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...

Descripción completa

Detalles Bibliográficos
Autores principales: Czaplik, Michael, Hübner, Christa, Köny, Markus, Kaliciak, Julia, Kezze, Fatima, Leonhardt, Steffen, Rossaint, Rolf
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