Cover Image
QR Code

Can Postoperative Pain and Analgesic Need be Predicted in Preoperative Period?

Objective: In this study, we aimed to evaluate the relationship between preoperative pain pressure threshold (PPT), anxiety, cortisol levels and demographic data of the patients and level of postoperative pain and analgesic need. Material and Methods: Fourty ASA I-II patients who would undergo lapar...

Full description

Published in:Turkiye Klinikleri Journal of Medical Sciences Vol. 31; no. 4; pp. 951 - 960
Main Authors: Kirdemir, Pakize, Özorak, Özlem
Format: research tables/charts Journal Article
Published: Turkiye Klinikleri Aug2011
Online Access:View this record in EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104636565&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 104636565
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        13000292
        1VOP
      jtl: Turkiye Klinikleri Journal of Medical Sciences
      issn: 13000292
      maglogo: N
    pubinfo:
      dt: Aug2011
      vid: 31
      iid: 4
      pid: 67298
      pub: Turkiye Klinikleri
    artinfo:
      ui:
        104636565
        104636565
        2011333775
        10.5336/medsci.2010-19299
        104636565
      ppf: 951
      ppct: 9
      formats:
        fmt:
          @attributes:
            type: P
      tig:
        atl: Can Postoperative Pain and Analgesic Need be Predicted in Preoperative Period?
      aug:
        au:
          Kirdemir, Pakize
          Özorak, Özlem
      sug:
        subj:
          Analgesics
          Health Services Needs and Demand
          Postoperative Pain Risk Factors
          Risk Assessment
          Surgery, Operative Adverse Effects
          Anxiety
          Cholecystectomy
          Female
          Human
          Hydrocortisone Blood
          Laparoscopy Methods
          Male
          Patient-Controlled Analgesia
          Treatment Outcomes
          Visual Analog Scaling
          Female
          Male
      ab: Objective: In this study, we aimed to evaluate the relationship between preoperative pain pressure threshold (PPT), anxiety, cortisol levels and demographic data of the patients and level of postoperative pain and analgesic need. Material and Methods: Fourty ASA I-II patients who would undergo laparascopic cholecystectomy were enrolled in the study after ethical commettee approval and written informed consents were obtained. Preoperative conditional anxiety scale was applied. PPT was measured from 3. and 4. digital pulps of both hands using an algometer. Blood was drawn before and after surgery for cortisol measurements. Postoperatively 50 mg tramadol was given, patient controlled analgesia (PCA) pain pump was inserted by adjusting 10 mg bolus and 10 min lock time. On 10, 20, 30. minutes and 2, 4, 6, 12, 24. hours, visual analogue scale (VAS), number of bolus and pushing the button and given analgesic amounts were recorded. Gender, age, body mass index, education level, experience of anesthesia, conditional anxiety scores, cortisol and PPT levels and postoperative VAS, number of boluses, number of pushing the button and given analgesic amounts were compared. Results: In females PPT was lower than males (p= 0.021). Level of PPT was shown to decrease as the education of the patients increased (p= 0.016). Number of pushing the button in early postoperative period was significantly higher in the anxious group. Level of anxiety was lower among the ones with high PPT (p=0.03). Conclusion: Postoperative pain and required analgesic amount should be planned preoperatively with physical and psychologic conditions of the patients.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: Turkish
    refInfo:
    holdings:
      @attributes:
        islocal: N