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Titolo:
ASSESSMENT OF POSTOPERATIVE PAIN AFTER LARYNGEAL SURGERY FOR CANCER
Autore:
MOM T; BAZIN JE; COMMUN F; DUBRAY C; ESCHALIER A; DERBAL C; AVAN P; GILAIN L;
Indirizzi:
CTR HOSP UNIV,SERV ORL & CHIRURG CERVICOFACIALE,DEPT OTOLARYNGOL HEAD& NECK SURG,BP 69 F-63003 CLERMONT FERRA 1 FRANCE CTR HOSP UNIV,DEPT ANESTHESIA & INTENS CARE F-63003 CLERMONT FERRA 1 FRANCE UNIV AUVERGNE,DEPT CLIN PHARMACOL CLERMONT FERRA FRANCE UNIV AUVERGNE,DEPT BIOPHYS CLERMONT FERRA FRANCE
Titolo Testata:
Archives of otolaryngology, head & neck surgery
fascicolo: 7, volume: 124, anno: 1998,
pagine: 794 - 798
SICI:
0886-4470(1998)124:7<794:AOPPAL>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
PATIENT-CONTROLLED ANALGESIA; QUALITY-OF-LIFE; RESPIRATORY DEPRESSION; PSYCHOLOGICAL-FACTORS; TONSILLECTOMY; INFILTRATION; BUPIVACAINE; ANESTHESIA; RELIEF;
Tipo documento:
Editorial Material
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
25
Recensione:
Indirizzi per estratti:
Citazione:
T. Mom et al., "ASSESSMENT OF POSTOPERATIVE PAIN AFTER LARYNGEAL SURGERY FOR CANCER", Archives of otolaryngology, head & neck surgery, 124(7), 1998, pp. 794-798

Abstract

Objectives: To assess the intensity of postoperative pain after laryngeal surgery for cancer and the efficacy of analgesic injections at fixed hours. Design: A prospective clinical study performed during the 3days following laryngeal cancer surgery. Setting: A university medical center. Patients: Fifteen men (age range, 38-74 years) having just undergone a partial or total laryngectomy for epidermoid carcinoma. Interventions: The analgesic treatment consisted of intravenous administrations at fixed hours (propacetamol or nalbuphine hydrochloride), withthe possibility of rescue doses on demand. Pain and anxiety were assessed by means of visual analog scales (graduated from 0-10) every 3 hours on postoperative day 1, then every 6 hours on postoperative days 2and 3. Objective criteria, ie, heart and respiratory rates and mean blood pressure, were measured with the same schedule. Main Outcome Measures: Postoperative pain and anxiety intensities and their variations were analyzed. Correlations between postoperative pain and other criteria were researched. Results: Postoperative pain had a high initial level (maximum median, 7), then decreased and reached a score of 3 at the 30th hour. Unpredictable individual peaks of pain were reported. Anxiety was never high (maximum median, 4). No individual correlation wasfound between pain and objective parameters. Conclusions: After laryngeal surgery for cancer, pain can reach high levels, particularly in the first hours following recovery. Analgesic administrations at fixed hours are not effective enough. Postoperative analgesic treatment should aim to prevent the high initial pain and be individually adapted.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/11/20 alle ore 07:09:37