Titre : Douleur liée aux interventions

Douleur liée aux interventions : Questions médicales fréquentes

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douleur post-interventionnelle ?\nQuels signes indiquent une douleur excessive ?\nQuels examens peuvent aider au diagnostic ?\nQuand consulter un médecin après une intervention ?\nComment différencier douleur normale et pathologique ?", "url": "https://questionsmedicales.fr/mesh/D000073818?page=3#section-diagnostic" }, { "@type": "MedicalWebPage", "name": "Symptômes", "headline": "Symptômes sur Douleur liée aux interventions", "description": "Quels sont les symptômes associés à la douleur procédurale ?\nLa douleur peut-elle être ressentie après une anesthésie ?\nQuels types de douleur peuvent survenir après une chirurgie ?\nComment la douleur évolue-t-elle après une intervention ?\nQuels facteurs influencent l'intensité de la douleur ?", "url": "https://questionsmedicales.fr/mesh/D000073818?page=3#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Douleur liée aux interventions", "description": "Comment prévenir la douleur liée aux interventions ?\nLe choix de la technique chirurgicale influence-t-il la douleur ?\nQuels conseils donner aux patients avant une intervention ?\nL'hydratation joue-t-elle un rôle dans la douleur postopératoire ?\nComment le soutien psychologique aide-t-il ?", "url": "https://questionsmedicales.fr/mesh/D000073818?page=3#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Douleur liée aux interventions", "description": "Quels traitements sont efficaces contre la douleur procédurale ?\nComment la physiothérapie aide-t-elle après une intervention ?\nLes opioïdes sont-ils recommandés pour la douleur post-opératoire ?\nQuelles sont les alternatives non médicamenteuses ?\nComment gérer la douleur chronique après une intervention ?", "url": "https://questionsmedicales.fr/mesh/D000073818?page=3#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Douleur liée aux interventions", "description": "Quelles complications peuvent aggraver la douleur ?\nComment reconnaître une infection post-opératoire ?\nLes douleurs persistantes sont-elles normales après une intervention ?\nQuels sont les risques de douleur chronique après une chirurgie ?\nComment prévenir les complications liées à la douleur ?", "url": "https://questionsmedicales.fr/mesh/D000073818?page=3#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Douleur liée aux interventions", "description": "Quels facteurs augmentent le risque de douleur postopératoire ?\nLe stress préopératoire influence-t-il la douleur ?\nLes antécédents de douleur chronique sont-ils un facteur de risque ?\nLe type d'anesthésie affecte-t-il la douleur postopératoire ?\nComment le soutien social influence-t-il la douleur ?", "url": "https://questionsmedicales.fr/mesh/D000073818?page=3#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment évaluer la douleur post-interventionnelle ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Utiliser des échelles de douleur et des questionnaires pour quantifier l'intensité." } }, { "@type": "Question", "name": "Quels signes indiquent une douleur excessive ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Une douleur persistante, une incapacité à bouger ou des signes de choc peuvent indiquer une douleur excessive." } }, { "@type": "Question", "name": "Quels examens peuvent aider au diagnostic ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Des examens d'imagerie comme l'IRM ou les radiographies peuvent aider à identifier des complications." } }, { "@type": "Question", "name": "Quand consulter un médecin après une intervention ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "Si la douleur augmente, s'accompagne de fièvre ou de saignements, consultez immédiatement." } }, { "@type": "Question", "name": "Comment différencier douleur normale et pathologique ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "La douleur normale est temporaire et gérable, tandis que la douleur pathologique est persistante et sévère." } }, { "@type": "Question", "name": "Quels sont les symptômes associés à la douleur procédurale ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent douleur aiguë, gonflement, rougeur et parfois fièvre." } }, { "@type": "Question", "name": "La douleur peut-elle être ressentie après une anesthésie ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Oui, la douleur peut survenir après la disparition des effets de l'anesthésie." } }, { "@type": "Question", "name": "Quels types de douleur peuvent survenir après une chirurgie ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "On peut ressentir douleur aiguë, douleur sourde ou douleur neuropathique selon l'intervention." } }, { "@type": "Question", "name": "Comment la douleur évolue-t-elle après une intervention ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "La douleur peut être intense dans les premières 24 heures, puis diminuer progressivement." } }, { "@type": "Question", "name": "Quels facteurs influencent l'intensité de la douleur ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "L'intensité dépend de la nature de l'intervention, de la douleur