The effects of secondhand smoke on postoperative pain and fentanyl consumption
Background Although the need for increased postoperative analgesia in smokers has been described, the effect of secondhand smoke on postoperative analgesia requirements has not been studied. We examined the effects of secondhand smoke on fentanyl consumption and postoperative pain. Methods In this s...
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| Veröffentlicht in: | Journal of anesthesia 2013-08, Vol.27 (4), p.569-574 |
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| container_title | Journal of anesthesia |
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| creator | Aydogan, Mustafa Said Ozturk, Erdogan Erdogan, Mehmet Ali Yucel, Aytac Durmus, Mahmut Ersoy, Mehmet Ozcan Colak, Cemil |
| description | Background
Although the need for increased postoperative analgesia in smokers has been described, the effect of secondhand smoke on postoperative analgesia requirements has not been studied. We examined the effects of secondhand smoke on fentanyl consumption and postoperative pain.
Methods
In this study, 101 patients (American Society of Anesthesiology physical status I and II) who underwent abdominal hysterectomy were divided into 3 groups according to history of exposure to cigarette smoke as per medical records which was retrospectively confirmed by measurement of serum cotinine: smokers (
n
= 28), nonsmokers (
n
= 31), and secondhand smokers (
n
= 32). All patients received propofol–remifentanil total intravenous anesthesia and used fentanyl patient controlled analgesia for postoperative pain. The fentanyl consumption visual analogue scale-pain intensity (VAS-PI) score and side effects were recorded in the postanesthesia care unit (PACU) and at 2, 4, 6, and 24 h after surgery.
Results
Fentanyl consumption at all the evaluation time points was significantly higher in secondhand smokers than in nonsmokers (
P
|
| doi_str_mv | 10.1007/s00540-013-1565-0 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_cross</sourceid><recordid>TN_cdi_gale_infotracmisc_A344603023</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A344603023</galeid><sourcerecordid>A344603023</sourcerecordid><originalsourceid>FETCH-LOGICAL-c473t-5c3b8a3362fae73d0b3ea38a3716df465839b997347b9b747ef426a2e7050a7d3</originalsourceid><addsrcrecordid>eNp9kdFL5DAQxsPhca6rf4AvEvC566STJu3jInoniL54zyFtJ2t1m5SmK_jfm6V3grDIPAzM9_0GZj7GzgWsBIC-igCFhAwEZqJQRQY_2EJILLMSi-qILaBKSqlUecxOYnwBACUE_mLHOWKlBeKCPTw9EyfnqJkiD45HaoJvn61veezDK_Hg-RDiFAYa7dS9ER9s5_led-Qn69-3PBFx1w9TF_wp--nsNtLZv75kf29vnq7_ZPePv--u1_dZIzVOWdFgXVpElTtLGluokSymiRaqdVIVJVZ1VWmUuq5qLTU5mSubk4YCrG5xyS7nvRu7JdN5F6bRNn0XG7NGKRUgpBuXLDvg2pBPt2yDJ9el8Rf_6oA_VUt91xwExAw0Y4hxJGeGsevt-G4EmH1EZo7IpIjMPiIDibmYmWFX99R-Ev8zSYZ8NsQk-Q2N5iXsRp_e-c3WD8namgQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>The effects of secondhand smoke on postoperative pain and fentanyl consumption</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Aydogan, Mustafa Said ; Ozturk, Erdogan ; Erdogan, Mehmet Ali ; Yucel, Aytac ; Durmus, Mahmut ; Ersoy, Mehmet Ozcan ; Colak, Cemil</creator><creatorcontrib>Aydogan, Mustafa Said ; Ozturk, Erdogan ; Erdogan, Mehmet Ali ; Yucel, Aytac ; Durmus, Mahmut ; Ersoy, Mehmet Ozcan ; Colak, Cemil</creatorcontrib><description>Background
Although the need for increased postoperative analgesia in smokers has been described, the effect of secondhand smoke on postoperative analgesia requirements has not been studied. We examined the effects of secondhand smoke on fentanyl consumption and postoperative pain.
