scholarly journals Does Listening to Music during Tonsillectomy Affect Sevoflurane Consumption?

2018 ◽  
Vol 27 (4) ◽  
pp. 343-349
Author(s):  
Elif Doğan Bakı ◽  
Şahin Ulu ◽  
Ahmet Yüksek ◽  
Hüseyin Arıcan ◽  
Remziye Sıvacı
Keyword(s):  
Rating Scale ◽  
Postoperative Recovery ◽  
Postanesthesia Care Unit ◽  
Control Group ◽  
Depth Of Anesthesia ◽  
Extubation Time ◽  
Duration Of Surgery ◽  
Eye Opening ◽  
The Difference ◽  
Pain Rating Scale

Objective: The aim of this study was to investigate the effect of listening to music on the consumption of an anesthetic agent as well as postoperative recovery and pain in children undergoing elective tonsillectomy. Materials and Methods: Fifty patients were randomized into those to whom music was played during surgery (group M) and a control group to whom music was not played (group C). The depth of anesthesia was provided by entropy levels of 50 ± 5 in both groups. Demographic characteristics and hemodynamic parameters were recorded perioperatively. The duration of surgery, sevoflurane consumption, eye opening time, and extubation time were also recorded. p < 0.05 was considered statistically significant. Results: Surgical pleth index values measured intraoperatively were statistically lower in group M than in group C. In the postanesthesia care unit children in the music group felt less pain than those in the control group according to the Wong-Baker Faces Pain Rating Scale (p = 0.035). The heart rates of the patients in the music group were statistically lower at 30 min intraoperatively and at the end of the procedure compared to the values of the control group (p = 0.015). The consumption of sevoflurane was lower in group M than in group C but the difference was not statistically significant. The need for additional fentanyl was significantly lower in group M than in group C. Conclusion: In this study, the children exposed to music intraoperatively needed less analgesia during surgery, and reported less pain postoperatively, but there was no difference in sevoflurane requirements.

Comparing Cephalic Index and Midsagittal Vector Analysis in Assessing Morphology in Sagittal Synostosis: A CT-Based Morphometric Analysis

2018 ◽  
Vol 56 (7) ◽  
pp. 944-952
Author(s):  
Brian Y. Hong ◽  
Emily S. Ho ◽  
Elizabeth Zellner ◽  
John H. Phillips ◽  
Christopher R. Forrest
Keyword(s):  
Discriminant Validity ◽  
Rating Scale ◽  
Numeric Rating Scale ◽  
Vector Analysis ◽  
Control Group ◽  
Global Rating ◽  
Cephalic Index ◽  
Sagittal Synostosis ◽  
Ct Evaluation ◽  
The Difference

Introduction: Assessment of cranial dysmorphism in sagittal synostosis is often subjective but objective measures can be applied. These include cephalic index (CI) and midsagittal vector analysis (MSVA). Objective: To assess discriminant validity, construct validity, and responsiveness of CI and MSVA measured from computed tomography (CT) in patients with sagittal synostosis. Methods: Patients with nonsyndromic isolated sagittal synostosis with complete preoperative (n = 30) and postoperative (n = 13) CT data were included. Age-matched control group (n = 24) comprised of normocephalic patients who underwent CT for reasons related to trauma. Outcome Measures: Retrospective CT evaluation of CI and MSVA was conducted and correlated with a dysmorphism numeric rating scale (D-NRS) that measured surgeon-rated severity of sagittal synostosis. Responsiveness of CI and MSVA was evaluated using dysmorphism global rating of change (D-GRC). Results: Thirty patients with sagittal synostosis were demographically similar to 24 normocephalic patients. The difference in CI and MSVA was statistically significant between normocephalic and scaphocephalic patients. Cephalic index had a good correlation with D-NRS ( r = −0.665, ρ = −0.667), but not with MSVA ( r = 0.250, ρ = 0.203). Change in CI ( r = 0.738, ρ = 0.657) was well correlated with D-GRC, but not with MSVA ( r = −0.409, ρ = −0.301). Conclusion: Cephalic index appears to quantify the severity of sagittal synostosis better than MSVA. Cephalic index also has better responsiveness than MSVA to measure a reduction in severity of disease; however, MSVA is a better descriptive craniometric measurement. Midsagittal vector analysis was able to quantify the shift in morphology in sagittal synostosis following surgical treatment.

