ipl-logo

Postoperative Pain Case Review

1693 Words7 Pages

Efficacy And Safety Of Post-Cesarean Section Incisional Infiltration With Lidocaine Alone Versus Lidocaine And Epinephrine In Reducing Postoperative Pain: A Randomized Controlled double-blinded Clinical Trial
Ahmed A. Tharwat (MD)*, Amr H. Yehia (MD, MRCOG)*, Karim A. Wahba(MD, MRCOG)*, Abd-ElRahman G. Ali (MSc.)**
* Department of Obstetrics and Gynecology
Ain Shams University Maternity Hospital
** Department of Obstetrics and Gynecology Misr Al-Gededa Military Hospital

Correspondence : Dr Karim A. Wahba, Consultant of Obstetrics & Gynecology, Ain Shams University Maternity hospital, Abassia Square, Cairo, Egypt.
Email: Karimwahbaobgyn@yahoo.com
Tel.: 00201001436033
ABSTRACT
Background: Sufficient control of post-cesarean section pain is imperative to relieve patients’ discomfort, as well as to enhance breast-feeding performance , infant care and enhance patient recovery as a whole.
Objective: is to assess the efficacy and safety of post-cesarean section infiltration with lidocaine and epinephrine versus lidocaine only to reduce post-incisional pain and hence enhance patient recovery.
Patients and Methods: it was a prospective randomized controlled double-blinded clinical trial …show more content…

Thus, it was estimated that a sample size of 64 patients per group would achieve a power of 80% (type II error, 0.2) to detect a medium effect size (Cohen’s d = 0.5) as regarding the outcome measures. The effect size (d) was calculated as follows: d = (m1 – m2)/s, where m1= mean of the control group, m2 = mean of the experimental group and s = pooled standard deviation. A number of 70 patients were included in each group (estimating 10% drop

Show More
Related

Kelly Malone Case Summary

242 Words | 1 Pages

Justin is the registered nurse that has been given the handover for Kelly Malone’s postoperative care in the surgical unit. Kelly Malone is a 49 female patient who has had a septoplasty and a right ethmoidectomy. Justin is working with Kelly to identify Kelly’s needs in order for Kelly to be discharged from the hospital. Kelly’s postoperative observations were a temperature of 36.2 degrees celsius; heart rate of 68 beats per minute; respiratory rate of 18 breaths per minute, blood pressure of 111 systolic over 73 diastolic millimetres of mercury; oxygen saturation at 93 percent of room air and a self-rated pain score of two out of ten. Kelly has a history of ‘not being able to breathe well through her nose’ and a history of disturbed sleep.

Read More

Nt1310 Unit 3 Experimental Studies

506 Words | 3 Pages

What were the results? Were they statistically significant (i.e., p0.20) What was the clinical importance of the results? Report the effect size if included in the study.

Read More

Discharge Planning Essay

492 Words | 2 Pages

(2013, p.12) emphasised the importance of nursing care for patients after hemicolectomy to promote rapid recovery and quicker discharge from the hospital. They reported that the greatest postoperative complication for hemicolectomy patients is pain management; postoperative patients therefore require scheduled pain management to control severe pain and pain intensity. This may involve both pharmacological and non-pharmacological interventions, as non-pharmacological have been reported to increase the efficacy of pharmacological pain management interventions. Isaacson et al. (2013, p.12) recommended massage, repositioning, ensuring a calm environment and allowing the patient to listen to music.

Read More

Childbirth Essay

731 Words | 3 Pages

Now there are many resources to not feel any anguish“ epidural or spinal anesthesia, labor inductions, cesarean sections, even the placement of IV lines are a source of additional revenue for both the hospital and the practitioners involved”(Childbirth Change). Childbirth medical field has overcome many errors and have improved overtime. That now many mothers are not as anxious as of

Read More

Pros And Cons Of Oral Surgery

736 Words | 3 Pages

The thought of oral surgery can be difficult at best, and nerve-wracking at worst. The best way to prepare for your oral surgery is to know as much as possible about the procedure and to discuss your anxieties and thoughts with your oral surgeon. This consultation is extremely important and can mean the difference between a successful surgery and a not-so-successful surgical outcome. In this article, we’ll discuss what to expect during your oral surgery consultation.

