Postinterventional pain and complications of sonographically guided interventions in the liver and pancreas.
Ultraschall Med
; 35(2): 159-65, 2014 Apr.
Article
em En
| MEDLINE
| ID: mdl-23354721
ABSTRACT
PURPOSE:
Sonographically guided interventions in abdominal organs are routine procedures with rare severe complications. However, potential patient discomfort or pain is frequently not addressed in the literature. MATERIALS ANDMETHODS:
In a prospective 1-year study, the peri- and postinterventional pain of patients undergoing sonographically guided punctures of the liver and pancreas was analyzed. Data acquisition was done with a standardized questionnaire. This included three numeric rating scales (NRS) ranging from "0" to "10" to be answered at puncture and 1 hour and 4 hours later. Data concerning complications and administered analgesic medication was acquired from the patients' charts.RESULTS:
223/274 patients could be analyzed (83â%). 91 women (40.8â%) and 132 men (59.2â%) were included. The mean age was 56.0 yrs. Overall the average level of pain was 2.98â at puncture, 1.21 after 1 hour and 0.71 after 4 hours. In patients with diagnostic biopsies, the pain levels were 3.37(0 âh)/1.33(1 âh)/0.71(4 âh) for liver parenchyma, 2.64(0 âh)/0.95(1 âh)/0.65(4 âh) for focal liver lesions and 3.1(0â h)/1.9(1â h)/1.1(4 âh) for pancreatic punctures. The pain levels at therapeutic interventions were 3.00(0 âh)/2.00(1 âh)/0.50(4 âh). Female and younger (<â50 yrs) patients had statistically significantly more pain at puncture and 1 hour postintervention. Only minor complications occurred (0.9â%).CONCLUSION:
Severe pain after sonographically guided interventions is rare. Most patients suffer only from mild pain postinterventionally.
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Base de dados:
MEDLINE
Assunto principal:
Dor Pós-Operatória
/
Pâncreas
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Complicações Pós-Operatórias
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Biópsia por Agulha
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Ultrassonografia de Intervenção
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Fígado
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article