préexistante et de la gestion post-opératoire." } }, { "@type": "Question", "name": "Comment prévenir la douleur liée aux interventions ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Une bonne gestion de la douleur préopératoire et des techniques d'anesthésie appropriées peuvent aider." } }, { "@type": "Question", "name": "Le choix de la technique chirurgicale influence-t-il la douleur ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Oui, certaines techniques moins invasives peuvent réduire la douleur postopératoire." } }, { "@type": "Question", "name": "Quels conseils donner aux patients avant une intervention ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Informer sur la gestion de la douleur et discuter des attentes peut réduire l'anxiété et la douleur." } }, { "@type": "Question", "name": "L'hydratation joue-t-elle un rôle dans la douleur postopératoire ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Oui, une bonne hydratation peut aider à réduire la douleur et favoriser la récupération." } }, { "@type": "Question", "name": "Comment le soutien psychologique aide-t-il ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Le soutien psychologique peut réduire l'anxiété et améliorer la perception de la douleur." } }, { "@type": "Question", "name": "Quels traitements sont efficaces contre la douleur procédurale ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Les analgésiques, les anti-inflammatoires et les techniques de relaxation sont souvent utilisés." } }, { "@type": "Question", "name": "Comment la physiothérapie aide-t-elle après une intervention ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "La physiothérapie peut réduire la douleur et améliorer la mobilité grâce à des exercices adaptés." } }, { "@type": "Question", "name": "Les opioïdes sont-ils recommandés pour la douleur post-opératoire ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Les opioïdes peuvent être prescrits pour des douleurs sévères, mais avec prudence en raison des risques." } }, { "@type": "Question", "name": "Quelles sont les alternatives non médicamenteuses ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Des techniques comme l'acupuncture, la méditation et la thérapie par le froid peuvent aider." } }, { "@type": "Question", "name": "Comment gérer la douleur chronique après une intervention ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Une approche multidisciplinaire incluant médicaments, thérapie physique et soutien psychologique est recommandée." } }, { "@type": "Question", "name": "Quelles complications peuvent aggraver la douleur ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Des infections, des hématomes ou des lésions nerveuses peuvent intensifier la douleur postopératoire." } }, { "@type": "Question", "name": "Comment reconnaître une infection post-opératoire ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Des signes comme rougeur, chaleur, gonflement et fièvre peuvent indiquer une infection." } }, { "@type": "Question", "name": "Les douleurs persistantes sont-elles normales après une intervention ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Des douleurs persistantes peuvent être normales, mais elles doivent être évaluées pour exclure des complications." } }, { "@type": "Question", "name": "Quels sont les risques de douleur chronique après une chirurgie ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Les risques incluent des facteurs psychologiques, des douleurs préexistantes et des complications chirurgicales." } }, { "@type": "Question", "name": "Comment prévenir les complications liées à la douleur ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Une surveillance attentive et une gestion proactive de la douleur peuvent aider à prévenir les complications." } }, { "@type": "Question", "name": "Quels facteurs augmentent le risque de douleur postopératoire ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "L'âge, le sexe, l'état de santé général et le type d'intervention peuvent influencer le risque." } }, { "@type": "Question", "name": "Le stress préopératoire influence-t-il la douleur ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, un stress élevé peut augmenter la perception de la douleur après l'intervention." } }, { "@type": "Question", "name": "Les antécédents de douleur chronique sont-ils un facteur de risque ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les antécédents de douleur chronique peuvent augmenter le risque de douleur postopératoire." } }, { "@type": "Question", "name": "Le type d'anesthésie affecte-t-il la douleur postopératoire ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, certaines techniques d'anesthésie peuvent réduire la douleur postopératoire par une meilleure gestion." } }, { "@type": "Question", "name": "Comment le soutien social influence-t-il la douleur ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Un bon soutien social peut réduire l'anxiété et améliorer la gestion de la douleur après une intervention." } } ] } ] }

Sources (10000 au total)

Evidence-Based Nursing Practices for the Prevention of Newborn Procedural Pain in Neonatal Intensive Therapy-An Exploratory Study.

