Use of a Topical Anesthetic Cream (EMLA) to Reduce Pain After Hemorrhoidectomy
Hemorrhoidectomy usually leads to severe postoperative pain that often causes urinary retention. Topical EMLA cream (lidocaine 2.5% and prilocaine 2.5%) has been used extensively in the clinical setting. This prospective study tested the effectiveness of EMLA cream for postoperative pain control aft...
Gespeichert in:
| Veröffentlicht in: | Regional anesthesia and pain medicine 2008, Vol.33 (1), p.30-35 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 35 |
|---|---|
| container_issue | 1 |
| container_start_page | 30 |
| container_title | Regional anesthesia and pain medicine |
| container_volume | 33 |
| creator | Shiau, Jieh-Min Su, Hao-Po Chen, Hung-Shu Hung, Kuo-Chuan Lin, Shung-Eing Tseng, Chia-Chih |
| description | Hemorrhoidectomy usually leads to severe postoperative pain that often causes urinary retention. Topical EMLA cream (lidocaine 2.5% and prilocaine 2.5%) has been used extensively in the clinical setting. This prospective study tested the effectiveness of EMLA cream for postoperative pain control after hemorrhoidectomy.
Thirty patients admitted for hemorrhoidectomy were enrolled and randomly assigned into either a control group (n = 15) or EMLA group (n = 15). Postoperatively, the control group received approximately 5 g of neomycin ointment, and the EMLA group received approximately 5 g of EMLA. A visual analog scale (VAS) score was recorded on arrival in the postanesthesia recovery unit (PAR), after 2 hours in the PAR, on the first postoperative evening, and on the first postoperative morning. The requested frequency and dosage of meperidine, the first spontaneous voiding time, the frequency of single urinary catheterization, and a patient satisfaction score were also obtained.
The VAS score and frequency and dosage of meperidine injections were significantly lower in the EMLA group than in the control group (
P < .01). The voiding time was significantly later in the control group (
P = .04). The frequency of single catheterization was significantly lower in the EMLA group than in the control group (
P = .03). Patient satisfaction with postoperative pain control was significantly higher in the EMLA group than in the control group (
P < .01). No systemic complications were observed.
Topical EMLA cream decreased pain intensity and meperidine requests, reduced the frequency of single catheterizations, and improved patient satisfaction with postoperative pain management after hemorrhoidectomy in adults. |
| doi_str_mv | 10.1016/j.rapm.2007.07.012 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_70160910</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1098733907007043</els_id><sourcerecordid>70160910</sourcerecordid><originalsourceid>FETCH-LOGICAL-c406t-adcf35c3d75fe11c0508a17584a1a2409521aa57cbf95c044d1aa19cd1f45e8d3</originalsourceid><addsrcrecordid>eNp9kFFr2zAQx8VYWdK0X6APQ-xhbA_O7mQrtqEvIbRrIe1KaZ-FKp2JQmxlkj3ot59MAoU-FA7uDn735_gxdoEwR8DFr-086H07FwDlfCwUn9gUZS6yaiHxc5qhrrIyz-sJO41xCwBVWSy-sAlWKCXIYsrunyNx33DNn_zeGb3jy45iv6HeGb4KpFv-4-puvfzJe88fyQ6G-IN2HV82PQV-Q60PYeOdJdP79vWMnTR6F-n82Gfs-frqaXWTrf_8vl0t15kpYNFn2pomlya3pWwI0YCESmMpq0KjFgXUUqDWsjQvTS0NFIVNK9bGYlNIqmw-Y98Pufvg_w7pYdW6aGi30x35Iaoy-YEaIYHf3oFbP4Qu_aYESMxBijxB4gCZ4GMM1Kh9cK0OrwpBjarVVo2q1ahajYUiHX09Jg8vLdm3k6PbBFweAEoi_jkKKhpHnSHrQrKlrHcf5f8HjHeNRA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>205130523</pqid></control><display><type>article</type><title>Use of a Topical Anesthetic Cream (EMLA) to Reduce Pain After Hemorrhoidectomy</title><source>MEDLINE</source><source>Journals@Ovid Complete</source><creator>Shiau, Jieh-Min ; Su, Hao-Po ; Chen, Hung-Shu ; Hung, Kuo-Chuan ; Lin, Shung-Eing ; Tseng, Chia-Chih</creator><creatorcontrib>Shiau, Jieh-Min ; Su, Hao-Po ; Chen, Hung-Shu ; Hung, Kuo-Chuan ; Lin, Shung-Eing ; Tseng, Chia-Chih</creatorcontrib><description>Hemorrhoidectomy usually leads to severe postoperative pain that often causes urinary retention. Topical EMLA cream (lidocaine 2.5% and prilocaine 2.5%) has been used extensively in the clinical setting. This prospective study tested the effectiveness of EMLA cream for postoperative pain control after hemorrhoidectomy.
