Acute pain therapy in postanesthesia care unit directed by skin conductance: a randomized controlled trial.

<h4>Background</h4>After surgery, effective and well-directed acute pain therapy is a necessary and integral part of the overall treatment plan. Generally, the assessment of pain intensity depends on a patient's self-evaluation using scoring systems such as numeric rating scales (NR...

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Autores principales:	Michael Czaplik, Christa Hübner, Markus Köny, Julia Kaliciak, Fatima Kezze, Steffen Leonhardt, Rolf Rossaint
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/b42e5d8bcace401cbf0aa59ae272daa8
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spelling	oai:doaj.org-article:b42e5d8bcace401cbf0aa59ae272daa82021-11-18T07:10:41ZAcute pain therapy in postanesthesia care unit directed by skin conductance: a randomized controlled trial.1932-620310.1371/journal.pone.0041758https://doaj.org/article/b42e5d8bcace401cbf0aa59ae272daa82012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22848592/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>After surgery, effective and well-directed acute pain therapy is a necessary and integral part of the overall treatment plan. Generally, the assessment of pain intensity depends on a patient's self-evaluation using scoring systems such as numeric rating scales (NRS, 0 to 10). Recently, a "Pain Monitor" was commercially provided which is based on measurements of fluctuations of skin conductance (NFSC). In this randomized, controlled, single-blind trial, possible benefits of this certain device were studied.<h4>Methods</h4>Postoperative patients (n = 44) were randomly assigned to a test or a control group during their stay in the postanesthesia care unit (PACU). All patients were treated and monitored according to internal hospital standards. Whereas all patients systematically evaluated their pain each 15 min, test group patients were additionally addressed when NFSC exceeded a predefined level. In cases of NRS≥5 during a routine elevation or in between, pain relief was achieved by standard procedures irrespective of group allocation.<h4>Results</h4>During their stay in PACU, both test and control groups experienced a significant decrease in NRS as a consequence of pain therapy. No significant differences in mean NRS or in NFSC values were found between the test and control groups. No correlation was observed between NRS and NFSC.<h4>Conclusion</h4>Postoperative patients experience diverse stressors, such as anxiety, disorientation, shivering, sickness and pain. Although the application of continuous pain monitoring would be meaningful in this clinical setting, the tested device failed to distinguish pain from other stressors in postoperative adult patients.<h4>Trial registration</h4>German Clinical Trials Register DRKS00000755.Michael CzaplikChrista HübnerMarkus KönyJulia KaliciakFatima KezzeSteffen LeonhardtRolf RossaintPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 7, p e41758 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Michael Czaplik Christa Hübner Markus Köny Julia Kaliciak Fatima Kezze Steffen Leonhardt Rolf Rossaint Acute pain therapy in postanesthesia care unit directed by skin conductance: a randomized controlled trial.
description	<h4>Background</h4>After surgery, effective and well-directed acute pain therapy is a necessary and integral part of the overall treatment plan. Generally, the assessment of pain intensity depends on a patient's self-evaluation using scoring systems such as numeric rating scales (NRS, 0 to 10). Recently, a "Pain Monitor" was commercially provided which is based on measurements of fluctuations of skin conductance (NFSC). In this randomized, controlled, single-blind trial, possible benefits of this certain device were studied.<h4>Methods</h4>Postoperative patients (n = 44) were randomly assigned to a test or a control group during their stay in the postanesthesia care unit (PACU). All patients were treated and monitored according to internal hospital standards. Whereas all patients systematically evaluated their pain each 15 min, test group patients were additionally addressed when NFSC exceeded a predefined level. In cases of NRS≥5 during a routine elevation or in between, pain relief was achieved by standard procedures irrespective of group allocation.<h4>Results</h4>During their stay in PACU, both test and control groups experienced a significant decrease in NRS as a consequence of pain therapy. No significant differences in mean NRS or in NFSC values were found between the test and control groups. No correlation was observed between NRS and NFSC.<h4>Conclusion</h4>Postoperative patients experience diverse stressors, such as anxiety, disorientation, shivering, sickness and pain. Although the application of continuous pain monitoring would be meaningful in this clinical setting, the tested device failed to distinguish pain from other stressors in postoperative adult patients.<h4>Trial registration</h4>German Clinical Trials Register DRKS00000755.
format	article
author	Michael Czaplik Christa Hübner Markus Köny Julia Kaliciak Fatima Kezze Steffen Leonhardt Rolf Rossaint
author_facet	Michael Czaplik Christa Hübner Markus Köny Julia Kaliciak Fatima Kezze Steffen Leonhardt Rolf Rossaint
author_sort	Michael Czaplik
title	Acute pain therapy in postanesthesia care unit directed by skin conductance: a randomized controlled trial.
title_short	Acute pain therapy in postanesthesia care unit directed by skin conductance: a randomized controlled trial.
title_full	Acute pain therapy in postanesthesia care unit directed by skin conductance: a randomized controlled trial.
title_fullStr	Acute pain therapy in postanesthesia care unit directed by skin conductance: a randomized controlled trial.
title_full_unstemmed	Acute pain therapy in postanesthesia care unit directed by skin conductance: a randomized controlled trial.
title_sort	acute pain therapy in postanesthesia care unit directed by skin conductance: a randomized controlled trial.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/b42e5d8bcace401cbf0aa59ae272daa8
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Acute pain therapy in postanesthesia care unit directed by skin conductance: a randomized controlled trial.

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