Methods
In this study, 101 patients (American Society of Anesthesiology physical status I and II) who underwent abdominal hysterectomy were divided into 3 groups according to history of exposure to cigarette smoke as per medical records which was retrospectively confirmed by measurement of serum cotinine: smokers (
n
= 28), nonsmokers (
n
= 31), and secondhand smokers (
n
= 32). All patients received propofol–remifentanil total intravenous anesthesia and used fentanyl patient controlled analgesia for postoperative pain. The fentanyl consumption visual analogue scale-pain intensity (VAS-PI) score and side effects were recorded in the postanesthesia care unit (PACU) and at 2, 4, 6, and 24 h after surgery.
Results
Fentanyl consumption at all the evaluation time points was significantly higher in secondhand smokers than in nonsmokers (
P
< 0.05). However, fentanyl consumption in secondhand smokers was lower than that in smokers in the PACU and at 24 h (
P
< 0.05). VAS-PI scores during movement and at rest in the PACU and at 4, 6, and 24 h after surgery were higher in secondhand smokers than in nonsmokers (
P
<
0.05). There were no statistically significant differences between the groups with regard to side effects such as nausea, vomiting, and dizziness (
P
> 0.05).
Conclusion
Secondhand smoking was associated with increased postoperative fentanyl consumption, and increased VAS-PI scores. These findings may be beneficial for managing postoperative pain in secondhand smokers.</description><identifier>ISSN: 0913-8668</identifier><identifier>EISSN: 1438-8359</identifier><identifier>DOI: 10.1007/s00540-013-1565-0</identifier><identifier>PMID: 23397133</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Adult ; Aged ; Analysis ; Anesthesiology ; Anesthetics, Intravenous - administration & dosage ; Consumption data ; Critical Care Medicine ; Emergency Medicine ; Female ; Fentanyl ; Fentanyl - administration & dosage ; Humans ; Intensive ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Article ; Pain Measurement - methods ; Pain Medicine ; Pain, Postoperative ; Pain, Postoperative - chemically induced ; Pain, Postoperative - drug therapy ; Passive smoking ; Piperidines - administration & dosage ; Propofol - administration & dosage ; Prospective Studies ; Retrospective Studies ; Tobacco Smoke Pollution - adverse effects</subject><ispartof>Journal of anesthesia, 2013-08, Vol.27 (4), p.569-574</ispartof><rights>Japanese Society of Anesthesiologists 2013</rights><rights>COPYRIGHT 2013 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c473t-5c3b8a3362fae73d0b3ea38a3716df465839b997347b9b747ef426a2e7050a7d3</citedby><cites>FETCH-LOGICAL-c473t-5c3b8a3362fae73d0b3ea38a3716df465839b997347b9b747ef426a2e7050a7d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00540-013-1565-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00540-013-1565-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51298</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23397133$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aydogan, Mustafa Said</creatorcontrib><creatorcontrib>Ozturk, Erdogan</creatorcontrib><creatorcontrib>Erdogan, Mehmet Ali</creatorcontrib><creatorcontrib>Yucel, Aytac</creatorcontrib><creatorcontrib>Durmus, Mahmut</creatorcontrib><creatorcontrib>Ersoy, Mehmet Ozcan</creatorcontrib><creatorcontrib>Colak, Cemil</creatorcontrib><title>The effects of secondhand smoke on postoperative pain and fentanyl consumption</title><title>Journal of anesthesia</title><addtitle>J Anesth</addtitle><addtitle>J Anesth</addtitle><description>Background
Although the need for increased postoperative analgesia in smokers has been described, the effect of secondhand smoke on postoperative analgesia requirements has not been studied. We examined the effects of secondhand smoke on fentanyl consumption and postoperative pain.
Methods
In this study, 101 patients (American Society of Anesthesiology physical status I and II) who underwent abdominal hysterectomy were divided into 3 groups according to history of exposure to cigarette smoke as per medical records which was retrospectively confirmed by measurement of serum cotinine: smokers (
n
= 28), nonsmokers (
n
= 31), and secondhand smokers (
n
= 32). All patients received propofol–remifentanil total intravenous anesthesia and used fentanyl patient controlled analgesia for postoperative pain. The fentanyl consumption visual analogue scale-pain intensity (VAS-PI) score and side effects were recorded in the postanesthesia care unit (PACU) and at 2, 4, 6, and 24 h after surgery.