scholarly journals Effect of acupuncture TENS versus conventional TENS on post cesarean section incision pain

2018 ◽  
Vol 7 (9) ◽  
pp. 3738
Author(s):  
Priti A. Mehendale ◽  
Mayur T. Revadkar
Keyword(s):  
Pain Intensity ◽  
Rating Scale ◽  
Control Group ◽  
P Value ◽  
Random Allocation ◽  
Lower Segment Caesarean Section ◽  
Post Operative Pain ◽  
Group A ◽  
Group B ◽  
Pain Rating Scale

Background: There is evidence regarding beneficial use of Transcutaneous Electrical Nerve Stimulation (TENS) on post Lower Segment Caesarean Section (LSCS) incision pain. However, efficacy of different types of TENS following C section pain has not yet been explored adequately.Methods: 96 women who had recently undergone LSCS were included for the study. The subjects were in the age group of 20 to 40 years (25.84±3.96); having pain intensity 4 or more on Numerical Pain Rating Scale (NPRS). They were divided into three groups by random allocation method; namely Group A: Acupuncture (Low/Motor) TENS, Group B: Conventional (High/Sensory) TENS and Group C: Control group. Group A and B received specific type of TENS twice a day for 15 minutes. Control group C did not receive any TENS intervention. All subjects received standard post-operative medications and physiotherapy. Pain intensity was recorded on NPRS pre and post intervention.Results: Both Acupuncture TENS and Conventional TENS significantly decreased post-operative pain intensity as compared to control group (p value <0.0001).Conclusions: Both, acupuncture and conventional TENS are equally effective in reducing post LSCS incision pain at a strong and non-painful intensity.

scholarly journals Effectiveness of Strengthening and Aerobic Exercises among Geriatrics with Arthritis

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 593-598
Author(s):  
Tamilselvi S ◽  
Anshu Gloria Ekka ◽  
Arul Jothi L
Keyword(s):  
Aerobic Exercise ◽  
Rating Scale ◽  
Nursing Intervention ◽  
Control Group ◽  
Research Approach ◽  
Intensity Level ◽  
Pain Rating ◽  
Numerical Pain Rating Scale ◽  
Pain Rating Scale ◽  
Experimental Group

Joint inflammation might be a term regularly acclimated mean any confusion that influences joints. Manifestations for the most part, incorporate joint torment and firmness. Different manifestations may incorporate redness, warmth, growing, the diminished scope of movement of the influenced joints. The aim of the study is to determine the effectiveness of strengthening and aerobic exercise among geriatrics with arthritis. A quantitative research approach with a quasi-experimental research design was used for the present study. A total of 60 arthritis clients who fall in the inclusion criteria were selected by purposive sampling technique, among which 30 samples were in the experimental group and 30 in the control group. The data were collected for both the groups, followed by the pre-test was conducted on the 1st day, the intensity level of pain was assessed by the numerical pain rating scale followed by the exercises which are effective in arthritis are a range of motion exercise, strengthening exercises (hand towel knee exercises, knee flexion, long arc quads), aerobic exercise (brisk walking) was initiated only in the experimental group. The post-test was conducted on 7th day and the level of pain was assessed by a numerical pain rating scale in both the groups. The results revealed that there was a significant reduction in the level of pain at p<0.0001 after the intervention among the experimental group. Thus, the study proves that strengthening and aerobic exercises can be used as an effective nursing intervention for reducing the arthritis pain among the geriatrics and it is easily applicable exercises, and also considered as a less cost-effective. These exercises can be practiced at home without any stress or harm and it has less side effect as compared to that of pharmacological interventions. 

scholarly journals Effectiveness of Cryotherapy on Pain Reduction During Arteriovenous Fistula Puncture Among Patients Undergoing Hemodialysis

