Cargando…
Acute Pain Therapy in Postanesthesia Care Unit Directed by Skin Conductance: A Randomized Controlled Trial
BACKGROUND: After surgery, effective and well-directed acute pain therapy is a necessary and integral part of the overall treatment plan. Generally, the assessment of pain intensity depends on a patient’s self-evaluation using scoring systems such as numeric rating scales (NRS, 0 to 10). Recently, a...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2012
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3407175/ https://www.ncbi.nlm.nih.gov/pubmed/22848592 http://dx.doi.org/10.1371/journal.pone.0041758 |
_version_ | 1782239303734132736 |
---|---|
author | Czaplik, Michael Hübner, Christa Köny, Markus Kaliciak, Julia Kezze, Fatima Leonhardt, Steffen Rossaint, Rolf |
author_facet | Czaplik, Michael Hübner, Christa Köny, Markus Kaliciak, Julia Kezze, Fatima Leonhardt, Steffen Rossaint, Rolf |
author_sort | Czaplik, Michael |
collection | PubMed |
description | BACKGROUND: After surgery, effective and well-directed acute pain therapy is a necessary and integral part of the overall treatment plan. Generally, the assessment of pain intensity depends on a patient’s self-evaluation using scoring systems such as numeric rating scales (NRS, 0 to 10). Recently, a “Pain Monitor” was commercially provided which is based on measurements of fluctuations of skin conductance (NFSC). In this randomized, controlled, single-blind trial, possible benefits of this certain device were studied. METHODS: Postoperative patients (n = 44) were randomly assigned to a test or a control group during their stay in the postanesthesia care unit (PACU). All patients were treated and monitored according to internal hospital standards. Whereas all patients systematically evaluated their pain each 15 min, test group patients were additionally addressed when NFSC exceeded a predefined level. In cases of NRS≥5 during a routine elevation or in between, pain relief was achieved by standard procedures irrespective of group allocation. RESULTS: During their stay in PACU, both test and control groups experienced a significant decrease in NRS as a consequence of pain therapy. No significant differences in mean NRS or in NFSC values were found between the test and control groups. No correlation was observed between NRS and NFSC. CONCLUSION: Postoperative patients experience diverse stressors, such as anxiety, disorientation, shivering, sickness and pain. Although the application of continuous pain monitoring would be meaningful in this clinical setting, the tested device failed to distinguish pain from other stressors in postoperative adult patients. TRIAL REGISTRATION: German Clinical Trials Register DRKS00000755. |
format | Online Article Text |
id | pubmed-3407175 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-34071752012-07-30 Acute Pain Therapy in Postanesthesia Care Unit Directed by Skin Conductance: A Randomized Controlled Trial Czaplik, Michael Hübner, Christa Köny, Markus Kaliciak, Julia Kezze, Fatima Leonhardt, Steffen Rossaint, Rolf PLoS One Research Article BACKGROUND: After surgery, effective and well-directed acute pain therapy is a necessary and integral part of the overall treatment plan. Generally, the assessment of pain intensity depends on a patient’s self-evaluation using scoring systems such as numeric rating scales (NRS, 0 to 10). Recently, a “Pain Monitor” was commercially provided which is based on measurements of fluctuations of skin conductance (NFSC). In this randomized, controlled, single-blind trial, possible benefits of this certain device were studied. METHODS: Postoperative patients (n = 44) were randomly assigned to a test or a control group during their stay in the postanesthesia care unit (PACU). All patients were treated and monitored according to internal hospital standards. Whereas all patients systematically evaluated their pain each 15 min, test group patients were additionally addressed when NFSC exceeded a predefined level. In cases of NRS≥5 during a routine elevation or in between, pain relief was achieved by standard procedures irrespective of group allocation. RESULTS: During their stay in PACU, both test and control groups experienced a significant decrease in NRS as a consequence of pain therapy. No significant differences in mean NRS or in NFSC values were found between the test and control groups. No correlation was observed between NRS and NFSC. CONCLUSION: Postoperative patients experience diverse stressors, such as anxiety, disorientation, shivering, sickness and pain. Although the application of continuous pain monitoring would be meaningful in this clinical setting, the tested device failed to distinguish pain from other stressors in postoperative adult patients. TRIAL REGISTRATION: German Clinical Trials Register DRKS00000755. Public Library of Science 2012-07-27 /pmc/articles/PMC3407175/ /pubmed/22848592 http://dx.doi.org/10.1371/journal.pone.0041758 Text en © 2012 Czaplik et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited. |
spellingShingle | Research Article Czaplik, Michael Hübner, Christa Köny, Markus Kaliciak, Julia Kezze, Fatima Leonhardt, Steffen Rossaint, Rolf Acute Pain Therapy in Postanesthesia Care Unit Directed by Skin Conductance: A Randomized Controlled Trial |
title | Acute Pain Therapy in Postanesthesia Care Unit Directed by Skin Conductance: A Randomized Controlled Trial |
title_full | Acute Pain Therapy in Postanesthesia Care Unit Directed by Skin Conductance: A Randomized Controlled Trial |
title_fullStr | Acute Pain Therapy in Postanesthesia Care Unit Directed by Skin Conductance: A Randomized Controlled Trial |
title_full_unstemmed | Acute Pain Therapy in Postanesthesia Care Unit Directed by Skin Conductance: A Randomized Controlled Trial |
title_short | Acute Pain Therapy in Postanesthesia Care Unit Directed by Skin Conductance: A Randomized Controlled Trial |
title_sort | acute pain therapy in postanesthesia care unit directed by skin conductance: a randomized controlled trial |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3407175/ https://www.ncbi.nlm.nih.gov/pubmed/22848592 http://dx.doi.org/10.1371/journal.pone.0041758 |
work_keys_str_mv | AT czaplikmichael acutepaintherapyinpostanesthesiacareunitdirectedbyskinconductancearandomizedcontrolledtrial AT hubnerchrista acutepaintherapyinpostanesthesiacareunitdirectedbyskinconductancearandomizedcontrolledtrial AT konymarkus acutepaintherapyinpostanesthesiacareunitdirectedbyskinconductancearandomizedcontrolledtrial AT kaliciakjulia acutepaintherapyinpostanesthesiacareunitdirectedbyskinconductancearandomizedcontrolledtrial AT kezzefatima acutepaintherapyinpostanesthesiacareunitdirectedbyskinconductancearandomizedcontrolledtrial AT leonhardtsteffen acutepaintherapyinpostanesthesiacareunitdirectedbyskinconductancearandomizedcontrolledtrial AT rossaintrolf acutepaintherapyinpostanesthesiacareunitdirectedbyskinconductancearandomizedcontrolledtrial |