Due to the progress in neonatology, in particular, in the past three decades, the mortality rate among patients of intensive care units has decreased. However, this is connected not only with newborns... The aim of the study was to: identify the knowledge nurses/midwives have of recommended non-pharmacological and/or pharmacological methods, in particular, in relation to medical intervention procedure... A descriptive and quantitative study conducted in 2019 among Polish nurses/midwives working at neonatal intensive care units.... The analysis of the material reflected the deficit of knowledge and the insufficient daily use of recommended pain-relief measures among the respondents.... The interpretation of data indicates that despite the clear and easily available recommendations of scientific societies concerning the mode of conduct in particular medical procedures, medical person...

Active versus passive distraction for reducing procedural pain and anxiety in children: a meta-analysis and systematic review.

Procedural pain is very important in clinical children care. We aimed to evaluate the effects of active versus passive distraction for reducing procedural pain and anxiety in children.... Two researchers searched the Web of Science, PubMed, EMBASE, Cochrane, SinoMed, Wanfang, China National Knowledge Infrastructure, Weipu databases for the randomized controlled trials(RCTs) on the acti... 13 RCTs were finally included. 553 children received active distraction intervention and 551 children received passive distraction intervention. There were no significant differences in the children s... Existing evidence suggests that active distraction may be more effective in reducing operational pain and anxiety in children than passive distraction. More studies on the effects of active distractio...

Multicentre, randomised controlled trial to investigate the effects of parental touch on relieving acute procedural pain in neonates (Petal).

Newborn infants routinely undergo minor painful procedures as part of postnatal care, with infants born sick or premature requiring a greater number of procedures. As pain in early life can have long-... This is a multicentre randomised controlled trial. A total of 112 neonates born at 35 weeks' gestation or more requiring a blood test in the first week of life will be recruited and randomised to rece... The study has been approved by the London-South East Research Ethics Committee (ref: 21/LO/0523). The results will be widely disseminated through peer-reviewed publications, international conferences ... Commenced September 2021.... NCT04901611; 14 135 962....

Virtual reality hypnosis for needle-related procedural pain and fear management in children: a non-inferiority randomized trial.

Needle-related procedures can cause pain and fear in children and may lead to avoidance of future medical care. The aim of this study is to investigate whether virtual reality hypnosis (VRH) is non-in... VRH may be an effective and safe treatment option besides MH for reducing patient-reported pain in children during a needle-related procedure. VRH was non-inferior to MH in patient-reported fear and b... ICTRP https://trialsearch.who.int/ , trial ID NL9385; date registered: 03/04/2021.... • Medical hypnosis is effective in reducing procedural distress in children during needle-related procedures. • Virtual reality (VR) is an audiovisual electronic device that guides users into an immer... • This study shows that VR hypnosis is non-inferior to medical hypnosis in reducing pain and fear in children undergoing a needle-related procedure. • Both VR hypnosis and medical hypnosis were apprec...

Endovascular revascularization of critical limb ischemia: the role of ultrasound-guided popliteal sciatic nerve block for the procedural pain management.

To evaluate the impact of the ultrasound-guided popliteal sciatic nerve block (PSNB) for pain management during endovascular treatment of chronic limb-threatening ischemia (CLTI).... From November 2020 to January 2022, 111 CLTI patients that underwent endovascular procedures were prospectively enrolled in this prospective single-arm interventional study. Ultrasound-guided PSNB was... Forty-six patients underwent above-the-knee revascularization (ATK), 20/111 below-the-knee (BTK) revascularization, 20/111 to both ATK and BTK revascularization. In 25 cases, no endovascular option wa... Ultrasound-guided PSNB is a feasible and effective method to manage patients with rest pain and increase comfort and compliance during endovascular procedures.... An ultrasound-guided popliteal sciatic nerve block is a safe, feasible, and effective technique to manage pain during endovascular treatment of chronic limb-threatening ischemia, especially in frail p... Endovascular treatment of CTLI may require long revascularization sessions in patients with high levels of pain at rest, which could be exacerbated during the revascularization procedure. The PSNB is ...

