Academic Journal
Predictors of pain during phacoemulsification under local sedation: A multicentric study.
| العنوان: | Predictors of pain during phacoemulsification under local sedation: A multicentric study. |
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| المؤلفون: | Debourdeau, Eloi, Ortis, F, Chamard, Chloé, Crowdy, H, Jeanjean, L, Audemard, D, Payerols, A, Villain, Max, de Jong, Audrey, Daien, V |
| المساهمون: | Hôpital Gui de Chauliac CHU Montpellier, Centre Hospitalier Régional Universitaire Montpellier (CHRU Montpellier), Hôpital Universitaire Carémeau Nîmes (CHU Nîmes), Centre Hospitalier Universitaire de Nîmes (CHU Nîmes), Physiologie & médecine expérimentale du Cœur et des Muscles U 1046 (PhyMedExp), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM)-Centre National de la Recherche Scientifique (CNRS) |
| المصدر: | ISSN: 0181-5512. |
| بيانات النشر: | HAL CCSD Elsevier Masson |
| سنة النشر: | 2024 |
| المجموعة: | Université de Montpellier: HAL |
| مصطلحات موضوعية: | Cataract surgery, Intraoperative pain, Ophthalmologic anesthesia, Pain management, Postoperative pain, Chirurgie de la cataracte, Douleur peropératoire, Douleur postopératoire, Prise en charge de la douleur, Anesthésie ophtalmologique, [SDV.MHEP.OS]Life Sciences [q-bio]/Human health and pathology/Sensory Organs, [SDV.MHEP.CHI]Life Sciences [q-bio]/Human health and pathology/Surgery, [SDV.NEU]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC], [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie |
| الوصف: | International audience ; Purpose: To assess the risk factors for pain during cataract surgery under local anesthesia.Methods: This multicentric observational study assessed risk factors for pain during cataract surgery from June to November 2020 in a private clinic and two university hospitals (France). Adults who underwent cataract surgery under local anesthesia with conscious sedation were consecutively included. Exclusion criteria were locoregional anesthesia and an inability to communicate. Once the surgical drape was removed, patients rated the pain on a numerical rating scale (NRS) from 0 to 10, after the surgical drape was removed. Clinical and biometric parameter data were retrieved from medical records. Multivariate logistic regression was used to determine factors associated with pain during cataract surgery.Results: Among the 387 eyes (330 patients), 53 (13.7%) were classified by patients as painful (numerical rating scale [NRS] score ≥ 4). An intraoperative painful eye (NRS score ≥ 4) was associated with intraocular lens (IOL) power < 19 D (OR = 2.78, P = 0.005), chronic analgesic use (OR = 4.34, P = 0.011), and brown or white type of cataract (OR = 5.68, P = 0.008).Conclusion: In conclusion, anesthesia should be adapted for myopic eyes with IOL power < 19 D, chronic analgesic use, and brown or white cataract. A larger study may help develop a predictive score for pain that could, for example, be integrated into a biometer. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/pmid/39476448; PUBMED: 39476448 |
| DOI: | 10.1016/j.jfo.2024.104346 |
| الاتاحة: | https://hal.science/hal-04762393 https://hal.science/hal-04762393v1/document https://hal.science/hal-04762393v1/file/2024%20%20%20Debourdeau%20et%20al.,%20Predictors%20of%20pain.pdf https://doi.org/10.1016/j.jfo.2024.104346 |
| Rights: | info:eu-repo/semantics/OpenAccess |
| رقم الانضمام: | edsbas.A4F51B90 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1016/j.jfo.2024.104346 |
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