Category Archives: Pain Management

What evidence dated within the last ten years is there on use of sweet oral substances to alleviate discomfort in infants?

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Twelve systematic reviews and meta-analyses dated within the last 10 years are found with a search in PubMed. Here’s how to conduct this search.

  1. You may start with the Woodruff Health Sciences Center Library homepage at http://health.library.emory.edu/ and then click “PubMed” or you may use this direct link to Emory’s instance of PubMed at http://www.ncbi.nlm.nih.gov/sites/entrez?otool=emorylib
  2. Copy and paste this search into the search box and click “Search.”infant AND (oral administration OR chewing gum) AND (pain management OR (pain AND (male circumcision OR intravenous injection OR blood specimen collections OR punctures))) AND (sucrose OR sweetening agents)
  3. To impose the filter/limit of 10 years, click “10 years” to the left of the search results page (listing of articles found with the search).
  4. To impose the filter/limit of meta-analysis or systematic review, click “More” under the bold heading for “Article types” on the left side of the search results page. Then click the boxes beside “Meta-Analysis” and “Systemic Reviews” and click “Show.” This step made the filters/limits visible for use in the search. Then click “Meta-Analysis” and “Systematic Review” to impose these filters/limits on the current search.

Effectiveness of music therapy as an adjunct to pharmacological pain relief in post-operative patients

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Relevant articles will be found in PubMed using the search strategy listed below. To execute the search:
1. Go to www.health.library.emory.edu and then click on the PubMed link on right side of page.
2. When PubMed opens, copy/paste this search strategy in the search box (articles):
(“perioperative care”[Mesh] OR “perioperative care” [all fields] OR postoperative) AND (“music therapy”[Mesh] OR “music therapy”[all fields]) AND pain

Effective pain management for post-operative or hospitalized patients.

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Eid T; Bucknall T Documenting and implementing evidence-based post-operative pain management in older patients with hip fractures. Journal of Orthopaedic Nursing, 2008 May; 12 (2): 90-8.

Does music reduce postoperative pain? A review. Health Science Journal 2012 vol:6 iss:3 pg:365

“Factors influencing the control of post-operative pain in older people.” Reviews in clinical gerontology 15.2 (2005):149.

Mansouri, Parisa;Implementation of a protocol for integrated management of pain, agitation, and delirium can improve clinical outcomes in the intensive care unit: A randomized clinical trial.Journal of Critical Care (J CRIT CARE), 2013; 28 (6): 918-22.

“Pain assessment and management in older hospitalised patients: observation shows common themes relating to nurse-patient communication, pain management strategies, organisational aspects of care and the complex nature of pain.” Evidence-based nursing 16.4 (2013):123.

Pain assessment and management in surgical nursing: a literature review. British journal of nursing 2009 vol:18 iss:3 pg:153

SESSION 11: PROTOCOLS AND STANDARDS: Evidenced based nurse driven pain management protocol for the post operative patient. Connect 2011 vol:8 iss:2 pg:48

Carlson CL. Use of three evidence-based postoperative pain assessment practices by registered nurses. Pain Management Nursing (PAIN MANAGE NURS), 2009 Dec; 10 (4): 174-87.

Postoperative Pain Management (Children): Children’s Experiences. Gomersall, Judith Streak 2017

Efficacy of music listening as a postoperative pain management intervention in adult patients: a systematic review. Kusi-Amponsah, Abigail, et al. 2017

Crowe, Linda. Systematic review of the effectiveness of nursing interventions in reducing or relieving post-operative pain. The JBI Library of Systematic Reviews. 6(4):165-224, 2008.

Searched: CINAHL, Joanna Briggs Keywords: pain management, postoperative, post operative, hospitalized

Updated links to entries in Joanna Briggs, 10/16/2017 ldt

Is there evidence of pain management in cancer patients due to specific opioid restrictions?

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Dynamed presents an overview on current evidence in an entry for Opioids for Chronic Cancer Pain.
More information is provided for specific opioids, recommendations, and guidelines; also included are links to specific review articles.