Thirty patients admitted for hemorrhoidectomy were enrolled and randomly assigned into either a control group (n = 15) or EMLA group (n = 15). Postoperatively, the control group received approximately 5 g of neomycin ointment, and the EMLA group received approximately 5 g of EMLA. A visual analog scale (VAS) score was recorded on arrival in the postanesthesia recovery unit (PAR), after 2 hours in the PAR, on the first postoperative evening, and on the first postoperative morning. The requested frequency and dosage of meperidine, the first spontaneous voiding time, the frequency of single urinary catheterization, and a patient satisfaction score were also obtained.
The VAS score and frequency and dosage of meperidine injections were significantly lower in the EMLA group than in the control group (
P < .01). The voiding time was significantly later in the control group (
P = .04). The frequency of single catheterization was significantly lower in the EMLA group than in the control group (
P = .03). Patient satisfaction with postoperative pain control was significantly higher in the EMLA group than in the control group (
P < .01). No systemic complications were observed.
Topical EMLA cream decreased pain intensity and meperidine requests, reduced the frequency of single catheterizations, and improved patient satisfaction with postoperative pain management after hemorrhoidectomy in adults.</description><identifier>ISSN: 1098-7339</identifier><identifier>EISSN: 1532-8651</identifier><identifier>DOI: 10.1016/j.rapm.2007.07.012</identifier><identifier>PMID: 18155054</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Adult ; Anesthetics, Local - therapeutic use ; EMLA ; Female ; Hemorrhoidectomy ; Hemorrhoids - surgery ; Humans ; Lidocaine - therapeutic use ; Lidocaine, Prilocaine Drug Combination ; Male ; Middle Aged ; Neomycin - therapeutic use ; Ointments ; Pain Measurement ; Pain, Postoperative - drug therapy ; Patient Satisfaction ; Postoperative analgesia ; Postoperative Period ; Prilocaine - therapeutic use ; Prospective Studies ; Regional anesthesia ; Visual analog score</subject><ispartof>Regional anesthesia and pain medicine, 2008, Vol.33 (1), p.30-35</ispartof><rights>2008 American Society of Regional Anesthesia and Pain Medicine</rights><rights>Copyright Churchill Livingstone Inc., Medical Publishers Jan/Feb 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c406t-adcf35c3d75fe11c0508a17584a1a2409521aa57cbf95c044d1aa19cd1f45e8d3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18155054$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shiau, Jieh-Min</creatorcontrib><creatorcontrib>Su, Hao-Po</creatorcontrib><creatorcontrib>Chen, Hung-Shu</creatorcontrib><creatorcontrib>Hung, Kuo-Chuan</creatorcontrib><creatorcontrib>Lin, Shung-Eing</creatorcontrib><creatorcontrib>Tseng, Chia-Chih</creatorcontrib><title>Use of a Topical Anesthetic Cream (EMLA) to Reduce Pain After Hemorrhoidectomy</title><title>Regional anesthesia and pain medicine</title><addtitle>Reg Anesth Pain Med</addtitle><description>Hemorrhoidectomy usually leads to severe postoperative pain that often causes urinary retention. Topical EMLA cream (lidocaine 2.5% and prilocaine 2.5%) has been used extensively in the clinical setting. This prospective study tested the effectiveness of EMLA cream for postoperative pain control after hemorrhoidectomy.
Thirty patients admitted for hemorrhoidectomy were enrolled and randomly assigned into either a control group (n = 15) or EMLA group (n = 15). Postoperatively, the control group received approximately 5 g of neomycin ointment, and the EMLA group received approximately 5 g of EMLA. A visual analog scale (VAS) score was recorded on arrival in the postanesthesia recovery unit (PAR), after 2 hours in the PAR, on the first postoperative evening, and on the first postoperative morning. The requested frequency and dosage of meperidine, the first spontaneous voiding time, the frequency of single urinary catheterization, and a patient satisfaction score were also obtained.
