Titre : Douleur postopératoire

Douleur postopératoire : Questions médicales fréquentes

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"Symptômes sur Douleur postopératoire", "description": "Quels sont les symptômes de la douleur postopératoire ?\nLa douleur postopératoire est-elle toujours localisée ?\nPeut-on ressentir des douleurs fantômes après une opération ?\nLa douleur postopératoire peut-elle affecter le sommeil ?\nQuels facteurs aggravent la douleur postopératoire ?", "url": "https://questionsmedicales.fr/mesh/D010149?page=3#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Douleur postopératoire", "description": "Comment prévenir la douleur postopératoire ?\nLe choix de la technique chirurgicale influence-t-il la douleur ?\nL'éducation du patient aide-t-elle à prévenir la douleur ?\nLes médicaments préopératoires peuvent-ils réduire la douleur ?\nLe soutien psychologique est-il important ?", "url": "https://questionsmedicales.fr/mesh/D010149?page=3#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Douleur postopératoire", "description": "Quels traitements sont disponibles pour la douleur postopératoire ?\nLes opioïdes sont-ils utilisés pour la douleur postopératoire ?\nLa physiothérapie aide-t-elle à soulager la douleur postopératoire ?\nLes traitements alternatifs sont-ils efficaces ?\nComment la gestion de la douleur est-elle planifiée ?", "url": "https://questionsmedicales.fr/mesh/D010149?page=3#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Douleur postopératoire", "description": "Quelles complications peuvent aggraver la douleur postopératoire ?\nLa douleur postopératoire peut-elle devenir chronique ?\nQuels signes indiquent une complication sérieuse ?\nComment les complications sont-elles gérées ?\nLes antécédents médicaux influencent-ils les complications ?", "url": "https://questionsmedicales.fr/mesh/D010149?page=3#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Douleur postopératoire", "description": "Quels facteurs augmentent le risque de douleur postopératoire ?\nLe type de chirurgie influence-t-il la douleur ?\nLe niveau d'anxiété affecte-t-il la douleur postopératoire ?\nLes habitudes de vie influencent-elles la douleur postopératoire ?\nLes médicaments pris avant l'opération influencent-ils la douleur ?", "url": "https://questionsmedicales.fr/mesh/D010149?page=3#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment évaluer la douleur postopératoire ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "La douleur est évaluée à l'aide d'échelles numériques ou visuelles." } }, { "@type": "Question", "name": "Quels signes indiquent une douleur postopératoire sévère ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Une douleur intense, une agitation ou des signes de détresse peuvent indiquer une douleur sévère." } }, { "@type": "Question", "name": "Quand consulter un médecin pour la douleur postopératoire ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Consultez si la douleur persiste au-delà de ce qui est attendu ou s'aggrave." } }, { "@type": "Question", "name": "Quels examens peuvent aider au diagnostic ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "Des examens d'imagerie ou des analyses peuvent être réalisés si la douleur est atypique." } }, { "@type": "Question", "name": "La douleur postopératoire peut-elle être confondue avec d'autres douleurs ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Oui, elle peut être confondue avec des douleurs liées à des complications chirurgicales." } }, { "@type": "Question", "name": "Quels sont les symptômes de la douleur postopératoire ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent douleur, sensibilité, gonflement et parfois fièvre." } }, { "@type": "Question", "name": "La douleur postopératoire est-elle toujours localisée ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Pas toujours, elle peut irradier ou être diffuse selon l'intervention." } }, { "@type": "Question", "name": "Peut-on ressentir des douleurs fantômes après une opération ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des douleurs fantômes peuvent survenir après une amputation ou une chirurgie nerveuse." } }, { "@type": "Question", "name": "La douleur postopératoire peut-elle affecter le sommeil ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Oui, la douleur peut perturber le sommeil et affecter la récupération." } }, { "@type": "Question", "name": "Quels facteurs aggravent la douleur postopératoire ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Le stress, l'anxiété et les mouvements peuvent aggraver la douleur postopératoire." } }, { "@type": "Question", "name": "Comment prévenir la douleur postopératoire ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Une bonne gestion de la douleur préopératoire et des techniques de relaxation 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 minimales peuvent réduire la douleur postopératoire." } }, { "@type": "Question", "name": "L'éducation du patient aide-t-elle à prévenir la douleur ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Oui, informer le patient sur la gestion de la douleur peut réduire l'anxiété et la douleur." } }, { "@type": "Question", "name": "Les médicaments préopératoires peuvent-ils réduire la douleur ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des analgésiques administrés avant l'opération peuvent diminuer la douleur postopératoire." } }, { "@type": "Question", "name": "Le soutien psychologique est-il important ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le soutien psychologique peut aider à gérer l'anxiété et la douleur postopératoire." } }, { "@type": "Question", "name": "Quels traitements sont disponibles pour la douleur postopératoire ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Les traitements incluent analgésiques, anti-inflammatoires et thérapies physiques." } }, { "@type": "Question", "name": "Les opioïdes sont-ils utilisés pour la douleur postopératoire ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les opioïdes peuvent être prescrits pour les douleurs postopératoires sévères." } }, { "@type": "Question", "name": "La physiothérapie aide-t-elle à soulager la douleur postopératoire ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Oui, la physiothérapie peut aider à réduire la douleur et améliorer la mobilité." } }, { "@type": "Question", "name": "Les traitements alternatifs sont-ils efficaces ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Des approches comme l'acupuncture peuvent aider, mais les preuves varient." } }, { "@type": "Question", "name": "Comment la gestion de la douleur est-elle planifiée ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "La gestion de la douleur est planifiée avant l'opération et ajustée après selon les besoins." } }, { "@type": "Question", "name": "Quelles complications peuvent aggraver la douleur postopératoire ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Des infections, des hématomes ou des complications nerveuses peuvent aggraver la douleur." } }, { "@type": "Question", "name": "La douleur postopératoire peut-elle devenir chronique ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Oui, dans certains cas, la douleur postopératoire peut évoluer vers une douleur chronique." } }, { "@type": "Question", "name": "Quels signes indiquent une complication sérieuse ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Fièvre élevée, rougeur, gonflement ou douleur intense peuvent indiquer une complication." } }, { "@type": "Question", "name": "Comment les complications sont-elles gérées ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Les complications sont gérées par des traitements médicaux appropriés et parfois une intervention chirurgicale." } }, { "@type": "Question", "name": "Les antécédents médicaux influencent-ils les complications ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des antécédents de maladies chroniques peuvent augmenter le risque de complications postopératoires." } }, { "@type": "Question", "name": "Quels facteurs augmentent le risque de douleur postopératoire ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "L'âge avancé, l'obésité et les antécédents de douleur chronique augmentent le risque." } }, { "@type": "Question", "name": "Le type de chirurgie influence-t-il la douleur ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les chirurgies plus invasives sont souvent associées à une douleur postopératoire plus intense." } }, { "@type": "Question", "name": "Le niveau d'anxiété affecte-t-il la douleur postopératoire ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Oui, un niveau d'anxiété élevé peut intensifier la perception de la douleur postopératoire." } }, { "@type": "Question", "name": "Les habitudes de vie influencent-elles la douleur postopératoire ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le tabagisme et l'inactivité physique peuvent augmenter le risque de douleur postopératoire." } }, { "@type": "Question", "name": "Les médicaments pris avant l'opération influencent-ils la douleur ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Oui, certains médicaments peuvent interférer avec la gestion de la douleur postopératoire." } } ] } ] }