2020 ◽  
Vol 11 (3) ◽  
pp. 4314-4317
Author(s):  
Thamu Priyadharshini N T
Keyword(s):  
Rating Scale ◽  
Life Support ◽  
Pain Reduction ◽  
Control Group ◽  
Pain Rating ◽  
Av Fistula ◽  
Numerical Pain Rating Scale ◽  
Significant Difference ◽  
Pain Rating Scale ◽  
Experimental Group

Dialysis is performed as critical life support when the patient is suffering acute and chronic kidney failure. The study focus on to determine effectiveness of on pain reduction during AV fistula puncture among patients undergoing . The population comprised of patients in . Experimental Research design was utilized for this study. The investigators assess the pain on AV fistula puncture among the patients with the assistance of numerical pain rating scale, Sixty samples (30 experimental group and 30 control group)were selected by probability simple random (Numerical table method)sampling technique, the data was gathered through the Numerical Pain Rating scale and demographic variables. The pain on AV fistula puncture of the experimental group and control group were calculated by paired’ test for experimental group (‘t’ = 18) and in control group, (‘t’ =1.5). This proves that there is a significant difference in test and post test levels of pain on AV fistula puncture in the experimental group at 0.05 levels. It indicated that the given was effective. The implication of the findings indicated that given was effective for pain reduction during AV fistula puncture among patients. : , pain on AV fistula puncture, patients. implication of the findings indicated that given was effective for pain reduction during AV fistula puncture among patients.

scholarly journals PENGARUH YOGA PRENATAL TERHADAP NYERI PUNGGUNG PADA IBU HAMIL TRIMESTER II DAN III DI LIA AZZAHRA MOM & BABY SPA TEGAL

2019 ◽  
Vol 3 (2) ◽  
pp. 92
Author(s):  
Sri Tanjung Rejeki ◽  
Yuni Fitriani
Keyword(s):  
Rating Scale ◽  
Rank Test ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Group Design ◽  
Signed Rank ◽  
Signed Rank Test ◽  
Numeric Pain Rating Scale ◽  
Pain Rating Scale

 Latar Belakang : Kehamilan melibatkan berbagai perubahan fisiologis antara lain perubahan fisik, perubahan sistem pencernaan, sistem respirasi, sistem traktus urinarius,muskuloskeletal dan sirkulasi. Dalam proses adaptasi tidak jarang ibu akan mengalami ketidaknyamanan salah satunya adalah nyeri punggung, meskipun nyeri punggung adalah hal fisiologis namun tetap perlu diberikan suatu penanganan, seperti yoga prenatal. Tujuan : untuk mengetahui pengaruh yoga prenatal terhadap nyeri punggung pada ibu hamil trimester II dan III. Metode penelitrian dengan quasi experiment Desain penelitian Pretest and Postest Without Control Group Design. Jumlah sampel dalam penelitian ini adalah 30 ibu hamil Trimester II dan III, alat ukur kuesioner Numeric Pain Rating Scale (NPRS). Penelitian dilakukan bulan April tahun 2019. Data dianalisis dengan Wilcoxon (Wilcoxon Signed Rank Test). Hasil penelitian menunjukkan adanya pengaruh yoga prenatal terhadap penurunan intensitas nyeri punggung pada ibu hamil trimenster II dan III karena nilai Asym. Sig sebesar 0,000(p value < 0,05).

scholarly journals UPPER LIMB NEURODYNAMIC BILATERAL LEBIH MENURUNKAN SKOR NYERI DAN TENSION NERVUS MEDIANUS DIBANDINGKAN DENGAN UPPER LIMB NEURODYNAMIC IPSILATERAL PADA PENDERITA CERVICAL RADICULOPATHY

2020 ◽  
Vol 8 (3) ◽  
pp. 175
Author(s):  
Gede Parta Kinandana ◽  
I Ketut Suyasa ◽  
Wahyuddin Wahyuddin ◽  
Putu Astawa ◽  
I Made Ady Wirawan ◽  
...  
Keyword(s):  
Upper Limb ◽  
Rating Scale ◽  
Cervical Radiculopathy ◽  
Control Group ◽  
Control Group Design ◽  
Group Design ◽  
Nervus Medianus ◽  
Post Test ◽  
Pain Rating Scale ◽  
Test Control