The VAS score and frequency and dosage of meperidine injections were significantly lower in the EMLA group than in the control group (
P < .01). The voiding time was significantly later in the control group (
P = .04). The frequency of single catheterization was significantly lower in the EMLA group than in the control group (
P = .03). Patient satisfaction with postoperative pain control was significantly higher in the EMLA group than in the control group (
P < .01). No systemic complications were observed.
Topical EMLA cream decreased pain intensity and meperidine requests, reduced the frequency of single catheterizations, and improved patient satisfaction with postoperative pain management after hemorrhoidectomy in adults.</description><subject>Adult</subject><subject>Anesthetics, Local - therapeutic use</subject><subject>EMLA</subject><subject>Female</subject><subject>Hemorrhoidectomy</subject><subject>Hemorrhoids - surgery</subject><subject>Humans</subject><subject>Lidocaine - therapeutic use</subject><subject>Lidocaine, Prilocaine Drug Combination</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neomycin - therapeutic use</subject><subject>Ointments</subject><subject>Pain Measurement</subject><subject>Pain, Postoperative - drug therapy</subject><subject>Patient Satisfaction</subject><subject>Postoperative analgesia</subject><subject>Postoperative Period</subject><subject>Prilocaine - therapeutic use</subject><subject>Prospective Studies</subject><subject>Regional anesthesia</subject><subject>Visual analog score</subject><issn>1098-7339</issn><issn>1532-8651</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kFFr2zAQx8VYWdK0X6APQ-xhbA_O7mQrtqEvIbRrIe1KaZ-FKp2JQmxlkj3ot59MAoU-FA7uDn735_gxdoEwR8DFr-086H07FwDlfCwUn9gUZS6yaiHxc5qhrrIyz-sJO41xCwBVWSy-sAlWKCXIYsrunyNx33DNn_zeGb3jy45iv6HeGb4KpFv-4-puvfzJe88fyQ6G-IN2HV82PQV-Q60PYeOdJdP79vWMnTR6F-n82Gfs-frqaXWTrf_8vl0t15kpYNFn2pomlya3pWwI0YCESmMpq0KjFgXUUqDWsjQvTS0NFIVNK9bGYlNIqmw-Y98Pufvg_w7pYdW6aGi30x35Iaoy-YEaIYHf3oFbP4Qu_aYESMxBijxB4gCZ4GMM1Kh9cK0OrwpBjarVVo2q1ahajYUiHX09Jg8vLdm3k6PbBFweAEoi_jkKKhpHnSHrQrKlrHcf5f8HjHeNRA</recordid><startdate>2008</startdate><enddate>2008</enddate><creator>Shiau, Jieh-Min</creator><creator>Su, Hao-Po</creator><creator>Chen, Hung-Shu</creator><creator>Hung, Kuo-Chuan</creator><creator>Lin, Shung-Eing</creator><creator>Tseng, Chia-Chih</creator><general>Elsevier Inc</general><general>BMJ Publishing Group LTD</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><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>2008</creationdate><title>Use of a Topical Anesthetic Cream (EMLA) to Reduce Pain After Hemorrhoidectomy</title><author>Shiau, Jieh-Min ; Su, Hao-Po ; Chen, Hung-Shu ; Hung, Kuo-Chuan ; Lin, Shung-Eing ; Tseng, Chia-Chih</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c406t-adcf35c3d75fe11c0508a17584a1a2409521aa57cbf95c044d1aa19cd1f45e8d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Anesthetics, Local - therapeutic use</topic><topic>EMLA</topic><topic>Female</topic><topic>Hemorrhoidectomy</topic><topic>Hemorrhoids - surgery</topic><topic>Humans</topic><topic>Lidocaine - therapeutic use</topic><topic>Lidocaine, Prilocaine Drug Combination</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neomycin - therapeutic use</topic><topic>Ointments</topic><topic>Pain Measurement</topic><topic>Pain, Postoperative - drug therapy</topic><topic>Patient Satisfaction</topic><topic>Postoperative analgesia</topic><topic>Postoperative Period</topic><topic>Prilocaine - therapeutic use</topic><topic>Prospective Studies</topic><topic>Regional anesthesia</topic><topic>Visual analog score</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shiau, Jieh-Min</creatorcontrib><creatorcontrib>Su, Hao-Po</creatorcontrib><creatorcontrib>Chen, Hung-Shu</creatorcontrib><creatorcontrib>Hung, Kuo-Chuan</creatorcontrib><creatorcontrib>Lin, Shung-Eing</creatorcontrib><creatorcontrib>Tseng, Chia-Chih</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Regional