Articles: pain-management-methods.
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Randomized Controlled Trial
Transcutaneous electrical nerve stimulation for chronic post-herpetic neuralgia.
Postherpetic neuralgia remains a therapeutic challenge for the clinician. Many modalities have been utilized with limited success. In this pilot randomized study of patients who were refractory to previous medicinal treatment, the patients were treated with transcutaneous nerve stimulation with a biofeedback capability. ⋯ The true device was chosen over the sham device by all patients. The majority of these patients treated by the true device reported a statistically significant decrease in pain scores (P < 0.001). Further investigation of this Food and Drug Administration, class 2 accepted, electronic device for relief of pain is warranted for patients with a history of recalcitrant postherpetic neuralgia.
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Nurs Child Young People · Apr 2015
Randomized Controlled TrialA randomised controlled trial examining the effectiveness of cartoons as a distraction technique.
Distress and pain associated with immunisation are significant problems for children, carers and healthcare professionals. This study was designed to determine whether distraction by watching cartoons during immunisation could reduce the distress and pain perceived by the children. ⋯ By using an easy, cheap intervention, children's first introduction to health services can be made a positive experience which will decrease the number developing pre-procedural anxiety or a fear of needles.
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Plast. Reconstr. Surg. · Apr 2015
Randomized Controlled TrialOxygen reduces tourniquet-associated pain: a double-blind, randomized, controlled trial for application in hand surgery.
Why do limb tourniquets cause pain? If ischemia is the mechanism, can supplemental oxygen reduce pain? The Reducing Tourniquet Associated Pain study investigated whether this simple treatment could extend tourniquet tolerance time to facilitate hand surgery under local or regional anesthesia. ⋯ Oxygen is a readily available, low-risk, low-cost treatment that significantly reduced tourniquet-associated pain in this study and significantly increased the time taken to reach visual analogue scale score of 40 or more. The authors recommend oxygen to facilitate hand surgery under a tourniquet and when a regional block fails to control tourniquet pain.
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Randomized Controlled Trial Comparative Study
Postoperative analgesia with continuous wound infusion of local anaesthesia vs saline: a double-blind randomized, controlled trial in colorectal surgery.
The aim of this prospective double-blind randomized clinical trial was to determine whether preperitoneal continuous wound infusion (CWI) of the local anaesthetic ropivacaine after either laparotomy or video-assisted laparoscopy for colorectal surgery would reduce patient consumption of morphine. ⋯ Preperitoneal CWI of ropivacaine is a good, safe addition to a multimodal analgesia regimen for colorectal surgery. CWI can reduce morphine consumption without increasing adverse effects.
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Randomized Controlled Trial
Text messaging reduces analgesic requirements during surgery.
This study aims to determine whether communicating via short message service text message during surgery procedures leads to decreased intake of fentanyl for patients receiving regional anesthesia below the waist compared with a distraction condition and no intervention. ⋯ Text messaging during surgery provides analgesic-sparing benefits that surpass distraction techniques, suggesting that mobile phones provide new opportunities for social support to improve patient comfort and reduce analgesic requirements during minor surgeries and in other clinical settings.