Sources (10000 au total)

Psychological disorders in patients with chronic postoperative inguinal pain.

Chronic postoperative inguinal pain (CPIP), a complication of inguinal hernia repair, may negatively affect mental health. The rates of psychological disorders in patients with CPIP are unknown. We ai... A retrospective chart review was performed of all patients seen at the Cleveland Clinic Center for Abdominal Core Health's inter-disciplinary Chronic Groin Pain Clinic. This clinic is unique in that a... From January 2018 to January 2022, 61 patients were evaluated and included in the study. Psychological treatment had been provided to 37 (61%) patients (present: 16 (27%), past: 21 (35%)). The most co... An inter-disciplinary groin pain clinic has revealed that patients with CPIP frequently have pre-existing complex psychosocial issues. A multi-specialty approach to CPIP may improve preoperative asses...

Is Presurgical Pain Intensity Related to Postoperative Recurrence of Post-Traumatic Trigeminal Neuropathic Pain?

Post-traumatic trigeminal neuropathic pain (PTTNp) is a challenging condition to treat, and equally as challenging is the identification of surgical outcome variables to guide treatment. The study pur... This retrospective cohort study assessed subjects at a single institution with preoperative PTTNp of either the lingual or inferior alveolar nerves who underwent elective microneurosurgery. Two cohort... Forty-eight patients were included in the final analysis. There were 20 patients with no pain at 6 months and 28 with recurrence at 6 months following surgery. There was a significant difference in me... This study showed that presurgical pain intensity level was related to postoperative recurrence in the surgical treatment of PTTNp. In patients with recurrence, the preoperative pain intensity was hig...

A Systematic Review of Race, Sex, and Socioeconomic Status Differences in Postoperative Pain and Pain Management.

Optimal postoperative pain management remains a significant problem despite the availability of multiple preoperative, intraoperative, and postoperative pain management interventions. Recent studies s... This study is a systematic review of literature.... Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology, we systematically searched 5 databases: Cumulative Index to Nursing and Allied Health Literature (CIN... A total of 464 articles were screened, of which 32 were included in this study. In most studies, Blacks/African American experience more severe postoperative pain than Whites/Caucasians. Whites were m... Optimal postoperative pain relief continues to be a challenge for individuals who self-identify as racialized minorities, females, and those of lower SES. Standardization of care may help reduce dispa...

