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=5#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=5#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=5#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=5#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=5#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=5#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)

The Clinical Suitability of an Artificial Intelligence-Enabled Pain Assessment Tool for Use in Infants: Feasibility and Usability Evaluation Study.

Infants are unable to self-report their pain, which, therefore, often goes underrecognized and undertreated. Adequate assessment of pain, including procedural pain, which has short- and long-term cons... The purpose of this study is to evaluate the accuracy and feasibility aspects of PainChek Infant and, therefore, assess its applicability in the intended setting.... By observing infants just before, during, and after immunization, we evaluated the accuracy and precision at different cutoff scores of PainChek Infant, which is a point-of-care mHealth-based solution... Both PainChek Infant Standard and Adaptive modes demonstrated high accuracy (area under the curve 0.964 and 0.966, respectively). At a cutoff score of ≥2, accuracy and precision were 0.908 and 0.912 f... This work provides information on the feasibility of using PainChek Infant in clinical practice for procedural pain assessment and monitoring, and demonstrates the accuracy and precision of the tool a...

Local anaesthetic for pain post rubber band ligation of haemorrhoids: a prospective, single-blinded randomised controlled trial.

Rubber band ligation (RBL) is a widely accepted intervention for the treatment of haemorrhoids. However, post procedure pain is a common complaint. The aim of this study was to determine whether the a... This study was a prospective, single-blinded randomised controlled trial. Patients were recruited from colorectal clinics in two Australian hospitals between 2018-2019. Patients randomised to the inte... At 1 h post-procedure, patient reported pain scores were significantly lower in the LA group compared to the control group (p = 0.04). There were no significant differences in pain scores between the ... LA to the haemorrhoid pedicle post RBL may significantly reduce early post procedure pain without any increased risk of adverse effects....

Impact of virtual reality on peri-interventional pain, anxiety and distress in a pediatric oncology outpatient clinic: a randomized controlled trial.

Pain and anxiety-inducing interventions have a major impact on pediatric patients. Pain reduction by virtual reality (VR) during port and vein punctures is well studied. This study investigates peri-i... In a randomized, controlled cross-over design, patients aged 6-18 years experience potentially painful interventions accompanied by VR. Observational instruments include NRS, FPS-r, BAADS, mYPAS-SF, P... Between July 2021 and December 2022 57 eligible patients were included and randomized to the orders A/B (n = 28) and B/A (n = 29). Thirty-eight patients completed both observations. Characteristics in... The present study shows that VR can be used for peri-interventional reduction of pain, anxiety, and distress in the special environment of a pediatric outpatient clinic. Specific conditions must be me... (ClinicalTrials.gov ID): NCT06235723; 01/02/2024; retrospectively registered. This study adheres to the standard checklist of CONSORT guidelines....

Effects of an Immersive Virtual Reality Intervention on Pain and Anxiety Among Pediatric Patients Undergoing Venipuncture: A Randomized Clinical Trial.

Venipuncture is one of the most painful and distressing procedures experienced by pediatric patients. Emerging evidence suggests that providing procedural information and distraction using immersive v... To examine the effects of IVR on reducing the pain, anxiety, and stress experienced by pediatric patients undergoing venipuncture.... This 2-group randomized clinical trial recruited pediatric patients aged 4 to 12 years undergoing venipuncture from a public hospital in Hong Kong between January 2019 and January 2020. Data were anal... Participants were randomly allocated to an intervention (an age-appropriate IVR intervention offering distraction and procedural information) or a control (standard care only) group.... The primary outcome was child-reported pain. Secondary outcomes included child-reported anxiety, heart rate, salivary cortisol, length of procedure, and satisfaction of health care professionals with ... A total of 149 pediatric patients were recruited, with 86 female patients (57.7%) and 66 patients (44.3%) diagnosed with fever. Compared with the 74 participants in the control group (mean [SD] age, 7... In this randomized clinical trial, integrating procedural information and distraction in an IVR intervention for pediatric patients undergoing venipuncture significantly improved pain and anxiety in t... Chinese Clinical Trial Registry identifier: ChiCTR1800018817....

Effect of kangaroo mother care on pain during orogastric tube insertion in low-birthweight newborns: An open label, randomised trial.

