Prediction of Postoperative Pain from Electrical Pain Thresholds after Laparoscopic Cholecystectomy

Anna K M Persson; L-E Dyrehag; Jonas Åkeson

doi:10.1097/AJP.0000000000000394

Prediction of Postoperative Pain from Electrical Pain Thresholds after Laparoscopic Cholecystectomy

Anna K M Persson, L-E Dyrehag, Jonas Åkeson

Anaesthesiology and Intensive Care Medicine

Halmstad County Hospital

Research output: Contribution to journal › Article › peer-review

Abstract

OBJECTIVE:: Early postoperative pain correlates to persisting pain, psychosocial distress, and delayed mobilization with thromboembolic and infectious complications. Electrical pain thresholds (EPT) have shown promising results in being able to predict postoperative pain, but the results are conflicting. The aim of this study was to test whether EPT levels can be used to predict postoperative pain in patients of both genders. METHODS:: One-hundred-and-eighty patients scheduled for laparoscopic cholecystectomy were included in this prospective clinical study. Individual levels of EPT were measured before surgery, and pain intensity was evaluated in the early postoperative period. RESULTS:: There were significant correlations between EPT and maximum postoperative pain intensity (rs=−0.21 P=0.009), time to first rescue opioid (rs=0.26, P=0.006) and total dose of rescue opioid (rs=−0.22, P=0.001). Interaction test showed significant influence of gender on the ability of EPT to predict postoperative pain intensity. Female patients with low EPT (

Original language	English
Pages (from-to)	126-131
Journal	Clinical Journal of Pain
Volume	33
Issue number	2
Early online date	2016 Jun 1
DOIs	https://doi.org/10.1097/AJP.0000000000000394
Publication status	Published - 2017 Feb

Subject classification (UKÄ)

Anesthesiology and Intensive Care

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10.1097/AJP.0000000000000394

1 Doctoral Thesis (compilation)

Predicting postoperative pain. Clinical and genetic studies of relationships between pain sensitivity and pain after surgery.
Persson, A. K., 2018, Lund: Lund University: Faculty of Medicine. 60 p.
Research output: Thesis › Doctoral Thesis (compilation)

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abstract = "OBJECTIVE:: Early postoperative pain correlates to persisting pain, psychosocial distress, and delayed mobilization with thromboembolic and infectious complications. Electrical pain thresholds (EPT) have shown promising results in being able to predict postoperative pain, but the results are conflicting. The aim of this study was to test whether EPT levels can be used to predict postoperative pain in patients of both genders. METHODS:: One-hundred-and-eighty patients scheduled for laparoscopic cholecystectomy were included in this prospective clinical study. Individual levels of EPT were measured before surgery, and pain intensity was evaluated in the early postoperative period. RESULTS:: There were significant correlations between EPT and maximum postoperative pain intensity (rs=−0.21 P=0.009), time to first rescue opioid (rs=0.26, P=0.006) and total dose of rescue opioid (rs=−0.22, P=0.001). Interaction test showed significant influence of gender on the ability of EPT to predict postoperative pain intensity. Female patients with low EPT (",

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N2 - OBJECTIVE:: Early postoperative pain correlates to persisting pain, psychosocial distress, and delayed mobilization with thromboembolic and infectious complications. Electrical pain thresholds (EPT) have shown promising results in being able to predict postoperative pain, but the results are conflicting. The aim of this study was to test whether EPT levels can be used to predict postoperative pain in patients of both genders. METHODS:: One-hundred-and-eighty patients scheduled for laparoscopic cholecystectomy were included in this prospective clinical study. Individual levels of EPT were measured before surgery, and pain intensity was evaluated in the early postoperative period. RESULTS:: There were significant correlations between EPT and maximum postoperative pain intensity (rs=−0.21 P=0.009), time to first rescue opioid (rs=0.26, P=0.006) and total dose of rescue opioid (rs=−0.22, P=0.001). Interaction test showed significant influence of gender on the ability of EPT to predict postoperative pain intensity. Female patients with low EPT (

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Prediction of Postoperative Pain from Electrical Pain Thresholds after Laparoscopic Cholecystectomy

Abstract

Subject classification (UKÄ)

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Research output

Predicting postoperative pain. Clinical and genetic studies of relationships between pain sensitivity and pain after surgery.

Cite this