Indian Journal of Pain最新文献_第2页

A Comparative Study of Duloxetine with Pregabalin as a Preemptive Analgesic in Lumbar Spine Surgery: A Prospective Randomized Study 杜洛西汀与普瑞巴林作为腰椎手术先期镇痛药的比较研究：前瞻性随机研究

Indian Journal of Pain Pub Date : 2024-01-10 DOI: 10.4103/ijpn.ijpn_117_22

S. M. Arman, H. Usmani, O. Siddiqui, Kulsum Sheikh, S. Amir

{"title":"A Comparative Study of Duloxetine with Pregabalin as a Preemptive Analgesic in Lumbar Spine Surgery: A Prospective Randomized Study","authors":"S. M. Arman, H. Usmani, O. Siddiqui, Kulsum Sheikh, S. Amir","doi":"10.4103/ijpn.ijpn_117_22","DOIUrl":"https://doi.org/10.4103/ijpn.ijpn_117_22","url":null,"abstract":"\u0000 \u0000 \u0000 Preemptive analgesia is a method of administration of drugs prior to surgery involving blocking noxious stimuli across the perioperative period. It involves blocking the pain pathway preemptively before injury-induced hypersensitivity manifests.\u0000 \u0000 \u0000 \u0000 To compare the analgesic efficacy of duloxetine with pregabalin as preemptive analgesic in lumbar spine surgeries.\u0000 \u0000 \u0000 \u0000 Randomised, double-blinded, prospective study.\u0000 \u0000 \u0000 \u0000 Fifty patients of both sexes between 18-55yrs undergoing elective lumbar spine surgery were randomly allocated into two groups, group P and group D of twenty-five patients each. Group P received 75 mg pregabalin once daily for three days, followed by 150 mg pregabalin daily for the next four days till the day of surgery. Group D received 20 mg duloxetine once daily for three days, followed by 40 mg duloxetine twice daily for the next four days till the day of surgery.\u0000 \u0000 \u0000 \u0000 Both the groups were primarily evaluated in terms of time for request of 1st rescue analgesic and total intraoperative analgesic requirement in terms of fentanyl boluses required; among other parameters.\u0000 \u0000 \u0000 \u0000 The time for request of 1st rescue analgesic postoperatively was significantly longer in the pregabalin group (396 ± 267.77 min) than in the duloxetine group (218.4 ± 96.9 min), P = 0.003. Pregabalin recipients required considerably less rescue analgesics in terms of dosage, P = 0.006. Also, pregabalin exhibited better postoperative pain control than duloxetine as reflected by NRS comparative scores. No statistical difference was appreciated in terms of intraoperative fentanyl requirement, intraoperative hemodynamic control; nausea and sleepiness.\u0000 \u0000 \u0000 \u0000 Pregabalin is more efficacious as a preemptive analgesic than duloxetine in lumbar spine surgery.\u0000","PeriodicalId":32328,"journal":{"name":"Indian Journal of Pain","volume":"66 41","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139534837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diagnosis of a Rare Endocrine Disorder – A Pain Physician’s Experience 诊断罕见的内分泌失调症--一位疼痛科医生的经历

Indian Journal of Pain Pub Date : 2023-12-01 DOI: 10.4103/ijpn.ijpn_55_23

Praveen Ramasamy, Ilango Ganesan, Premkumar Damodaran, K. S. Narayanan

引用次数: 0

Midpoint Transverse Process to Pleura Block for Analgesia in Breast Surgeries: A Case Series 用于乳房手术镇痛的横突至胸膜中点阻滞：病例系列

Indian Journal of Pain Pub Date : 2023-12-01 DOI: 10.4103/ijpn.ijpn_61_22

Kriti Chaudhary, R. Sharma, Suyashi Sharma

引用次数: 0

A Scoping Review on Interventions for Chronic Pelvic Pain 慢性盆腔疼痛干预措施范围审查

Indian Journal of Pain Pub Date : 2023-12-01 DOI: 10.4103/ijpn.ijpn_126_23

Samarjit Dey, Prateek Arora, S. Chanu, Indubala Maurya, Sunit Gupta

引用次数: 0

Comparing Pain Intensity of Two Instruments in Predicting the Outcomes of Patients Under Mechanical Ventilation Admitted to Intensive Care Units 比较两种工具在预测重症监护病房机械通气患者预后时的疼痛强度

Indian Journal of Pain Pub Date : 2023-12-01 DOI: 10.4103/ijpn.ijpn_100_21

Fatemeh Bahramnezhad, Elaheh Salamat, F. Sharifi, Mohammad Amin Valizade Hasanloie