Non-pharmacological methods are commonly used to reduce the procedural pain in newborns. In this open label, randomised control trial, we studied the pain-reducing effect of kangaroo mother care (KMC)... Newborns, with birthweight 1500-2499 g and admitted to nursery, were randomised into control (no-KMC) or intervention (KMC) arms. In intervention arm, KMC was given for 60 min before and after the pro... Newborns included in no-KMC (n = 40) or KMC (n = 40) arms were comparable for major confounders (P > 0.05). Pre-procedural pain scores were comparable (P = 0.72). Pain scores measured during and after... Orogastric tube placement is a painful procedure. KMC significantly reduces periprocedural pain and its effect continues for at least 15 min after the procedure....

Postprocedural Pain Associated With 5 Versus 20 Intradetrusor Injections of onabotulinumtoxinA for Treatment of Overactive Bladder: A Multicenter Randomized Clinical Trial.

Intradetrusor injection of onabotulinumtoxinA is performed via varying injection paradigms but no studies have studied the various effects of these paradigms on patient experience with the procedure.... This randomized clinical trial aims to compare pain and procedure time between patients receiving a 100-unit dose of onabotulinumtoxinA in 5 injections compared to 20 injections for the treatment of i... Patients presenting with refractory overactive bladder or urgency urinary incontinence at 2 clinical sites were identified and randomized to undergo onabotulinumtoxinA treatment with 5 injections vers... The average pain score was not statistically significant between groups (2; interquartile range, 1-4 for the 5 injection group vs 3; interquartile range, 2-4 for the 20 injection group; P = 0.27). Pat... Perceived pain, efficacy, and postprocedure complications did not significantly differ between patients receiving 5 injections and 20 injections, but procedure time was significantly shorter....

Defining numerical cut points for mild, moderate, and severe pain in adult burn survivors: A northwest regional burn model system investigation.

Pain is a common and often debilitating sequela of burn injury. Burn pain develops following damage to peripheral sensory nerves and the release of inflammatory mediators from injury. Burn pain is com... An average pain intensity VAS/NRS score (0-10) and customized PROMIS-PI short form were administered to adults with burn injury treated at a regional burn center at hospital discharge (baseline) and a... Data from a sample of 253 participants (83% white, 66% male, mean age 47 years) with VAS/NRS pain intensity and PROMIS-PI scores at one or more timepoints were analyzed. The optimal classification for... VAS/NRS scores for pain among adults with burn injury can be categorized as mild (0-2), moderate (3-5), and severe (6-10). These findings advance our understanding regarding the meaning of pain intens...

The efficacy of socially assistive robots in improving children's pain and negative affectivity during needle-based invasive treatment: A systematic review and meta-analysis.

The ability of socially assistive robots (SARs) to treat dementia and Alzheimer's disease has been verified. Currently, to increase the range of their application, there is an increasing amount of int... This study aimed to evaluate the effect of SARs on pain and negative affectivity among children undergoing invasive needle-based procedures.... This study was a systematic review and meta-analysis of randomized controlled trials that was conducted in accordance with the Cochrane Handbook guidelines.... The PubMed, CINAHL, Web of Science, Cochrane Library, Embase, CNKI, and WanFang databases were searched from inception to January 2024 to identify relevant randomized controlled trials (RCTs). We used... Ten RCTs involving 815 pediatric subjects were selected for this review and reported outcomes related to pain and emotions during IV placement, port needle insertion, flu vaccination, blood sampling, ... The use of SARs is a promising intervention method for alleviating anxiety and distress among children undergoing needle-related procedures. However, additional high-quality randomized controlled tria... The protocol of this study has been registered in the database PROSPERO (registration ID: CRD42023413279)....

Association of biopsy core number and location with pain in patients undergoing a transperineal prostate biopsy under local anaesthesia: a secondary analysis of the APROPOS trial.

APROPOS was a multicentre, randomized, blinded trial focus on investigating the perineal nerve block versus the periprostatic block in pain control for men undergoing a transperineal prostate biopsy. ... APROPOS was performed at six medical centers in China. Patients with suspected prostate cancer were randomized to receive either a perineal nerve block or a periprostatic block (1:1), followed by a tr... Between 12 August 2020 and 20 July 2022, a total of 192 patients were randomized in the original trial, and 188 were involved in this analysis, with 94 patients per group. Participants had a median (I... In this secondary analysis of a randomized trial, biopsy core count and location were associated with pain in patients undergoing a transperineal prostate biopsy under local anesthesia. These results ...