A Clinical Nursing Bedside Test for Prediction of Postoperative Pain: Assessment of Pain Induced by Peripheral Venous Cannulation.

IF 2.5 4区医学 Q2 NURSING

Pain Management Nursing Pub Date : 2026-10-01 DOI:10.1016/j.pmn.2026.09.010

Cecilia Ögren, Emma Varkey, Eva Angelini, Tove Qualey, Axel Wolf, Mona Ringdal, Paulin Andréll

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引用次数: 0

Abstract

Purpose: Postoperative pain is common and difficult to predict. This study aimed to investigate whether peripheral venous cannulation pain (PVCP) scored as ≤2 or >2 on the Numerical Rating Scale (NRS) can be used to predict the risk of postoperative pain, opioid consumption, and length of stay in the post-anesthesia care unit (PACU).

Design: Prospective observational study.

Methods: Patients undergoing laparoscopic cholecystectomy at two county hospitals in Sweden reported PVCP preoperatively and pain intensity postoperatively in the PACU using the NRS. Opioid consumption in morphine milligram equivalents (MME) and length of stay in the PACU in minutes (min) were registered as additional proxy measures for the clinical impact of postoperative pain.

Results: A total of 258 patients were included. PVCP reported as NRS > 2 was a significant predictor of postoperative maximum pain intensity reported as NRS ≥ 3 (OR 2.0, 95% confidence interval [CI] 1.15-3.51, p = .015). Patients reporting PVCP as NRS >2 had a significantly longer stay in the PACU (114 minutes vs. 144 minutes, p = .002). There were no differences between the groups concerning opioid consumption in the PACU (7.6 MME vs. 7.4 MME, p = .857).

Conclusions: PVCP is an easily performed clinical bedside test for identifying individuals at risk of moderate-to-severe postoperative pain and a prolonged stay in the PACU.

Clinical implications: PVCP can be used to identify patients who require an adjusted perioperative pain management regimen.

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预测术后疼痛的临床护理床边试验：外周静脉置管引起的疼痛评估。

目的：术后疼痛是一种常见且难以预测的疼痛。本研究旨在探讨外周静脉插管疼痛（PVCP）在数值评定量表（NRS）上评分≤2或>2是否可用于预测术后疼痛风险、阿片类药物消耗和麻醉后护理单元（PACU）的住院时间。设计：前瞻性观察研究。方法：在瑞典两所县级医院行腹腔镜胆囊切除术的患者，使用NRS报告术前PVCP和术后PACU疼痛强度。吗啡毫克当量（MME）阿片类药物消耗量和PACU停留时间（分钟）作为术后疼痛临床影响的额外替代指标。结果：共纳入258例患者。报告为NRS > 2的PVCP是报告为NRS≥3的术后最大疼痛强度的显著预测因子（OR 2.0, 95%可信区间[CI] 1.15-3.51, p = 0.015）。报告PVCP为NRS >2的患者在PACU的停留时间明显更长（114分钟vs 144分钟，p = 0.002）。PACU的阿片类药物消费在两组之间没有差异（7.6 MME vs. 7.4 MME, p = .857）。结论：PVCP是一种易于执行的临床床边试验，用于识别有中度至重度术后疼痛风险和在PACU长期住院的个体。临床意义：PVCP可用于识别需要调整围手术期疼痛管理方案的患者。

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

Pain Management Nursing 医学-护理

CiteScore

3.00

自引率

5.90%

发文量

187

审稿时长

>12 weeks

期刊介绍： This peer-reviewed journal offers a unique focus on the realm of pain management as it applies to nursing. Original and review articles from experts in the field offer key insights in the areas of clinical practice, advocacy, education, administration, and research. Additional features include practice guidelines and pharmacology updates.