A Luke MacNeill1, John Wright2, D Joshua Mayich3. 1. University of New Brunswick, 100 Tucker Park Road PO Box 5050, Saint John, NB, E2L 4L5, Canada. 2. Dalhousie University, 100 Tucker Park Rd, PO Box 5050, Saint John, NB, E2L 4L5, Canada. 3. Horizon Health Network, 560 Main Street, Building A, Suite 325, Saint John, NB, E2K 1J5, Canada.
Abstract
PURPOSE: Studies assessing intraoperative pain during surgery with wide-awake local anesthesia typically use a unidimensional pain scale, which provides a limited view of the pain experience. The present paper describes two studies that assessed qualitative aspects of intraoperative pain using a multidimensional pain measure. METHODS: The first study was a retrospective survey of 24 patients who received a variety of foot and ankle procedures under wide-awake local anesthesia. Patients completed a copy of the Short-Form McGill Pain Questionnaire (SF-MPQ) through the mail an average of six months following surgery. The second study was a prospective assessment of 40 patients receiving forefoot procedures under the same anesthesia. Patients completed a copy of the SF-MPQ directly after the surgery. RESULTS: Patients in the first study selected an average of 1.17 pain descriptors (SD = 3.02) on the SF-MPQ, whereas patients in the second study selected an average of 1.90 pain descriptors (SD = 1.82). In general, both studies found that sensory descriptors of pain (e.g., sharp, shooting, tender) were more common than affective descriptors. However, mean intensity ratings were low for all descriptors. CONCLUSION: The results of these studies provide a more comprehensive understanding of the patient experience during surgery with wide-awake local anesthesia.
PURPOSE: Studies assessing intraoperative pain during surgery with wide-awake local anesthesia typically use a unidimensional pain scale, which provides a limited view of the pain experience. The present paper describes two studies that assessed qualitative aspects of intraoperative pain using a multidimensional pain measure. METHODS: The first study was a retrospective survey of 24 patients who received a variety of foot and ankle procedures under wide-awake local anesthesia. Patients completed a copy of the Short-Form McGill Pain Questionnaire (SF-MPQ) through the mail an average of six months following surgery. The second study was a prospective assessment of 40 patients receiving forefoot procedures under the same anesthesia. Patients completed a copy of the SF-MPQ directly after the surgery. RESULTS: Patients in the first study selected an average of 1.17 pain descriptors (SD = 3.02) on the SF-MPQ, whereas patients in the second study selected an average of 1.90 pain descriptors (SD = 1.82). In general, both studies found that sensory descriptors of pain (e.g., sharp, shooting, tender) were more common than affective descriptors. However, mean intensity ratings were low for all descriptors. CONCLUSION: The results of these studies provide a more comprehensive understanding of the patient experience during surgery with wide-awake local anesthesia.
Entities:
Keywords:
Epinephrine; Foot and ankle; Local anesthesia; Pain; Wide-awake
Authors: Ajay Kanakamedala; Jeffrey S Chen; Daniel J Kaplan; Christopher A Colasanti; John F Dankert; Eoghan T Hurley; Nathaniel P Mercer; James W Stone; John G Kennedy Journal: Arthrosc Tech Date: 2022-02-08