Read More

Pain During Molestick Procedure: A Case Study

320 Words | 2 Pages

Pediatric patients often experience pain during needlestick procedures which can lead to detrimental effects on the child. It is stated that “not only is the painful procedure often immediately traumatic but untreated procedural pain can also have long-term negative effects on quality of life, stress hormones, neurobiologic development, coping, pain sensitivity, and subsequently future health care behaviors” (Jeffs et al. ,2011, p.208). The purpose of this evidence based paper is to identify the pediatric patients at risk for experiencing pain during needlestick procedures and to implement interventions to reduce the pain experienced. A review of the literature will be completed to determine the most appropriate tool to implement during these procedures to improve the quality of care the individual receives.

Read More

Mindfulness Therapy Annotated Bibliography

1698 Words | 7 Pages

Proper sample size was used and the trial duration was long enough to capture the characteristics of

Read More

Hypogastric Plexus Case Study

1964 Words | 8 Pages

Case Series Superior Hypogastric Plexus Combined with Ganglion Impar Neurolytic Blocks for Pelvic and/or Perineal Cancer Pain Relief From: South Egypt Cancer Institute, Anesthesia, Intensive Care, and Pain Management, South Egypt Cancer Institute, Assiut University, Assiut, Egypt. Dr. Ahmed is a Lecturer, South Egypt Cancer Institute, Anesthesia, Intensive Care, and Pain Management, South Egypt Cancer Institute, Assiut University, Assiut, Egypt. Dr. Mohamad is a Lecturer, South Egypt Cancer Institute, Anesthesia, Intensive Care, and Pain Management, South Egypt Cancer Institute, Assiut University, Assiut, Egypt. Dr. Sahar Mohamed.

Read More

Self Report In Children

1719 Words | 7 Pages

Introduction and Background Although there has been a great deal of studies carried out on paediatric pain, the John Hopkins Children’s Centre (2012) believes it is still common for hospitalized children to experience pain. Perquin et al. (2000) state however that there is still little known about the epidemiology of the pain in children. The John Hopkins Children’s Centre (2012) carried out a study on hospitalized children showing that 86% of children experienced pain throughout their time in hospital.

Read More

Adverse And Near Miss Events In Nursing Research

1173 Words | 5 Pages

A patient presented to the labor and delivery unit in labor. The patient was a gravida four and para three at 35-weeks gestation with a history of precipitous labors and a previous cesarean section. Upon vaginal examination, the patient was dilated to a six and the physician ordered for the patient to be admitted. The standard protocol of admitting a labor patient, which included lab work, patient history, the signing of consents, and establishing an intravenous (IV) access. During the admission process, the patient’s labor progresses and requests an epidural for labor pain control.

Read More

Essay On Art Therapy And Trauma

585 Words | 3 Pages

The authors reported that there were some things that limited the success of this study. One of these things was that they only focused on one patient, this meant that the results gathered cannot be generalized. Another thing that limited the

Read More

Personal Narrative: My First Time As A Baby

925 Words | 4 Pages

I had my baby with no pain medicine or anything. However I did lose a lot of blood so I had 2 blood transfusions, I was bleeding out a lot. The doctors said that if the bleeding never calmed down I was going to have to get surgery in the morning so I was terrified all over again. I didn’t know till afterwards that it was my delivery doctors first time delivering a child she had cut me the wrong way, I was swollen on one side, and that’s the reason I was bleeding out more than I should have been. In fact I still have pain in that area today as I type and not to say I currently have trouble breathing at times too.

Read More

Essay On Hydrotherapy

731 Words | 3 Pages

Care During Labor and Delivery: The Outcomes of Hydrotherapy As expectant women seek non-pharmacologic methods of pain management, hydrotherapy is a good start. The practice of using submersion in water for alternative pain relief is referred to as hydrotherapy. Hydrotherapy can help provide an environment optimal for a gentle, physiologic birth. This paper will explore the efficacy of hydrotherapy as a pain management tool in labor and how hydrotherapy influences the outcomes of deliveries.

Read More

Essay On Cesarean Section

1064 Words | 5 Pages

Childbirth is a normal part of everyone’s lives. All humans are delivered through childbirth, and those who are born grow into a toddler, a child, a teen and to an adult. While the most known method is vaginal birth, sometimes this does not work because of dangers. The Cesarean section is a type of surgery where the baby is extracted from the abdomen. This method can come with benefits; but with many consequences as well.

Read More

Benefits Of Exercise During Pregnancy Essay

714 Words | 3 Pages

delivery reduced recovery time after pregnancy reduced backaches reduced bloating and swelling At the same time there are many prospects of harming oneself or the baby

Read More

More about Postoperative Pain Case Review

Related Topics

Open Document