{"title":"Comparing Pain Intensity of Two Instruments in Predicting the Outcomes of Patients Under Mechanical Ventilation Admitted to Intensive Care Units","authors":"Fatemeh Bahramnezhad, Elaheh Salamat, F. Sharifi, Mohammad Amin Valizade Hasanloie","doi":"10.4103/ijpn.ijpn_100_21","DOIUrl":"https://doi.org/10.4103/ijpn.ijpn_100_21","url":null,"abstract":"Pain assessment in the intensive care unit (ICU) is a main problem in mechanically ventilated patients (MVPs) as they are not able to self-report pain, hence exposing them to the risk of inadequate pain management that leads to unfavorable consequences. This research aimed to determine and compare pain intensity scores of two scales in predicting the hospitalization consequences of MVPs in ICUs. The analytical-longitudinal study was carried out in ICUs in 2020. Pain intensity was evaluated using observational pain scales in 60 patients who met inclusion criteria in three positions during suctioning once daily for 3 days. There were significant inverse correlations between the Behavioral Pain Scale (BPS) and Critical Care Pain Observational Tool (CPOT) with the duration of hospitalization and mechanical ventilation. No significant relationships were observed between total mean scores obtained from the scales and the incidence of ventilator-associated pneumonia. There were no significant correlations between BPS and CPOT with frequencies and total dose of the prescribed opioid drug. The use of BPS and CPOT can be used for pain assessment and control in MVPs as a positive step towards improving their consequences.","PeriodicalId":32328,"journal":{"name":"Indian Journal of Pain","volume":"2013 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139192737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pulsed Radiofrequency Ablation of the Lumbar and Sacral Plexus for Intractable Pain in Pediatric Patients 脉冲射频消融术治疗小儿患者的腰骶丛顽固性疼痛

Indian Journal of Pain Pub Date : 2023-12-01 DOI: 10.4103/ijpn.ijpn_107_22

Sandeep Diwan, Rajendra Sahoo, Arkesh Madegowda, Avinash Gaikwad, H. Dongre, Sandeep Patwardhan, P. Sancheti

引用次数: 0

A Comparative Clinical Study to Evaluate the Antinociceptive Efficacy of Intravenous versus Intraperitoneal Dexmedetomidine with Ropivacaine in Patients Undergoing Laparoscopic Cholecystectomy 在接受腹腔镜胆囊切除术的患者中评估静脉注射右美托咪定和腹腔注射罗哌卡因的抗痛觉效果的比较临床研究

Indian Journal of Pain Pub Date : 2023-12-01 DOI: 10.4103/ijpn.ijpn_38_22

A. Khare, Beena Thada, Jyoti Meena, Kuldeep Jonwal, Veena Mathur

{"title":"A Comparative Clinical Study to Evaluate the Antinociceptive Efficacy of Intravenous versus Intraperitoneal Dexmedetomidine with Ropivacaine in Patients Undergoing Laparoscopic Cholecystectomy","authors":"A. Khare, Beena Thada, Jyoti Meena, Kuldeep Jonwal, Veena Mathur","doi":"10.4103/ijpn.ijpn_38_22","DOIUrl":"https://doi.org/10.4103/ijpn.ijpn_38_22","url":null,"abstract":"Intraperitoneal (IP) local anesthetic administration has become a routine in laparoscopic surgeries. An additive to local anesthetic like alpha-2 agonist such as dexmedetomidine may enhance the efficacy of local anesthetic. Our primary objective was to compare the duration of analgesia and our secondary objectives were to compare the total amount of rescue analgesics in 24 h, hemodynamic changes, and adverse effects after the use of dexmedetomidine intraperitoneally versus intravenously in addition to 0.25% ropivacaine instillation intraperitoneally. Eighty patients aged 18–60 years of American Society of Anesthesiologists physical status I and II, undergoing laparoscopic cholecystectomy, were randomly allocated into two groups – Group V (n = 40) received 100 ml normal saline (NS) with 0.7 µg/kg dexmedetomidine over 15 min followed by 30 ml 0.25% ropivacaine intraperitoneally and Group P (n = 40) received 100 ml NS over 15 min followed by 30 ml 0.25% ropivacaine with 0.7 µg/kg dexmedetomidine intraperitoneally soon after removal of gallbladder at the end of surgery. The duration of analgesia was significantly longer in Group V (246.45 ± 27.00 min) as compared to Group P (112.83 ± 11.61 min) (P < 0.0001). The total amount of rescue analgesic consumption in 24 h was significantly reduced in Group V (185.00 ± 73.55 mg) as compared to Group P (225.00 ± 77.63 mg) (P < 0.05). As compared to Group P, patients in Group V had a statistically significant Ramsay Sedation Score. The hemodynamic parameters and side effect profile were comparable in both the groups. IV dexmedetomidine 0.7μg/kg is more efficacious as compared to IP dexmedetomidine along with IP ropivacaine 0.25% in laparoscopic cholecystectomy in terms of prolonged duration of analgesia and decreased requirement of rescue analgesia in 24 h.","PeriodicalId":32328,"journal":{"name":"Indian Journal of Pain","volume":"3 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139194515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of Laptop Usage, Typing Skills, and Ergonomics on Musculoskeletal Pain among Medical Resident Doctors – An Observational Study 笔记本电脑使用、打字技巧和人体工程学对医学住院医生肌肉骨骼疼痛的影响--一项观察研究