Pendahuluan: Cervical radiculopathy merupakan suatu kondisi klinis dimana terjadinya kompresi pada akar saraf yang menyebabkan perubahan fisiologis pada jaringan saraf. Tujuan Penelitian: membuktikan upper limb neurodynamic bilateral lebih menurunkan nyeri, meningkatkan range of motion (ROM) cervical, dan ekstensi elbow pada penderita cervical radiculopathy jika dibandingkan dengan neurodynamic ipsilateral. Metode:  Penelitian ini merupakan penelitian eksperimental dengan rancangan pre dan post-test control group design menggunakan 24 orang sampel yang dibagi ke dalam 2 kelompok. Pada Kelompok 1 diberikan upper limb neurodynamic ipsilateral sedangkan Kelompok 2 diberikan intervensi upper limb neurodynamic bilateral. Intervensi diberikan sebanyak 12 kali. Pengukuran skor nyeri menggunakan numerical pain rating scale (NPRS) dan ROM cervical menggunakan goniometer dan tension nervus medianus diukur melalui ROM ekstensi elbow. Hasil: Perbedaan yang bermakna antara kedua kelompok didapatkan pada pengukuran skor nyeri dengan nilai p = 0,000 (p<0,05) pada pengukuran nyeri diam dan saat neurodynamic testing. Perbedaan yang bermakna juga ditemukan pada pengukuran ekstensi elbow dengan nilai p = 0,000 (p<0,05). Perbedaan yang tidak bermakna ditemukan pada pengukuran ROM cervical (ekstensi, rotasi, dan lateral fleksi ipsilateral) dengan nilai p = 0,377; 0,110; dan 0,342 secara berurutan (p > 0,05). Kesimpulan: upper limb neurodynamic bilateral lebih menurunkan skor nyeri dan menurunkan tension nervus medianus dibandingkan dengan upper limb neurodynamic ipsilateral dan tidak lebih meningkatkan ROM cervical pada penderita cervical radiculopathy.   Kata kunci: nyeri, ROM cervical, ROM ekstensi elbow, neurodynamic ipsilateral, neurodynamic bilateral, cervical radiculopathy

scholarly journals PENGARUH WILLIAM FLEXION EXERCISE TERHADAP PENURUNAN INTENSITAS NYERI HAID (DYSMENORRHEA) PADA SISWI SMAN 7 KOTA MALANG

2019 ◽  
Vol 9 (1) ◽  
pp. 39
Author(s):  
Jaenal Abidin ◽  
Supriyadi Supriyadi ◽  
Mulyani Surendra
Keyword(s):  
Rating Scale ◽  
Sampling Technique ◽  
Control Group ◽  
Pain Rating ◽  
Menstrual Pain ◽  
Control Group Design ◽  
Group Design ◽  
Equivalent Control ◽  
Numeric Pain Rating Scale ◽  
Pain Rating Scale

AbstrakTujuan penelitian ini untuk mengetahui pengaruh William Flexion Exerciseterhadap penurunan intensitas nyeri haid. Penelitian ini menggunakan rancanganeksperimen semu dengan desain non equivalent control group design. Populasi dalampenelitian ini adalah seluruh siswi kelas XI SMAN 7 Kota Malang yang mengalaminyeri haid yang berjumlah 143 orang. Sampel yang diambil 20 orang untuk masingmasingkelompok. Teknik pengambilan sampel menggunakan purposive sampling.Instrumen yang digunakan yaitu Numeric Pain Rating Scale (NPRS). Hasil ujiANOVA diperoleh nilai p = 0,006. Berdasarkan hasil analisis data dapat disimpulkanbahwa terdapat pengaruh William Flexion Exercise terhadap penurunan intensitasnyeri haid (Dysmenorrhea) antara kelompok eksperimen dan kelompok kontrol padasiswi SMAN 7 Kota Malang.Kata Kunci: nyeri haid, william flexion exerciseAbstractThe purpose of this study was to determine the effect of william flexion exerciseon decreasing the intensity of menstrual pain. This study used quasy experimentaldesign with a non equivalent control group design. The population in this study wereall XI of SMAN 7 Malang City who experienced 143 people. Samples were taken by 20people for each group. The sampling technique used purposive sampling instrument.Used is the Numeric Pain Rating Scale (NPRS). ANOVA test results obtained values p= 0,006. Based on the reluts of data analysis it can be concluded that there are in theinfluence of william flexion exercise on the decrease in menstrual pain intensity(Dysmenorrhea) between control group on female students of SMAN 7 Malang City.Keywords: dysmenorrhea, william flexion exercise

scholarly journals Dexamethasone Dose and Early Postoperative Recovery after Mastectomy

