Trajectory of pain threshold and its association with acute pain after thoracic surgery: a prospective observational study.

Humans Pain Threshold Thoracic Surgery Acute Pain / drug therapy Analgesics Pain, Postoperative / epidemiology Analgesics, Opioid / therapeutic use
Analgesia Analgesia, patient-controlled Pain threshold Pain, postoperative

Journal

Journal of cardiothoracic surgery
ISSN: 1749-8090
Titre abrégé: J Cardiothorac Surg
Pays: England
ID NLM: 101265113

Informations de publication

Date de publication:
14 Nov 2023
Historique:
received: 19 03 2022
accepted: 03 11 2023
medline: 16 11 2023
pubmed: 15 11 2023
entrez: 14 11 2023
Statut: epublish

Résumé

Postoperative analgesic management is an ongoing challenge. The pain threshold (PT) is an objective index that reflects the body's sensitivity to pain and can be used for quantitative pain assessment. We hypothesized that the PT is correlated with postoperative pain and can thus be used to guide postoperative pain management. This study involved 93 patients who underwent thoracoscopic surgery from December 2019 to February 2020. The PT was measured with transcutaneous electrical stimulation before surgery (T The postoperative PT was higher than the preoperative PT and showed a downward trend within 24 h after surgery; the PTV also showed a downward trend within 24 h after surgery. PT-T The postoperative PT was higher than the preoperative PT and showed a downward trend within 24 h after surgery; PTV also showed a downward trend within 24 h after surgery. The PT and PTV were negatively correlated with the pain intensity at rest and during motion and were associated with perioperative analgesic consumption and the incidence of adverse events.

Sections du résumé

BACKGROUND BACKGROUND
Postoperative analgesic management is an ongoing challenge. The pain threshold (PT) is an objective index that reflects the body's sensitivity to pain and can be used for quantitative pain assessment. We hypothesized that the PT is correlated with postoperative pain and can thus be used to guide postoperative pain management.
METHODS METHODS
This study involved 93 patients who underwent thoracoscopic surgery from December 2019 to February 2020. The PT was measured with transcutaneous electrical stimulation before surgery (T
RESULTS RESULTS
The postoperative PT was higher than the preoperative PT and showed a downward trend within 24 h after surgery; the PTV also showed a downward trend within 24 h after surgery. PT-T
CONCLUSIONS CONCLUSIONS
The postoperative PT was higher than the preoperative PT and showed a downward trend within 24 h after surgery; PTV also showed a downward trend within 24 h after surgery. The PT and PTV were negatively correlated with the pain intensity at rest and during motion and were associated with perioperative analgesic consumption and the incidence of adverse events.

Identifiants

DOI: 10.1186/s13019-023-02424-w PMID: 37964267 PMC: PMC10648379
pubmed: 37964267
doi: 10.1186/s13019-023-02424-w
pii: 10.1186/s13019-023-02424-w
pmc: PMC10648379
doi:

Substances chimiques

Analgesics 0
Analgesics, Opioid 0

Types de publication

Observational Study Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

326

Subventions

Organisme : National Key R&D Program of China (Beijing, China)
ID : No. 2018YFC2001800 (to Dr. Zhu)
Organisme : Applied Basic Research Programs of Science and Technology Commission Foundation of Sichuan (Chengdu, China)
ID : No. 20YYJC3900 (to Dr. Hao)

Informations de copyright

© 2023. The Author(s).

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Auteurs

Fei Wang (F)

Department of Anesthesiology, Research Units of Perioperative Stress Assessment and Clinical Decision(2018RU012), West China Hospital of Sichuan University, Chinese Academy of Medical Sciences, Chengdu, 610041, China.
Department of Anesthesiology, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.

Meng-Chan Ou (MC)

Department of Anesthesiology, Research Units of Perioperative Stress Assessment and Clinical Decision(2018RU012), West China Hospital of Sichuan University, Chinese Academy of Medical Sciences, Chengdu, 610041, China.
Translational Neuroscience Center, West China Hospital of Sichuan University, Chengdu, 610041, China.

Yi-Hao Zhu (YH)

Department of Anesthesiology, Research Units of Perioperative Stress Assessment and Clinical Decision(2018RU012), West China Hospital of Sichuan University, Chinese Academy of Medical Sciences, Chengdu, 610041, China.
Department of Anesthesiology, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of China, Chengdu, China.

Tao Zhu (T)

Department of Anesthesiology, Research Units of Perioperative Stress Assessment and Clinical Decision(2018RU012), West China Hospital of Sichuan University, Chinese Academy of Medical Sciences, Chengdu, 610041, China.
Translational Neuroscience Center, West China Hospital of Sichuan University, Chengdu, 610041, China.

Xue-Chao Hao (XC)

Department of Anesthesiology, Research Units of Perioperative Stress Assessment and Clinical Decision(2018RU012), West China Hospital of Sichuan University, Chinese Academy of Medical Sciences, Chengdu, 610041, China. aneshxc@163.com.
Translational Neuroscience Center, West China Hospital of Sichuan University, Chengdu, 610041, China. aneshxc@163.com.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Trajectory of pain threshold and its...
questionsmedicales.fr › Phénomènes physiologiques de l'appareil locomoteur et du système nerveux › Phénomènes physiologiques du système nerveux › Sensation › Douleur › Seuil nociceptif › Trajectory of pain threshold and its...
questionsmedicales.fr › Professions de santé › Médecine › Spécialités chirurgicales › Chirurgie thoracique › Trajectory of pain threshold and its...
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Manifestations neurologiques › Douleur aigüe › Trajectory of pain threshold and its...
questionsmedicales.fr › Actions chimiques et utilisations › Actions pharmacologiques › Utilisations thérapeutiques › Agents du système nerveux central › Analgésiques › Trajectory of pain threshold and its...
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Manifestations neurologiques › Douleur postopératoire › Trajectory of pain threshold and its...
questionsmedicales.fr › Actions chimiques et utilisations › Actions pharmacologiques › Utilisations thérapeutiques › Agents du système nerveux central › Dépresseurs du système nerveux central › Stupéfiants › Analgésiques morphiniques › Trajectory of pain threshold and its...