The effect of pre-emptive analgesia on the level of postoperative pain in women undergoing surgery for breast neoplasm

Aim of the study : Dynamic development of research on pain has resulted in the formulation of the concept of pre-emptive analgesia, which involves administration of analgesics before the first pain-producing stimulus appears. It is meant to prevent increased sensitivity to pain in the postoperative...

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Main Authors: Paweł Węgorowski, Andrzej Stanisławek, Renata Domżał-Drzewicka, Justyna Sysiak, Marcin Rząca, Joanna Milanowska, Mariola Janiszewska, Anna Dziubińska
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Language:English
Published: Termedia Publishing House 2016-06-01
Series:Contemporary Oncology
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Online Access:https://www.termedia.pl/The-effect-of-pre-emptive-analgesia-on-the-level-of-postoperative-pain-in-women-undergoing-surgery-for-breast-neoplasm,3,27630,1,1.html
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author Paweł Węgorowski
Andrzej Stanisławek
Renata Domżał-Drzewicka
Justyna Sysiak
Marcin Rząca
Joanna Milanowska
Mariola Janiszewska
Anna Dziubińska
author_facet Paweł Węgorowski
Andrzej Stanisławek
Renata Domżał-Drzewicka
Justyna Sysiak
Marcin Rząca
Joanna Milanowska
Mariola Janiszewska
Anna Dziubińska
author_sort Paweł Węgorowski
collection DOAJ
description Aim of the study : Dynamic development of research on pain has resulted in the formulation of the concept of pre-emptive analgesia, which involves administration of analgesics before the first pain-producing stimulus appears. It is meant to prevent increased sensitivity to pain in the postoperative period. The aim of this study was to assess the possibilities of modifying the intensity of postoperative pain evaluated with the visual analogue scale (VAS) in patients after surgical treatment for breast neoplasm offered by pre-emptive analgesia. Material and methods : The intensity of postoperative pain was measured immediately after the surgery as well as 6, 12, 18, and 24 hours later in 100 women who had undergone surgery for breast tumour. The correlation between experienced pain and the type of analgesic administered pre-emptively, including metamizole, tramadol, ketoprofen, and placebo was examined. The effect of other correlates such as the extensiveness of surgery, systolic and diastolic blood pressure, and heart rate on the level of experienced pain as well as the usefulness of physiological parameters for its assessment were also analysed. Results : The conducted study demonstrated the effectiveness of tramadol (p = 0.004) and ketoprofen (p = 0.039) administered half an hour before the beginning of surgery, but there was no similar effect in the case of metamizole (p = 1.0). A positive correlation was observed between the level of experienced pain and blood pressure values (p < 0.001). Heart rate does not seem to be significantly linked with the intensity of experienced pain (p = 0.157).
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spelling doaj-art-98a3671e367c430a955a2016e437753b2025-08-20T02:18:39ZengTermedia Publishing HouseContemporary Oncology1428-25261897-43092016-06-0120215816410.5114/wo.2016.6007127630The effect of pre-emptive analgesia on the level of postoperative pain in women undergoing surgery for breast neoplasmPaweł WęgorowskiAndrzej StanisławekRenata Domżał-DrzewickaJustyna SysiakMarcin RzącaJoanna MilanowskaMariola JaniszewskaAnna DziubińskaAim of the study : Dynamic development of research on pain has resulted in the formulation of the concept of pre-emptive analgesia, which involves administration of analgesics before the first pain-producing stimulus appears. It is meant to prevent increased sensitivity to pain in the postoperative period. The aim of this study was to assess the possibilities of modifying the intensity of postoperative pain evaluated with the visual analogue scale (VAS) in patients after surgical treatment for breast neoplasm offered by pre-emptive analgesia. Material and methods : The intensity of postoperative pain was measured immediately after the surgery as well as 6, 12, 18, and 24 hours later in 100 women who had undergone surgery for breast tumour. The correlation between experienced pain and the type of analgesic administered pre-emptively, including metamizole, tramadol, ketoprofen, and placebo was examined. The effect of other correlates such as the extensiveness of surgery, systolic and diastolic blood pressure, and heart rate on the level of experienced pain as well as the usefulness of physiological parameters for its assessment were also analysed. Results : The conducted study demonstrated the effectiveness of tramadol (p = 0.004) and ketoprofen (p = 0.039) administered half an hour before the beginning of surgery, but there was no similar effect in the case of metamizole (p = 1.0). A positive correlation was observed between the level of experienced pain and blood pressure values (p < 0.001). Heart rate does not seem to be significantly linked with the intensity of experienced pain (p = 0.157).https://www.termedia.pl/The-effect-of-pre-emptive-analgesia-on-the-level-of-postoperative-pain-in-women-undergoing-surgery-for-breast-neoplasm,3,27630,1,1.htmlpostoperative pain preemptive analgesia breast cancer
spellingShingle Paweł Węgorowski
Andrzej Stanisławek
Renata Domżał-Drzewicka
Justyna Sysiak
Marcin Rząca
Joanna Milanowska
Mariola Janiszewska
Anna Dziubińska
The effect of pre-emptive analgesia on the level of postoperative pain in women undergoing surgery for breast neoplasm
Contemporary Oncology
postoperative pain
preemptive analgesia
breast cancer
title The effect of pre-emptive analgesia on the level of postoperative pain in women undergoing surgery for breast neoplasm
title_full The effect of pre-emptive analgesia on the level of postoperative pain in women undergoing surgery for breast neoplasm
title_fullStr The effect of pre-emptive analgesia on the level of postoperative pain in women undergoing surgery for breast neoplasm
title_full_unstemmed The effect of pre-emptive analgesia on the level of postoperative pain in women undergoing surgery for breast neoplasm
title_short The effect of pre-emptive analgesia on the level of postoperative pain in women undergoing surgery for breast neoplasm
title_sort effect of pre emptive analgesia on the level of postoperative pain in women undergoing surgery for breast neoplasm
topic postoperative pain
preemptive analgesia
breast cancer
url https://www.termedia.pl/The-effect-of-pre-emptive-analgesia-on-the-level-of-postoperative-pain-in-women-undergoing-surgery-for-breast-neoplasm,3,27630,1,1.html
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