Results
Fentanyl consumption at all the evaluation time points was significantly higher in secondhand smokers than in nonsmokers (
P
< 0.05). However, fentanyl consumption in secondhand smokers was lower than that in smokers in the PACU and at 24 h (
P
< 0.05). VAS-PI scores during movement and at rest in the PACU and at 4, 6, and 24 h after surgery were higher in secondhand smokers than in nonsmokers (
P
<
0.05). There were no statistically significant differences between the groups with regard to side effects such as nausea, vomiting, and dizziness (
P
> 0.05).
Conclusion
Secondhand smoking was associated with increased postoperative fentanyl consumption, and increased VAS-PI scores. These findings may be beneficial for managing postoperative pain in secondhand smokers.</description><subject>Adult</subject><subject>Aged</subject><subject>Analysis</subject><subject>Anesthesiology</subject><subject>Anesthetics, Intravenous - administration & dosage</subject><subject>Consumption data</subject><subject>Critical Care Medicine</subject><subject>Emergency Medicine</subject><subject>Female</subject><subject>Fentanyl</subject><subject>Fentanyl - administration & dosage</subject><subject>Humans</subject><subject>Intensive</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Pain Measurement - methods</subject><subject>Pain Medicine</subject><subject>Pain, Postoperative</subject><subject>Pain, Postoperative - chemically induced</subject><subject>Pain, Postoperative - drug therapy</subject><subject>Passive smoking</subject><subject>Piperidines - administration & dosage</subject><subject>Propofol - administration & dosage</subject><subject>Prospective Studies</subject><subject>Retrospective Studies</subject><subject>Tobacco Smoke Pollution - adverse effects</subject><issn>0913-8668</issn><issn>1438-8359</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kdFL5DAQxsPhca6rf4AvEvC566STJu3jInoniL54zyFtJ2t1m5SmK_jfm6V3grDIPAzM9_0GZj7GzgWsBIC-igCFhAwEZqJQRQY_2EJILLMSi-qILaBKSqlUecxOYnwBACUE_mLHOWKlBeKCPTw9EyfnqJkiD45HaoJvn61veezDK_Hg-RDiFAYa7dS9ER9s5_led-Qn69-3PBFx1w9TF_wp--nsNtLZv75kf29vnq7_ZPePv--u1_dZIzVOWdFgXVpElTtLGluokSymiRaqdVIVJVZ1VWmUuq5qLTU5mSubk4YCrG5xyS7nvRu7JdN5F6bRNn0XG7NGKRUgpBuXLDvg2pBPt2yDJ9el8Rf_6oA_VUt91xwExAw0Y4hxJGeGsevt-G4EmH1EZo7IpIjMPiIDibmYmWFX99R-Ev8zSYZ8NsQk-Q2N5iXsRp_e-c3WD8namgQ</recordid><startdate>20130801</startdate><enddate>20130801</enddate><creator>Aydogan, Mustafa Said</creator><creator>Ozturk, Erdogan</creator><creator>Erdogan, Mehmet Ali</creator><creator>Yucel, Aytac</creator><creator>Durmus, Mahmut</creator><creator>Ersoy, Mehmet Ozcan</creator><creator>Colak, Cemil</creator><general>Springer Japan</general><general>Springer</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20130801</creationdate><title>The effects of secondhand smoke on postoperative pain and fentanyl consumption</title><author>Aydogan, Mustafa Said ; Ozturk, Erdogan ; Erdogan, Mehmet Ali ; Yucel, Aytac ; Durmus, Mahmut ; Ersoy, Mehmet Ozcan ; Colak, Cemil</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c473t-5c3b8a3362fae73d0b3ea38a3716df465839b997347b9b747ef426a2e7050a7d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Analysis</topic><topic>Anesthesiology</topic><topic>Anesthetics, Intravenous - administration & dosage</topic><topic>Consumption data</topic><topic>Critical Care Medicine</topic><topic>Emergency Medicine</topic><topic>Female</topic><topic>Fentanyl</topic><topic>Fentanyl - administration & dosage</topic><topic>Humans</topic><topic>Intensive</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Pain Measurement - methods</topic><topic>Pain Medicine</topic><topic>Pain, Postoperative</topic><topic>Pain, Postoperative - chemically induced</topic><topic>Pain, Postoperative - drug therapy</topic><topic>Passive smoking</topic><topic>Piperidines - administration & dosage</topic><topic>Propofol - administration & dosage</topic><topic>Prospective Studies</topic><topic>Retrospective