Risk Factors for Moderate to Severe Pain during the First 24 Hours after Laparoscopic Bariatric Surgery While Receiving Intravenous Patient-Controlled Analgesia
Joint Authors
Iamaroon, Arissara
Tangwiwat, Suwimon
Nivatpumin, Patchareya
Lertwacha, Thidarat
Rungmongkolsab, Piyawadee
Pangthipampai, Pawinee
Source
Anesthesiology Research and Practice
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-10-03
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Objective.
To investigate the incidence of and risk factors for moderate to severe pain during the first 24 hours after laparoscopic bariatric surgery.
Materials and Methods.
This retrospective study included morbidly obese patients who underwent laparoscopic sleeve gastrectomy or Roux-en-Y gastric bypass at a single institution between June 2016 and July 2018.
Demographic, clinical, operative, and postoperative pain data from the postanesthesia care unit (PACU) and ward were analyzed.
Intravenous patient-controlled analgesia (IV-PCA) was commenced before PACU discharge.
Results.
Ninety-seven patients were included.
The mean age was 38.60 ± 12.27 years, and the mean BMI was 45.04 ± 8.42 kg/m2, and 69% were female.
The incidence of moderate to severe pain was 75%.
Moderate to severe pain during the first 24 hours was associated with young age, female sex, postoperative administration of NSAIDs, first pain score greater than 3 on arrival at the PACU, and inadequate pain control at PACU discharge.
A multivariate analysis revealed that inadequate pain control at PACU discharge was the only factor independently associated with moderate to severe pain during the first 24 hours postoperatively (p=0.011).
From PACU discharge to the end of postoperative day 3, moderate to severe pain at the end of each 24-hour period was a significant predictor of moderate to severe pain in the subsequent 24-hour period (p=0.011, p<0.001, and p=0.004, respectively).
Conclusions.
Moderate to severe pain was experienced by 75% of patients undergoing laparoscopic bariatric surgery and receiving IV-PCA after PACU discharge.
Inadequate pain control at PACU discharge was the only independent risk factor for moderate to severe pain during the first 24 hours postoperatively.
American Psychological Association (APA)
Iamaroon, Arissara& Tangwiwat, Suwimon& Nivatpumin, Patchareya& Lertwacha, Thidarat& Rungmongkolsab, Piyawadee& Pangthipampai, Pawinee. 2019. Risk Factors for Moderate to Severe Pain during the First 24 Hours after Laparoscopic Bariatric Surgery While Receiving Intravenous Patient-Controlled Analgesia. Anesthesiology Research and Practice،Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1122306
Modern Language Association (MLA)
Iamaroon, Arissara…[et al.]. Risk Factors for Moderate to Severe Pain during the First 24 Hours after Laparoscopic Bariatric Surgery While Receiving Intravenous Patient-Controlled Analgesia. Anesthesiology Research and Practice No. 2019 (2019), pp.1-7.
https://search.emarefa.net/detail/BIM-1122306
American Medical Association (AMA)
Iamaroon, Arissara& Tangwiwat, Suwimon& Nivatpumin, Patchareya& Lertwacha, Thidarat& Rungmongkolsab, Piyawadee& Pangthipampai, Pawinee. Risk Factors for Moderate to Severe Pain during the First 24 Hours after Laparoscopic Bariatric Surgery While Receiving Intravenous Patient-Controlled Analgesia. Anesthesiology Research and Practice. 2019. Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1122306
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1122306