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IJERPH
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Acute Postoperative Pain Therapy, Anaesthesiology and Public Health
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Acute Postoperative Pain Therapy, Anaesthesiology and Public Health

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Care Sciences & Services".

Deadline for manuscript submissions: closed (31 July 2023) | Viewed by 3344

Special Issue Editors

Prof. Dr. Hanna Misiolek

E-Mail Website
Guest Editor
Department of Anaesthesiology and Intensive Care, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, 40-055 Katowice, Poland
Interests: acute postoperative pain; regional anesthesia; postoperative chronic pain prevention; perioperative medicine
Dr. Szymon Bialka

E-Mail Website
Co-Guest Editor
Department of Anaesthesiology and Intensive Care, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, 40-055 Katowice, Poland
Interests: perioperative medicine; intensive care medicine; emergency medicine; mechanical ventilation; ultrasound
Dr. Wojciech Gola

E-Mail Website
Co-Guest Editor
Department of Anaesthesiology and Intensive Care, Saint Lucas Hospital, 26-200 Konskie, Poland
Interests: ultrasound; regional anesthesia; perioperative medicine; intensive care medicine
Dr. Maja Copik

E-Mail Website
Co-Guest Editor
Department of Anaesthesiology and Intensive Care, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, 40-055 Katowice, Poland
Interests: perioperative medicine; intensive care medicine; perioperative pain teratment

Special Issue Information

Dear Colleagues,

As a group of anaesthesiologists, and enthusiasts of perioperative medicine, we would like to invite you to share your experiences in this field. In the proposed Special Issue, we would like to present topics related to perioperative care.

On the one hand, the basis of modern perioperative care is the stabilization and monitoring of the circulatory system, by means of fluid therapy, lung-protective ventilation, neuroprotection and prevention of hypothermia. On the other hand, adequate analgesia is an indispensable element of modern perioperative care. Providing pain comfort allows for early rehabilitation, and thus reduces the risk of possible serious adverse events. A modern approach to perioperative analgesia, in the form of multimodal analgesia, requires the use of various techniques of regional analgesia. The number of surgical operations performed worldwide is continuously increasing, and surgery is entering more and more areas traditionally reserved for conservative treatment. Proper postoperative pain control, early mobilization of the patient and postoperative rehabilitation are now cited as the primary factors comprising the success of modern surgical treatment, directly translating into three important functions:  hospitalization time, costs and patient satisfaction. Thus, focusing on a comprehensive understanding of pain, acknowledging the importance of pain monitoring and providing effective treatment are vital issues.

If you are interested in broadly understood perioperative medicine and have conducted research in this field, we encourage you to submit the results of your study. We believe your contribution can help anaesthetists to improve perioperative care.

Prof. Dr. Hanna Misiolek
Dr. Szymon Bialka
Dr. Wojciech Gola
Dr. Maja Copik
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • acute postoperative pain
  • regional anaesthesia
  • perioperative medicine
  • monitoring
  • therapy
  • postoperative complications
  • postoperative chronic pain
  • postoperative organ failure
  • postoperative pain management

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Published Papers (2 papers)

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10 pages, 637 KiB  
Article
Opioid-Free Anaesthesia Effectiveness in Thoracic Surgery—Objective Measurement with a Skin Conductance Algesimeter: A Randomized Controlled Trial
by Dominika Sadowska, Szymon Bialka, Piotr Palaczynski, Damian Czyzewski, Jacek Smereka, Anna Szelka-Urbanczyk and Hanna Misiolek
Int. J. Environ. Res. Public Health 2022, 19(21), 14358; https://doi.org/10.3390/ijerph192114358 - 2 Nov 2022
Cited by 3 | Viewed by 1476
Abstract
Background: Chest surgery is associated with significant pain, and potent opioid medications are the primary medications used for pain relief. Opioid-free anaesthesia (OFA) combined with regional anaesthesia is promoted as an alternative in patients with an opioid contraindication. Methods: Objective: To assess the [...] Read more.
Background: Chest surgery is associated with significant pain, and potent opioid medications are the primary medications used for pain relief. Opioid-free anaesthesia (OFA) combined with regional anaesthesia is promoted as an alternative in patients with an opioid contraindication. Methods: Objective: To assess the efficacy of OFA combined with a paravertebral block in pain treatment during video-assisted thoracic surgery. Design: A randomized, open-label study. Setting: A single university hospital between December 2015 and March 2018. Participants: Sixty-six patients scheduled for elective video-assisted thoracic surgery were randomized into two groups. Of these, 16 were subsequently excluded from the analysis. Interventions: OFA combined with a paravertebral block with 0.5% bupivacaine in the OFA group; typical general anaesthesia with opioids in the control group. Main outcome measures: Intraoperative nociceptive intensity measured with a skin conductance algesimeter (SCA) and traditional intraoperative monitoring. Results: Higher mean blood pressure was observed in the control group before induction and during intubation (p = 0.0189 and p = 0.0095). During chest opening and pleural drainage, higher SCA indications were obtained in the control group (p = 0.0036 and p = 0.0253), while in the OFA group, the SCA values were higher during intubation (p = 0.0325). SCA during surgery showed more stable values in the OFA group. Pearson analysis revealed a positive correlation between the SCA indications and mean blood pressure in both groups. Conclusions: OFA combined with a paravertebral block provides effective nociception control during video-assisted thoracic surgery and can be an alternative for general anaesthesia with opioids. OFA provides a stable nociception response during general anaesthesia, as measured by SCA. Full article
(This article belongs to the Special Issue Acute Postoperative Pain Therapy, Anaesthesiology and Public Health)
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5 pages, 282 KiB  
Case Report
Cardiac Arrest after Small Doses Ropivacaine: Local Anesthetic Systemic Toxicity in the Course of Continuous Femoral Nerve Blockade
by Wojciech Gola, Szymon Bialka, Marek Zajac and Hanna Misiolek
Int. J. Environ. Res. Public Health 2022, 19(19), 12223; https://doi.org/10.3390/ijerph191912223 - 27 Sep 2022
Cited by 1 | Viewed by 1466
Abstract
Background: The paper presents a case report of an episode of local anesthetic systemic toxicity (LAST) with cardiac arrest after continuous femoral nerve blockade. Case report: A 74-year-old patient burdened with hypertension and osteoarthritis underwent elective total knee replacement surgery. After surgery, a [...] Read more.
Background: The paper presents a case report of an episode of local anesthetic systemic toxicity (LAST) with cardiac arrest after continuous femoral nerve blockade. Case report: A 74-year-old patient burdened with hypertension and osteoarthritis underwent elective total knee replacement surgery. After surgery, a continuous femoral nerve blockade was performed and an infusion of a local anesthetic (LA) was started using an elastomeric pump. Five hours after surgery, the patient had an episode of generalized seizures followed by cardiac arrest. After resuscitation, spontaneous circulation was restored. In the treatment, 20% lipid emulsion was used. On day two of the ICU stay, the patient was fully cardiovascularly and respiratorily stable without neurological deficits and was discharged to the orthopedic department to continue treatment. Conclusion: Systemic toxicity of LA is a serious and potentially fatal complication of the use of LA in clinical practice. It should be noted that in nearly 40% of patients, LAST deviates from the classic and typical course and may have an atypical manifestation, and the first symptoms may appear with a long delay, especially when continuous blockades are used. Therefore, the proper supervision of the patient and the developed procedure in the event of LAST is undoubtedly important here. Full article
(This article belongs to the Special Issue Acute Postoperative Pain Therapy, Anaesthesiology and Public Health)
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