Comparison of the preventive effect of ketamine, paracetamol and metoclopramide on postoperative pain intensity in general anesthesia: a double-blind clinical trial (original) (raw)
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Perceived Pain Management Quality in Patients After Coronary Artery Bypass Graft Surgery
Journal of Holistic Nursing and Midwifery, 2012
Introduction: Pain management after Coronary Artery Bypass Graft surgery (CABG) is an important nursing care which can result in faster recovery and patient satisfaction. Objective: The aim of study was to determine post CABG patients' perception on pain management quality. Methods: This cross-sectional study was conducted on 108 CABG patients, who were chosen by sequential sampling method in Rasht. The instrument was a 3-part questionnaire consisted of demographic information, pain management and satisfaction. Data were gathered by observing the patient's charts and interview. Data were analyzed using Anova, Spearrman, T-test and Wilcoxon by SPSS 16 software. Results: The mean and SD of patient perception on pain care was 3.56±0.84 which indicates need for special attention. This data was directly significant with age above 70 years (P<0.022), female sexuality (P<0.001), widow patient (P<0.025) and without surgery history (P<0.001). Patient's satisfaction of pain management was 8.4±1.68 that male patient (P<0.015) and read & write level of education (P<0.032) have higher mean satisfaction of pain management. Conclusion: Partially low mean of perceived post CABG pain management highlights the need of planning for improving personal and organizational aspect of pain management, especially in married men and with no history of surgery.
Iran Occupational Health, 2015
Background and aims: Many antineoplastic agents are known to be carcinogenic and mutagenic. Nurses are the main groups at risk to these drugs. The purpose of this study was to determine of associated factors with safety principles precaution of working with chemotherapeutic agents among nursing staff. Methods: This is a descriptive-analytical study. Based on the census method, 59 nurses and healthcare employees working in chemotherapy wards in hospitals affiliated to Ahvaz Jundishapur University of Medical Sciences were recruited in the study. Data were collected using a questionnaire to assess self-efficacy, barriers to work, perceived risk, work place safety and nurseschr('39') performance. The data were analyzed using SPSS.v19. Results: Shortage of protective equipment and lack of time were the most barriers to safety practice and mismatch between the number of nurses and patients and failure to provide the best protective equipment were the most common factors to reduce workplace safety. The results of the analysis suggest significant positive correlation between self-efficacy and safety practice (r=0.34,p=0.007), work place safety and safety practice (r=0.37,p=0.003) and significant negative correlation between barriers to work and safety practice (r=-0.36,p=0.004). There was no significant correlation between perceived risk and safety practice. Hierarchical multiple regressionanalysisshowed that the individual factors and organizational factors explained %12.3, %17.8 of the variance of safety practice respectively. Conclusion: Organizational factors have a major impact on safety practice, therefore to improve the nurseschr('39') performance for safety practice remove barriers to work and workplace safety seems to be necessary.
Journal of Mazandaran University of Medical Sciences, 2010
Background and purpose: The incidence of postanesthesia shivering varies between 5 and 65 % and patients report it as one of the leading cause of discomfort after operation. It may also induce a variety of physiological consequences such as increased oxygen consumption and cardiac output. This study was performed to find out the incidence of postanesthesia shivering in women and to report the influence of several clinical variables on its incidence. Materials and methods: This prospective observational study was carried out on 448 female patients who underwent gynecologic operations under general, regional or sedation anesthesia techniques at Tehran Javaheri hospital over a period of 7 months in 2005. The incidence of postanesthesia shivering was assessed in these patients. Also, several clinical variables including patients' demographics, surgical and anesthetic data as well as preoperative and postoperative core temperatures were recorded. Results: Of 448 women, 83 (18.5%) experienced shivering. The minor versus major and moderate operations, as well as the conscious sedation versus general and spinal anesthesia techniques significantly reduced the incidence of postanesthesia shivering. While the use of halothane and N2O for maintanance of general anesthesia, and intravenous administration of atropine and prostigmine to antagonize the muscle relaxants, as well as the intraoperative administration of larger volumes of intravenous crystalloid solutions were associated with increased postanesthesia shivering. Conclusion: The use of halothane for maintenance of general anesthesia, the intraoperative administration of larger crystalloid volumes and applying spinal anesthesia technique, increase the risk of postanesthesia shivering, while no correlation was found between hypothermia and the occurrence of shivering.
Journal of Mazandaran University of Medical Sciences, 2015
Endometriosis is a painful chronic disorder in premenopausal period that causes severe pelvic pain. It could be problematic for both the patient and physician since routine analgesic drugs may not resolve the symptoms. Therefore, various destructive surgical treatments are used in these patients and presacral neurectomy is one of the best and most recommended surgical methods. This paper reports pre sacral neurectomy operation that was performed in Sari Imam Khomeini Hospital for the first time on a 31-yearold woman suffering from severe mid pelvic pain. She was resistant to treatment but favorable results were observed after the operation.