[Application possibilities of digital tools in postoperative pain therapy].

Recently, digital tools, such as smartphone-based applications and the use of artificial intelligence have increasingly found their way into pain medicine. This could enable new treatment approaches i... An orienting literature search was carried out in the MEDLINE and Web of Science databases, and a targeted selection of essential key publications was made in order to provide a structured presentatio... Today, possible applications of digital tools, even if they mostly have only a model character, include pain documentation and assessment, patient self-management and education, pain prediction, decis... The use of digital tools, although so far integrated in clinical routine in a relatively selective and exemplary manner, promises to be an innovative approach for personalized postoperative pain thera...

Association Between Postoperative Methocarbamol and Postoperative Pain Opioid Dose Requirements: A Retrospective Cohort Study.

We tested the hypothesis that patients who received methocarbamol postoperatively experience less severe pain and require smaller doses of opioids than those who did not receive methocarbamol.... This is a retrospective cohort study of patients undergoing surgery involving the musculoskeletal system. Of 9089 patients, 704 received methocarbamol during 48 hours postoperatively, while 8385 did n... Postoperative 48-hour TWA pain scores were 5.5±1.7 (mean±SD), and 4.3±2.1 for methocarbamol and non-methocarbamol patients. Postoperative 48-hour opioid dose requirements in MME were 276 [170-347] (me... Postoperative methocarbamol was associated with significantly higher acute postoperative pain burden and opioid dose requirements. Although the results of the study are influenced by residual confound...

Pain management after total knee arthroplasty: PROcedure SPEcific Postoperative Pain ManagemenT recommendations.

The PROSPECT (PROcedure SPEcific Postoperative Pain ManagemenT) Working Group is a global collaboration of surgeons and anaesthesiologists formulating procedure-specific recommendations for pain manag... To evaluate the available literature and develop recommendations for optimal pain management after unilateral primary TKA.... A narrative review based on published systematic reviews, using modified PROSPECT methodology.... A literature search was performed in EMBASE, MEDLINE, PubMed and Cochrane Databases, between January 2014 and December 2020, for systematic reviews and meta-analyses evaluating analgesic interventions... Each randomised controlled trial (RCT) included in the selected systematic reviews was critically evaluated and included only if met the PROSPECT requirements. Included studies were evaluated for clin... A total of 151 systematic reviews were analysed, 106 RCTs met PROSPECT criteria. Paracetamol and nonsteroidal anti-inflammatory or cyclo-oxygenase-2-specific inhibitors are recommended. This should be... The present review identified an optimal analgesic regimen for unilateral primary TKA. Future studies to evaluate enhanced recovery programs and specific challenging patient groups are needed....

Opioid versus non-opioid postoperative pain management in otolaryngology.

The opioid epidemic in the United States has had devastating consequences, with many opioid-related deaths and a significant economic toll. Opioids have a significant role in postoperative pain manage... A retrospective chart review of patients undergoing common otolaryngological procedures during the years 2017-2019 was conducted at two tertiary care centers, one in the U.S. and the other in Israel. ... The study included 204 patients (103 U.S., 101 Israel). Patient demographics were similar except for a longer length of stay in Israel (p < 0.01). In the U.S., 95% of patients were ordered opioids com... HMC demonstrated a significantly more permissive approach to both prescribing and consuming opioid medications for postoperative pain management than SMC for similar, common otolaryngological surgerie...

The impact of anxiety on postoperative pain following pelvic reconstructive surgery.

Despite the prevalence of anxiety, its impact on postoperative pain remains poorly characterized. The present study was aimed at assessing the impact of preoperative anxiety on postoperative pain in p... This was a prospective multi-center observational study in Baltimore between September 2018 and June 2019. The Beck Anxiety Inventory was used to assess preoperative anxiety and the validated Surgical... A total of 149 patients undergoing pelvic reconstructive surgery completed preoperative surveys. The median age of the study population was 59. The prevalence of preoperative anxiety (anxiety score > ... A large fraction of women undergoing pelvic reconstructive surgery have moderate to severe preoperative anxiety. Women with preoperative anxiety appear to have greater odds of increased postoperative ...

Intraoperative dexmedetomidine on postoperative pain in gastrointestinal surgery: an observational study.

Dexmedetomidine (DEX) is widely used for adjuvant sedation and analgesia in gastrointestinal surgeries. The authors aimed to reassess the effects of intraoperative DEX on acute pain by comprehensive a... In this multicentre cohort study, patients undergoing gastrointestinal surgeries were prospectively enrolled in the China Acute Postoperative Pain Study. Patients were divided into DEX and non-DEX gro... Of the 1260 patients eligible for analysis, 711 (56.4%) received intraoperative DEX. Propensity score matching resulted in 415 patients in each group. Intraoperative DEX was associated with higher pat... Intraoperative DEX was associated with the prognosis of acute postoperative pain in multiple aspects in patients undergoing major gastrointestinal surgery, including increased patient satisfaction, an...