anesthesia and pain medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shiau, Jieh-Min</au><au>Su, Hao-Po</au><au>Chen, Hung-Shu</au><au>Hung, Kuo-Chuan</au><au>Lin, Shung-Eing</au><au>Tseng, Chia-Chih</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of a Topical Anesthetic Cream (EMLA) to Reduce Pain After Hemorrhoidectomy</atitle><jtitle>Regional anesthesia and pain medicine</jtitle><addtitle>Reg Anesth Pain Med</addtitle><date>2008</date><risdate>2008</risdate><volume>33</volume><issue>1</issue><spage>30</spage><epage>35</epage><pages>30-35</pages><issn>1098-7339</issn><eissn>1532-8651</eissn><abstract>Hemorrhoidectomy usually leads to severe postoperative pain that often causes urinary retention. Topical EMLA cream (lidocaine 2.5% and prilocaine 2.5%) has been used extensively in the clinical setting. This prospective study tested the effectiveness of EMLA cream for postoperative pain control after hemorrhoidectomy.
Thirty patients admitted for hemorrhoidectomy were enrolled and randomly assigned into either a control group (n = 15) or EMLA group (n = 15). Postoperatively, the control group received approximately 5 g of neomycin ointment, and the EMLA group received approximately 5 g of EMLA. A visual analog scale (VAS) score was recorded on arrival in the postanesthesia recovery unit (PAR), after 2 hours in the PAR, on the first postoperative evening, and on the first postoperative morning. The requested frequency and dosage of meperidine, the first spontaneous voiding time, the frequency of single urinary catheterization, and a patient satisfaction score were also obtained.
The VAS score and frequency and dosage of meperidine injections were significantly lower in the EMLA group than in the control group (
P < .01). The voiding time was significantly later in the control group (
P = .04). The frequency of single catheterization was significantly lower in the EMLA group than in the control group (
P = .03). Patient satisfaction with postoperative pain control was significantly higher in the EMLA group than in the control group (
P < .01). No systemic complications were observed.
Topical EMLA cream decreased pain intensity and meperidine requests, reduced the frequency of single catheterizations, and improved patient satisfaction with postoperative pain management after hemorrhoidectomy in adults.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>18155054</pmid><doi>10.1016/j.rapm.2007.07.012</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1098-7339 |
| ispartof | Regional anesthesia and pain medicine, 2008, Vol.33 (1), p.30-35 |
| issn | 1098-7339 1532-8651 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_70160910 |
| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Anesthetics, Local - therapeutic use EMLA Female Hemorrhoidectomy Hemorrhoids - surgery Humans Lidocaine - therapeutic use Lidocaine, Prilocaine Drug Combination Male Middle Aged Neomycin - therapeutic use Ointments Pain Measurement Pain, Postoperative - drug therapy Patient Satisfaction Postoperative analgesia Postoperative Period Prilocaine - therapeutic use Prospective Studies Regional anesthesia Visual analog score |
| title | Use of a Topical Anesthetic Cream (EMLA) to Reduce Pain After Hemorrhoidectomy |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-23T05%3A13%3A27IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Use%20of%20a%20Topical%20Anesthetic%20Cream%20(EMLA)%20to%20Reduce%20Pain%20After%20Hemorrhoidectomy&rft.jtitle=Regional%20anesthesia%20and%20pain%20medicine&rft.au=Shiau,%20Jieh-Min&rft.date=2008&rft.volume=33&rft.issue=1&rft.spage=30&rft.epage=35&rft.pages=30-35&rft.issn=1098-7339&rft.eissn=1532-8651&rft_id=info:doi/10.1016/j.rapm.2007.07.012&rft_dat=%3Cproquest_cross%3E70160910%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=205130523&rft_id=info:pmid/18155054&rft_els_id=S1098733907007043&rfr_iscdi=true |