2020 ◽  
Vol 132 (4) ◽  
pp. 678-691
Author(s):  
Kristin Julia Steinthorsdottir ◽  
Hussein Nasser Awada ◽  
Hanne Abildstrøm ◽  
Niels Kroman ◽  
Henrik Kehlet ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Odds Ratio ◽  
Primary Outcome ◽  
Rating Scale ◽  
Postoperative Recovery ◽  
Postanesthesia Care Unit ◽  
Early Recovery ◽  
Wound Infiltration ◽  
Pain Scores ◽  
Number Of Patients

Abstract Background Pain and nausea are the most common challenges in postoperative recovery after mastectomy. Preventive measures include multimodal analgesia with preoperative glucocorticoid. The aim of this study was to investigate whether 24 mg of preoperative dexamethasone was superior to 8 mg on early recovery after mastectomy in addition to a simple analgesic protocol. Methods In a randomized, double-blind trial, patients 18 yr of age or older having mastectomy were randomized 1:1 to 24 mg or 8 mg dexamethasone, and all received a standardized anesthetic and surgical protocol with preoperative acetaminophen, total intravenous anesthesia, and local anesthetic wound infiltration. The primary endpoint was number of patients transferred to the postanesthesia care unit according to standardized discharge criteria (modified Aldrete score). Secondary endpoints included pain and nausea at extubation, transfer from the operating room and upon arrival at the ward, length of stay, seroma occurrence, and wound infections. Results One hundred thirty patients (65 in each group) were included and analyzed for the primary outcome. Twenty-three (35%) in each group met the primary outcome, without significant differences in standardized discharge scores (odds ratio, 1.00 [95% CI, 0.49 to 2.05], P &gt; 0.999). More patients had seroma requiring drainage in the 24 mg versus 8 mg group, 94% versus 81%, respectively (odds ratio, 3.53 [95% CI, 1.07 to 11.6], P = 0.030). Median pain scores were low at all measured time points, numeric rating scale less than or equal to 2 versus less than or equal to 1 in the 24 mg versus 8 mg group, respectively. Six patients in each group (9%) experienced nausea at any time during hospital stay (P &gt; 0.999). Length of stay was median 11 and 9.2 h in the 24 and 8 mg group, respectively (P = 0.217). Conclusions The authors found no evidence of 24 mg versus 8 mg of dexamethasone affecting the primary outcome regarding immediate recovery after mastectomy. The authors observed a short length of stay and low pain scores despite a simple analgesic protocol. Editor’s Perspective What We Already Know about This Topic What This Article Tells Us That Is New

scholarly journals Use of Air Arthrograms to Aid in Joint Distraction During Hip Arthroscopic Surgery Decreases Postoperative Pain and Opioid Requirements

2019 ◽  
Vol 7 (4) ◽  
pp. 232596711983738 ◽  
Author(s):  
Jonathan D. Hodax ◽  
Sergio E. Flores ◽  
Edward C. Cheung ◽  
Alan L. Zhang
Keyword(s):  
Postoperative Pain ◽  
Rating Scale ◽  
Cohort Analysis ◽  
Arthroscopic Surgery ◽  
Positive Pressure ◽  
Postanesthesia Care Unit ◽  
Control Group ◽  
Joint Distraction ◽  
Patient Reported ◽  
Pacu Stay

