Journal article
Patient Perception and Duration of Pain after Microdirect Laryngoscopy
Otolaryngology-head and neck surgery, v 162(5), pp 702-708
01 May 2020
PMID: 32151190
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective
Postoperative pain is an important part of the patient's surgical experience. The objective was to evaluate patient perception and duration of pain after microdirect laryngoscopy (MDL).
Study Design
Case series with planned data collection.
Setting
Tertiary care, academic center.
Subjects and Methods
Adult patients undergoing MDL were administered the short-form McGill Pain Questionnaire (SF-MPQ) before surgery and on postoperative days (PODs) 1, 3, and 7. Demographic and clinical data were collected.
Results
In total, 130 patients (mean age 52.6 years, 84 male) participated in the study. About 46.2% required analgesia on POD 1, but only 23.1% required opioids. Overall, mild levels of pain were reported on the SF-MPQ: sensory score, affective score, total score, present pain intensity (PPI), and visual analog scale (VAS). Patients reported a significant increase in pain on POD 1, with decreases in pain on PODs 3 and 7. Pain score returned to preoperative values for total score and affective score on POD 7 but remained significantly elevated for PPI, VAS, and sensory score. None of the following factors were associated with increased pain: age, sex, body mass index, Mallampati score, Cormack score, laryngoscope used, type of MDL, time under anesthesia, employment status, intubation, Voice Handicap Index 10, and chronic pain history.
Conclusion
Although mild levels of pain were reported after MDL, the pain persisted for up to 7 days. No demographic or clinical factors were found to be associated with increased pain. This study was one of the few prospective studies evaluating pain after MDL.
Metrics
Details
- Title
- Patient Perception and Duration of Pain after Microdirect Laryngoscopy
- Creators
- Trylon Matthew Tsang - University of British ColumbiaOliver Brett - Vancouver General HospitalAmanda Hu - University of British Columbia
- Publication Details
- Otolaryngology-head and neck surgery, v 162(5), pp 702-708
- Publisher
- Sage
- Number of pages
- 7
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Otolaryngology (and Head and Neck Surgery)
- Web of Science ID
- WOS:000523813800001
- Scopus ID
- 2-s2.0-85081747435
- Other Identifier
- 991019298818304721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Otorhinolaryngology
- Surgery