See Joanna Briggs Institute EBI Database evidence summaries:

Cancer Patients: Pain Control (Management Principles). Susan Slade. [Evidence Summaries]. AN: JBI1758. 2016

Pain management (older individuals): Intermittent Subcutaneous Analgesics. Dao Le, Long Khanh. [Evidence Summaries]. AN: JBI1142. 2017

Cancer Patients: Pain Control (Treatment with Opioid drugs). Obeid, Stephanie. [Evidence Summaries]. AN: JBI1759. 2016

Updated links for entries in Joanna Briggs, 10/16/2017 ldt

Is there evidence-based research to support using ice packs for postoperative pain management?

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Adie S, Kwan A, Naylor JM, Harris IA, Mittal R.  Cyrotherapy following total knee rcplacement.  Cochrane Database Syst Rev. 2012 Sep 12;9:CD007911
Bottom Line:  In regard to postoperative pain following total knee replacement,this Cochrane Systematic Review  had 11 randomized controlled trials  and one controlled trial with  a  total of 809 participants which met its inclusive criteria.  The author found that potential benefits of cryotherapy  on blood loss, postoperative pain and range of motion was too small to justify its use and the quality of evidence was low or very low for all main outcomes. Additionally another Cochrane Systemic Review,  Bala, MM, Riemsma, RP, Woff, R,  Kleijnen  J.  Cryotherapy for liver metastases. Cochrane Database for Syst. Rev. 2013 June 5;6 , stated there is  insufficient evidence that cyotherapy benefited patients with liver metastases from various primary sites in terms of survival or recurrence compared with conventional surgery.

The databases searched were PubMed, CINAHL and Joanna Briggs.   My search stratedy was the following: (ice packs OR cyrotherapy)  AND postoperative pain limited from 2000-present and human and English language.

Eight randomized controlled trials  results saw benefits from cold therapy relieving postoperative pain from different parts of the body.    Lastly another randomized controlled trial, Modabber A, Rana M, Ghassemi A,  Gerressen M,  Gellrich NC, Holzle  F, Rana M.  Three-dimensional evaluation of postoperative swelling in treatment of zygomatic bone fractures using two different cooling therapy methods:  a randomized observer-blind prospective study.  Trials. 2013 Jul 29;14:238,  found that hilotherapy was a more efficient cooling method than conventional cooling in relieving postoperative pain and swelling.



Reviewed by John Nemeth 4/14

							

		
		
	


				
					
	

		

						
What patient education interventions are used in the preoperative care of patients?

			
						

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A search of Joanna Briggs Institute and PubMed identified the following references.

The PubMed search included terms for these concepts: preoperative period, pain, psychology, adults, patient education.


From Joanna Briggs:


Cabilan C, et al.  Prehabilitation for surgical patients: a systematic review protocol. 2013.

This is protocol for a systematic review, but in the background information, it references several papers on presurgical interventions specifically concerning the outcome of pain.


Stern C.  Knowledge retention from preoperative patient information.  2005 (updated 2010).

This systematic review references several studies investigating usefulness of preoperative education on outcomes such as pain.


From PubMed:

(“Preoperative care”[mesh] OR “preoperative period”[mesh]) AND pain AND (psychology OR anxiety OR fear) AND adults AND patient education


This search may include references cited in the Joanna Briggs reviews.  It also includes a systematic review on outcomes of preoperative patient education in surgical setting:

Ronco M, et al.  Patient education outcomes in surgery: a systematic review from 2004 to 2010.  Int J Evid Based Healthc. 2012 Dec;10(4):309-23.

					

		
		
	


				
					
	

		

						
Does nonsurgical pain interfere with rehabilitation activities in patients who’ve had total knee arthroplasty?

			
						

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Search Method


Searched PubMed, CINAHL, and EMBASE for combinations of these concepts:


    

  • Pain – etiology, drug therapy, prevention and control
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  • Postoperative period or postoperative care
    • 

  • Rehabilitation OR physical therapy OR physiotherapy
    • 

  • Factors that interfere with rehabilitation (looked for these terms:  interfere* OR delay* OR prohibit*)
    • 

  • Arthroplasty/rehabilitation
    • 

  • Comparative study or clinical trial or cohort study or prospective study
    • 



Search Results

One article differentiated between pain associated with surgery and other pain:

Wittig Wells, Deborah R, Susan EShapiro, and Melinda KHiggins. “Patients’ experiences of pain in the 48 hours following total knee arthroplasty.” Orthopedic nursing 32.1 (2013):39-44.


View a selected collection of other studies on postoperative care of arthroplasty patients in this PubMed collection.


Reviewed and updated 4/30/2014 ldt