Background: Positive-pressure air arthrography and venting of the hip capsule are techniques used to decrease the traction forces needed for joint distraction during hip arthroscopic surgery. Little is known about the effects that these techniques have on postoperative pain. Hypothesis: Positive-pressure air arthrography and venting during hip arthroscopic surgery will decrease patient-reported pain and narcotic requirements in the acute postoperative setting. Study Design: Cohort study; Level of evidence, 3. Methods: A retrospective cohort analysis was conducted to analyze 35 patients who underwent positive-pressure air arthrography and venting to aid joint distraction during hip arthroscopic surgery versus a group with similar demographics, pathologies, and treatments who did not undergo air arthrography. Numeric pain rating scale (NPRS) scores and medication administration including narcotic and nonnarcotic analgesia in the postanesthesia care unit (PACU) were tracked and compared. Results: The maximum (7.17 vs 4.97, respectively), minimum (2.43 vs 1.09, respectively), and mean (5.15 vs 3.11, respectively) NPRS scores were all higher in the control group compared with the air arthrogram group ( P < .001, P = .007, and P < .001, respectively). The administration of oral morphine equivalents (OMEs) during the PACU stay was significantly lower in the air arthrogram group, with a mean of 36.75 ± 11.37 OMEs, compared with 44.53 ± 16.06 OMEs in the control group ( P = .023). There was no difference in postoperative nonopioid medications, such as ketorolac or acetaminophen, given between groups. Conclusion: Patients undergoing hip arthroscopic surgery with air arthrography and venting used to aid distraction had significantly less postoperative pain and required a lower total dosage of opioids during their PACU stay when compared with patients who underwent hip arthroscopic surgery without air arthrography.

scholarly journals Effect of Index of Conciousness (Ioc2) Monitoring on Remifentanil Dosage During Desflurane Anesthsia: A Randomized Trial

2019 ◽  
Vol 2 (1) ◽  
pp. 10-17
Author(s):  
Nirajan Mahaseth ◽  
Rabin Khapung ◽  
Budal BS
Keyword(s):  
Blood Pressure ◽  
Clinical Experience ◽  
Infusion Rate ◽  
Skin Incision ◽  
Control Group ◽  
P Value ◽  
Extubation Time ◽  
Eye Opening ◽  
American Society ◽  
American Society Of Anesthesiologists

Background: Our study investigated the effects of IOC2 index monitoring on remifentanil dosage during desflurane anesthesia. The objective of this study was to compare the intra-operative events and recovery characteristics between remifentanil adjusted by IOC2 monitoring guidelines versus remifentanil adjusted by clinical experience according to fluctuation in blood pressure and heart rate during desflurane anesthesia. Methods: Total of 50 consecutive patients of American Society of Anesthesiologists (ASA)  status I and II, aged 18-65 years, BMI 18-30 kg/m2 undergoing elective laparoscopic cholecystectomy under desflurane anesthesia were enrolled. The patients were randomized and allocated into 2 groups, group T (Trial group=25) and group C (control group=25) using sealed envelope method. The infusion rate of remifentanil was adjusted according to IOC2 monitoring guideline between 30 to 50 in Group T whereas the infusion rate of remifentanil is adjusted by clinical experience according to fluctuation in blood pressure in group C. Remifentanil dose, adjustment frequency, infusion duration, intraoperative events, and quality of anesthetic recovery were compared between the two groups.  Results: Mean dose as well as the adjustment frequency of remifentanil was significantly higher in group T in compared with group C (0.1376±0.0268 vs 0.0956±0.0223 mcg/kg/min and 5.19±1.97vs1.7±0.57 times/surgery, P<0.05). IOC2 value at the time of skin incision, at the time of gall bladder resection and at the time of skin suture was significantly different between two groups (all P value <0.05). Although apparent differences in frequencies of hypotension, bradycardia, hypertension, the total number of patents with intraoperative events were not statistically different between two groups (all P > 0.05). Both groups had similar  voluntary eye opening time, extubation time, emergence agitation ,residual sedation  1 and 10 minutes after extubation, post-operative vomiting and NRS score (in PACU and 24 hours after extubation (all P > 0.05). Conclusion: IOC2 data was significantly high when opioid adjusted by clinical experience. The dose of opioid used according to IOC2 (30-50) monitoring guideline utilized higher dose in compared with dose used by clinical experience however, the intraoperative hemodynamic  and recovery characteristics was unchanged. Hence, application of IOC2 monitoring might be beneficial to adjust the analgesic depth.

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