement in patients undergoing arthroscopic anterior cruciate ligament reconstruction.
    No preview · Article · Oct 2012 · Journal of the Medical Association of Thailand = Chotmaihet thangphaet