Effectiveness of technology-based interventions compared with other non-pharmacological interventions for relieving procedural pain in hospitalized neonates: a systematic review.

The objective of this review was to evaluate the effectiveness of technology-based interventions for relieving procedural pain among hospitalized neonates compared with other non-pharmacological inter... Neonates who require hospital care often experience acute pain during medical procedures. The current best practice for relieving pain in neonates is the use of non-pharmacological interventions, such... This review considered experimental trials that include technology-based, non-pharmacological interventions for relieving procedural pain among hospitalized neonates. The primary outcomes of interest ... The search strategy aimed to identify both published and unpublished studies. MEDLINE (PubMed), CINAHL (EBSCOhost), Scopus, Cochrane Central Register of Controlled Trials, MedNar, and EBSCO Open Disse... A total of 10 randomized controlled trials involving 618 children were included in the review. The staff members delivering the interventions and the outcome assessors were not blinded in all of the s... The effectiveness of technology-based interventions in relieving neonatal pain, either as a standalone method or in combination with another non-pharmacological method, was mixed. Further research is ... A Finnish-language version of the abstract of this review is available as supplemental digital content [ http://links.lww.com/SRX/A19 ].... PROSPERO CRD42021254218....

Factors Associated With Low Procedural Pain Scores Among 1- to 5-Year-Old Patients Undergoing Facial Laceration Repair.

Our objectives were to quantify pain experienced by young children undergoing facial laceration repair and identify factors associated with low procedural pain scores.... We conducted a prospective cohort study of children's distress among a convenience sample of children aged 1 to 5 years undergoing facial or scalp laceration repair in 2 pediatric emergency department... We included 11,474 FLACC-r observations from 258 procedures in the analysis. Two-thirds of 3- to 5-year-olds completed their laceration repair without the use of restraint, sedation, or anxiolytics. M... The majority of 3- to 5-year-old patients were able to undergo facial laceration repair without restraint, sedation, or anxiolytics and with low mean distress scores. Our findings suggest that childre...

Effect of parental touch on relieving acute procedural pain in neonates and parental anxiety (Petal): a multicentre, randomised controlled trial in the UK.

Touch interventions such as massage and skin-to-skin contact relieve neonatal pain. The Parental touch trial (Petal) aimed to assess whether parental stroking of their baby before a clinically require... Petal is a multicentre, randomised, parallel-group interventional superiority trial conducted in the John Radcliffe Hospital (Oxford University Hospitals NHS Foundation Trust, Oxford, UK) and the Roya... Between Sept 1, 2021, and Feb 7, 2023, 159 parents were approached to participate in the study, and 112 neonates were included. 56 neonates were randomly assigned to the intervention group of parental... Parental stroking delivered at an optimal speed to activate C-tactile fibres for a duration of 10 s before the painful procedure did not significantly change neonates' magnitude of pain-related brain ... Wellcome Trust and Bliss....

Cumulative sucrose exposure for repeated procedural pain in preterm neonates and neurodevelopment at 18 months of corrected age: a prospective observational longitudinal study.

Oral sucrose is repeatedly administered to neonates in the neonatal intensive care unit (NICU) to treat pain from commonly performed procedures; however, there is limited evidence on its long-term cum... A prospective longitudinal single-arm observational study that enrolled hospitalised preterm neonates <32 weeks of gestational age at birth and <10 days of life was conducted in four level III NICUs i... 172 preterm neonates were enrolled and 118 were included in the analysis at 18 months of CA. The total mean sucrose volume administered/neonate/NICU stay was 5.96 (±5.6) mL, and the mean Bayley-III co... Cumulative sucrose exposure for repeated procedural pain in preterm neonates was neither associated with a delay in neurodevelopment nor neuroprotective effects at 18 months of CA. If sucrose is used,... NCT02725814....