Abstract
ANTICIPATION OF PAIN AFTER SURGERY USINGPERIPHERAL VENOUS CANNULATION PAIN EVALUATION BEFORE SURGERY IN LAPAROSCOPIC SURGERY

Thani Alawamreh*, Mohammad J. Ismail, Mohammad Adaileh, Ali Almajali, Tareq Alzoubi

ABSTRACT

Background: Pain after surgery is the most important issue in surgical participants. Peripheral venous cannulation-caused pain potentially anticipated pain after surgery in laparoscopic cholecystectomy during the first 1.5 hrs.in the post-anesthesia care unit. Aim: To determine the potential of peripheral venous cannulation pain before surgery in anticipating pain after laparoscopic surgery within the first day. Methods: Our retrospective and double blind investigationenrolled 221 subjects, of both sexes, aged 23-71 yrs.and assigned for laparoscopic surgery at KHH, KHMC, Amman, JORDAN, during the period 15 Jan 2010-01 Feb 2021. A peripheral superficial vein on the back of the hand was cannulated before surgery with a peripheral venous catheter 20G by a nurse. The nurse registered the subjects score of verbal analogue scale correlated with cannulation, as low reaction group (VASS scores less than 3.0) and high reaction group (Verbal analogue scale scores more than 3.0). Postoperatively, the verbal analogue scalescores at rest and on coughing at 3,6,9,15,21 and 48 hrs. intervals and the number of required analgesics during the first postoperative 2 days after surgery were registered.Pain severity was evaluated with VAS at rest and on coughing. The primary outcome was maximum pain scores after surgery at rest and on coughing during the first 2 days. The secondary outcome was extra use of analgesics, satisfaction index and the number of analgesia demand during the first 2 days.Logistic regression was used to determine the anticipation power of cannulation-caused pain severity. Results: The median of peripheral venous cannulation-caused pain score, maximum pain score after surgery at rest and maximum pain score after surgery on coughing were 1.3, 2.9 and 5.3.Peripheral venous cannulation-caused pain scores were remarkably associated with pain severityafter surgery at rest and on coughing. Subjects with peripheral venous cannulation-caused pain severity score more than 3.0 on verbal analogue scale experienced increased pain severity after surgery at rest (P < 0.05) and on coughing (P < 0.05) and had more pain relief (P < 0.05) within the first 2 days. The risk for medium or intense pain after surgery was remarkably more in subjects with peripheral venous cannulation-caused pain severity score more than 3.0 on verbal analogue scalein comparison to subjects with less than score of 3.0 onverbal analogue scale. In high reaction group, 34.8% had medium or intense pain after surgery. In low reaction group, 12.9% had medium or intense pain. Conclusions: Peripheralvenous cannulation caused pain evaluation before surgery may anticipate pain severityafter surgery within the first day post laparoscopic surgery.

Keywords: Before surgery: Peripheral venous cannulation, Pain; After surgery: pain; Laparoscopic surgery.


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