Postoperative Analgesia Management Evaluation in the Postanesthesia Unit: An Exploratory Analysis Based on Patient and Surgery Characteristics.

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  • Additional Information
    • Source:
      Publisher: W.B. Saunders Company Country of Publication: United States NLM ID: 9610507 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-8473 (Electronic) Linking ISSN: 10899472 NLM ISO Abbreviation: J Perianesth Nurs
    • Publication Information:
      Publication: Philadelphia Pa : W.B. Saunders Company
      Original Publication: Philadelphia : Saunders, c1996-
    • Subject Terms:
      Analgesics* ; Analgesia, Epidural*/methods; Humans ; Prospective Studies ; Analgesics, Opioid ; Pain, Postoperative/drug therapy
    • Abstract:
      Purpose: Several methods have been proposed for postoperative pain management, including administration of opioid analgesics, epidural analgesia, and perineural and infiltrative techniques; however, data are lacking on the relationship between pain intensity, patients' age and gender, and surgery duration.
      Design: Prospective, observational, single-center study.
      Methods: The study included patients greater than or equal to 18 years old who underwent surgery with different anesthesia types, grouped according to the American Society of Anesthesiologists' physical status classification score. The McGill Pain Questionnaire was used to assess postoperative pain intensity. The postoperative pain evaluation was performed in the first 5 minutes on entering the postanesthesia care unit (PACU), and at 30 minutes and 24 hours after the operation.
      Results: Our results showed a significant negative relationship between pain intensity as assessed at 5 and 30 minutes postoperatively and age. Postoperative pain intensity at 24 hours was significantly lower after low-risk surgeries lasting up to 1 hour; pain intensity was also significantly lower at 30 minutes following epidural anesthesia. When nonsteroidal anti-inflammatory drugs were not administered in the PACU, pain intensity was significantly lower at 5 minutes, 30 minutes, and 3 hours.
      Conclusions: Postoperative analgesic administration should be conducted in accordance with age and surgery type. Additionally, epidural anesthesia can reduce the immediate postoperative pain intensity.
      (Copyright © 2022 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.)
    • Contributed Indexing:
      Keywords: analgesics; anti-inflammatory agents; epidural anesthesia; pain intensity
    • Accession Number:
      0 (Analgesics)
      0 (Analgesics, Opioid)
    • Publication Date:
      Date Created: 20220926 Date Completed: 20230328 Latest Revision: 20230407
    • Publication Date:
      20230407
    • Accession Number:
      10.1016/j.jopan.2022.04.011
    • Accession Number:
      36156269
  • Citations
    • ABNT:
      TSEKOURA, V. et al. Postoperative Analgesia Management Evaluation in the Postanesthesia Unit: An Exploratory Analysis Based on Patient and Surgery Characteristics. Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses, [s. l.], v. 38, n. 2, p. 219–223, 2023. DOI 10.1016/j.jopan.2022.04.011. Disponível em: https://ezproxy.mscc.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=cmedm&AN=36156269. Acesso em: 1 jun. 2023.
    • AMA 11th Edition:
      Tsekoura V, Roupa Z, Noula M, Yamasaki EN. Postoperative Analgesia Management Evaluation in the Postanesthesia Unit: An Exploratory Analysis Based on Patient and Surgery Characteristics. Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses. 2023;38(2):219-223. doi:10.1016/j.jopan.2022.04.011
    • APA 7th Edition:
      Tsekoura, V., Roupa, Z., Noula, M., & Yamasaki, E. N. (2023). Postoperative Analgesia Management Evaluation in the Postanesthesia Unit: An Exploratory Analysis Based on Patient and Surgery Characteristics. Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses, 38(2), 219–223. https://doi.org/10.1016/j.jopan.2022.04.011
    • Chicago 17th Edition:
      Tsekoura, Vasiliki, Zoe Roupa, Maria Noula, and Edna N Yamasaki. 2023. “Postoperative Analgesia Management Evaluation in the Postanesthesia Unit: An Exploratory Analysis Based on Patient and Surgery Characteristics.” Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses 38 (2): 219–23. doi:10.1016/j.jopan.2022.04.011.
    • Harvard:
      Tsekoura, V. et al. (2023) ‘Postoperative Analgesia Management Evaluation in the Postanesthesia Unit: An Exploratory Analysis Based on Patient and Surgery Characteristics’, Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses, 38(2), pp. 219–223. doi:10.1016/j.jopan.2022.04.011.
    • Harvard: Australian:
      Tsekoura, V, Roupa, Z, Noula, M & Yamasaki, EN 2023, ‘Postoperative Analgesia Management Evaluation in the Postanesthesia Unit: An Exploratory Analysis Based on Patient and Surgery Characteristics’, Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses, vol. 38, no. 2, pp. 219–223, viewed 1 June 2023, .
    • MLA 9th Edition:
      Tsekoura, Vasiliki, et al. “Postoperative Analgesia Management Evaluation in the Postanesthesia Unit: An Exploratory Analysis Based on Patient and Surgery Characteristics.” Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses, vol. 38, no. 2, Apr. 2023, pp. 219–23. EBSCOhost, https://doi.org/10.1016/j.jopan.2022.04.011.
    • Chicago 17th Edition:
      Tsekoura, Vasiliki, Zoe Roupa, Maria Noula, and Edna N Yamasaki. “Postoperative Analgesia Management Evaluation in the Postanesthesia Unit: An Exploratory Analysis Based on Patient and Surgery Characteristics.” Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses 38, no. 2 (April 2023): 219–23. doi:10.1016/j.jopan.2022.04.011.
    • Vancouver/ICMJE:
      Tsekoura V, Roupa Z, Noula M, Yamasaki EN. Postoperative Analgesia Management Evaluation in the Postanesthesia Unit: An Exploratory Analysis Based on Patient and Surgery Characteristics. Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses [Internet]. 2023 Apr [cited 2023 Jun 1];38(2):219–23. Available from: https://ezproxy.mscc.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=cmedm&AN=36156269