Studies</topic><topic>Tobacco Smoke Pollution - adverse effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aydogan, Mustafa Said</creatorcontrib><creatorcontrib>Ozturk, Erdogan</creatorcontrib><creatorcontrib>Erdogan, Mehmet Ali</creatorcontrib><creatorcontrib>Yucel, Aytac</creatorcontrib><creatorcontrib>Durmus, Mahmut</creatorcontrib><creatorcontrib>Ersoy, Mehmet Ozcan</creatorcontrib><creatorcontrib>Colak, Cemil</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Journal of anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aydogan, Mustafa Said</au><au>Ozturk, Erdogan</au><au>Erdogan, Mehmet Ali</au><au>Yucel, Aytac</au><au>Durmus, Mahmut</au><au>Ersoy, Mehmet Ozcan</au><au>Colak, Cemil</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effects of secondhand smoke on postoperative pain and fentanyl consumption</atitle><jtitle>Journal of anesthesia</jtitle><stitle>J Anesth</stitle><addtitle>J Anesth</addtitle><date>2013-08-01</date><risdate>2013</risdate><volume>27</volume><issue>4</issue><spage>569</spage><epage>574</epage><pages>569-574</pages><issn>0913-8668</issn><eissn>1438-8359</eissn><abstract>Background
Although the need for increased postoperative analgesia in smokers has been described, the effect of secondhand smoke on postoperative analgesia requirements has not been studied. We examined the effects of secondhand smoke on fentanyl consumption and postoperative pain.
Methods
In this study, 101 patients (American Society of Anesthesiology physical status I and II) who underwent abdominal hysterectomy were divided into 3 groups according to history of exposure to cigarette smoke as per medical records which was retrospectively confirmed by measurement of serum cotinine: smokers (
n
= 28), nonsmokers (
n
= 31), and secondhand smokers (
n
= 32). All patients received propofol–remifentanil total intravenous anesthesia and used fentanyl patient controlled analgesia for postoperative pain. The fentanyl consumption visual analogue scale-pain intensity (VAS-PI) score and side effects were recorded in the postanesthesia care unit (PACU) and at 2, 4, 6, and 24 h after surgery.
Results
Fentanyl consumption at all the evaluation time points was significantly higher in secondhand smokers than in nonsmokers (
P
< 0.05). However, fentanyl consumption in secondhand smokers was lower than that in smokers in the PACU and at 24 h (
P
< 0.05). VAS-PI scores during movement and at rest in the PACU and at 4, 6, and 24 h after surgery were higher in secondhand smokers than in nonsmokers (
P
<
0.05). There were no statistically significant differences between the groups with regard to side effects such as nausea, vomiting, and dizziness (
P
> 0.05).
Conclusion
Secondhand smoking was associated with increased postoperative fentanyl consumption, and increased VAS-PI scores. These findings may be beneficial for managing postoperative pain in secondhand smokers.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>23397133</pmid><doi>10.1007/s00540-013-1565-0</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0913-8668 |
| ispartof | Journal of anesthesia, 2013-08, Vol.27 (4), p.569-574 |
| issn | 0913-8668 1438-8359 |
| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adult Aged Analysis Anesthesiology Anesthetics, Intravenous - administration & dosage Consumption data Critical Care Medicine Emergency Medicine Female Fentanyl Fentanyl - administration & dosage Humans Intensive Medicine Medicine & Public Health Middle Aged Original Article Pain Measurement - methods Pain Medicine Pain, Postoperative Pain, Postoperative - chemically induced Pain, Postoperative - drug therapy Passive smoking Piperidines - administration & dosage Propofol - administration & dosage Prospective Studies Retrospective Studies Tobacco Smoke Pollution - adverse effects |
| title | The effects of secondhand smoke on postoperative pain and fentanyl consumption |
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