Indian Journal of Pain Pub Date : 2023-12-01 DOI: 10.4103/ijpn.ijpn_74_23

Sonal Goyal, Bhavna Gupta

{"title":"Impact of Laptop Usage, Typing Skills, and Ergonomics on Musculoskeletal Pain among Medical Resident Doctors – An Observational Study","authors":"Sonal Goyal, Bhavna Gupta","doi":"10.4103/ijpn.ijpn_74_23","DOIUrl":"https://doi.org/10.4103/ijpn.ijpn_74_23","url":null,"abstract":"In today’s era of digital learning, the utility of laptops has drastically been increased. Sustained postural strain resulting from poor ergonomics while using laptops may lead to musculoskeletal discomforts (MSD). This study aimed to determine touch-typing skills of medical students, quantitative assessment of their postural ergonomics, and implications of their efforts while typing on the prevalence of MSD. Sixty medical students were asked to take an online typing test (www.ratatype.com) and their typing speed in words per minute (WPM) and accuracy (%) were noted. The lateral pictures of the students were taken while performing the typing test and objective ergonomics analysis using craniovertebral angle (CVA) and rapid upper limb assessment (RULA) scoring system. None of the students demonstrated touch typing proficiency. The average typing speed (WPM) and accuracy (%) were observed to be 27.893 and 94.768, respectively. The mean CVA was 33.17, much lower than the average norm. The mean final RULA score was 5.62, indicating a high degree of MSD risk. Moderate-to-severe laptop users (≥4 h/day) showed higher prevalence of MSDs (P < 0.05) as compared to normal-to-mild users. A significant negative correlation was found between CVA and RULA scores. The study concluded average typing speed and accuracy, poor ergonomics (low CVA), and moderate-to-high MSD risk (based on RULA score) were seen among students. A high MSD prevalence was reported in laptop usage of ≥ 4 h/day, which can be ascribed to postural strain from improper typing habits and poor ergonomics.","PeriodicalId":32328,"journal":{"name":"Indian Journal of Pain","volume":"382 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139195402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Role of Trigger Point Injection in the Management of Proximal Tensor Fascia Lata Myofascial Trigger Point in a Stage 4 Breast Cancer Patient 触发点注射在治疗乳腺癌第 4 期患者下端筋膜张肌筋膜触发点中的作用

Indian Journal of Pain Pub Date : 2023-12-01 DOI: 10.4103/ijpn.ijpn_100_22

Sanjay Kumar, Pratibha Singh, Anil Agarwal, Prashant Kumar Singh

引用次数: 0

Analgesic Efficacy of Dexmedetomidine as an Adjuvant to Ropivacaine in Supraclavicular Brachial Plexus Block for Upper Limb Surgeries: A Prospective Randomized Study 上肢手术锁骨上臂丛神经阻滞中右美托咪定作为罗哌卡因辅助药物的镇痛效果：前瞻性随机研究

Indian Journal of Pain Pub Date : 2023-12-01 DOI: 10.4103/ijpn.ijpn_38_23

Digvijay Prakash Singh, Sudhir Kumar Rai, Ram G. Maurya, Harshit Rastogi, Gyan P Singh

{"title":"Analgesic Efficacy of Dexmedetomidine as an Adjuvant to Ropivacaine in Supraclavicular Brachial Plexus Block for Upper Limb Surgeries: A Prospective Randomized Study","authors":"Digvijay Prakash Singh, Sudhir Kumar Rai, Ram G. Maurya, Harshit Rastogi, Gyan P Singh","doi":"10.4103/ijpn.ijpn_38_23","DOIUrl":"https://doi.org/10.4103/ijpn.ijpn_38_23","url":null,"abstract":"The primary aim of this randomized controlled study was to evaluate the effect of the addition of dexmedetomidine to ropivacaine on the onset and duration of sensory and motor blockade and the duration of analgesia in patients undergoing upper limb surgeries under supraclavicular brachial plexus block. A total of 100 patients of age 18–55 years, planned for elective upper limb surgeries under supraclavicular brachial plexus block using a nerve stimulator, were randomly allocated into two groups. Group 1 (n = 50) received 30 mL 0.5% ropivacaine and 1 mL normal saline and Group 2 (n = 50) received 30 mL 0.5% ropivacaine and 1 μg/kg of dexmedetomidine. The onset and duration of sensory and motor block, duration of analgesia, and adverse events during the perioperative period were noted. The onset of sensory and motor block in Group 1 (16. 26 ± 2.23 and 21.68 ± 2.90 min) was slower than those in Group 2 (9.12 ± 2.40 and 12.68 ± 2.62 min), (<0.001). The duration of sensory and motor block in Group 1 was significantly shorter than those in Group 2 (P < 0.001). The duration of analgesia in Group 1 (402.80 ± 28.21 min) was shorter than that in Group 2 (981.00 ± 92.26 min; P < 0.001). There was no statistically significant difference between the two groups in the incidence of the side effects, except in the incidence of sedation which is significantly higher in Group 2, (P < 0.001). Dexmedetomidine with ropivacaine for supraclavicular nerve block resulted in earlier onset and prolonged duration of the sensorimotor blockade and provided a longer pain-free postoperative period without significant hemodynamic alterations.","PeriodicalId":32328,"journal":{"name":"Indian Journal of Pain","volume":"29 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139188928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0