Quantitative perioperative pain assessment using PainVision^® in carpal tunnel release: a retrospective observational study.

IF 2.8 3区医学 Q2 ANESTHESIOLOGY

Journal of Anesthesia Pub Date : 2026-09-16 DOI:10.1007/s00540-026-03904-8

Takahiro Tanaka, Mitsuru Sato, Tomoaki Miyata, Kaito Tsuzuki, Ryo Yamashita, Soichiro Nomura, Yasuhiro Tanaka, Shinichiro Matsuyama, Takeaki Kawai, Hisayuki Hayashi, Masahiko Akiyama, Tomohisa Niiya, Keiichi Omote, Tetsuya Yamamoto

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引用次数: 0

Abstract

Objective assessment of perioperative pain remains challenging. The PainVision^® device is designed to quantitatively estimate pain intensity, but its clinical utility for perioperative pain assessment following carpal tunnel release remains unclear. This retrospective study analyzed pain results for 21 hands in 17 patients who underwent carpal tunnel release. Pain intensity was assessed preoperatively and on postoperative day 1 using a visual analog scale (VAS) and the PainVision^®-derived pain degree (PD). Both VAS and PD were significantly decreased on postoperative day 1 (p < 0.001 each; r = 0.74 each). Standardized magnitudes of change were similar for VAS (d_av = 0.88) and PD (d_av = 0.90). Patient-level sensitivity analysis accounting for bilateral cases yielded consistent findings (VAS, d_av = 1.09; PD, d_av = 1.18; p < 0.001 each). These findings suggest that PainVision^®-derived PD can detect early perioperative changes of a magnitude comparable to those detected by VAS and may provide a quantitative measure complementary to subjective pain assessment following carpal tunnel release.

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应用PainVision®对腕管释放术围手术期疼痛进行定量评估：一项回顾性观察性研究。

客观评估围手术期疼痛仍然具有挑战性。PainVision®装置旨在定量评估疼痛强度，但其在腕管释放后围手术期疼痛评估中的临床应用尚不清楚。本回顾性研究分析了17例接受腕管松解术患者21只手的疼痛结果。术前和术后第1天采用视觉模拟评分（VAS）和PainVision®衍生疼痛度（PD）评估疼痛强度。术后第1天VAS和PD均显著降低（p均< 0.001；r均= 0.74）。VAS （dav = 0.88）和PD （dav = 0.90）的标准化变化幅度相似。考虑双侧病例的患者水平敏感性分析得出一致的结果（VAS, dav = 1.09； PD, dav = 1.18； p均< 0.001）。这些研究结果表明，PainVision®衍生PD可以检测到与VAS检测到的程度相当的早期围手术期变化，并可能为腕管释放后的主观疼痛评估提供定量测量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Anesthesia 医学-麻醉学

CiteScore

5.30

自引率

7.10%

发文量

112

审稿时长

3-8 weeks

期刊介绍： The Journal of Anesthesia is the official journal of the Japanese Society of Anesthesiologists. This journal publishes original articles, review articles, special articles, clinical reports, short communications, letters to the editor, and book and multimedia reviews. The editors welcome the submission of manuscripts devoted to anesthesia and related topics from any country of the world. Membership in the Society is not a prerequisite. The Journal of Anesthesia (JA) welcomes case reports that show unique cases in perioperative medicine, intensive care, emergency medicine, and pain management.