Ricerc@Sapienza

Background and Aims: Acute postoperative pain after total hip arthroplasty
(THA) and total knee arthroplasty (TKA) has been reported as moderateto-
severe. Aim of this study was to evaluate the effects of different anesthetic
techniques on post-operative analgesic opioid consumption in patients who
underwent THA and TKA and received Sufentanil Sublingual Tablet System
Zalviso® (SSTS) for post-operative pain.
Methods: Adults aged ≥18years, who had undergone THA and TKA, received

Background and Aims: Inadequate post-operative pain management is one
of the most common complain after major orthopedic surgery. Limits of iv-
PCA have been identified in programming and patients' errors, invasive access,
and impairment of mobility. The aim of this study was to evaluate patient' perspective
into sufentanil sublingual tablet system Zalviso®(SSTS) evaluation for
post-operative pain management after orthopedic surgery.
Methods: Adults, who had undergone major orthopedic surgery, with expected

Despite the introduction of evidence-based recommendations for postoperative pain management (POPM), the consensus is that pain control remains suboptimal. Barriers to achieving patient-satisfactory analgesia include deficient knowledge regarding POPM among staff, lack of instructions, insufficient pain assessments and sub-optimal treatment. Effective monitoring of POPM is essential to enable policy makers and healthcare providers to improve the quality of care.

The growing number of laparoscopic surgical procedures performed in obese patients has increased the need to explore suitable analgesic techniques for a prone population to postoperative complications. The morbidly obese population may particularly benefit from the opioid-sparing or the opioid-free anesthesia/analgesia, which maximize the use of locoregional techniques. Transversus abdominal plane (TAP) block has been widely used as part of multimodal analgesia for abdominal and gynecological surgeries, but evidence in obese patients is still poor.

Introduction: Fixed-dose combination analgesic regimens may be similarly effective to opioid monotherapy but with potentially less risk. A number of individualized combination regimens can be created, including nonopioid agents such as acetaminophen and nonsteroidal anti-inflammatory drugs, opioids, and adjunctive agents such as gabapentin, pregabalin, and muscle relaxants. Areas covered: When such combinations have a synergistic effect, analgesic benefits may be enhanced.

Objective This study aimed to compare the analgesic effect of ibuprofen 400 mg given 30 minutes before or immediately after third molars surgery under local anaesthesia. Materials and Methods The single‐center, randomized, split‐mouth, triple‐blind, clinical trial involved 38 outpatients, for a total of 76 bilateral symmetrical fully bone impacted mandibular third molars. Each patient was undergone to separate surgical sessions for the right and left side, and ibuprofen was randomly administered 30 minutes before or immediately after the intervention.

OBJECTIVES:
The aim of this study is to evaluate secondary intention healing process and postoperative pain of oral soft tissues after laser surgery with the use of a compound containing chlorhexidine and sodium hyaluronate.

È fondamentale che l’infermiere attui una corretta gestione del dolore nel postoperatorio per favorire la compliance del paziente garantendo un rapido recupero, per ridurre l’ansia associata agli episodi dolorosi e soprattutto per ridurre al minimo il rischio di complicanze postoperatorie. È ormai scientificamente dimostrato che il dolore nel postoperatorio influisce non solo sullo stato d’animo del paziente ma anche su componenti endocrine, metaboliche e cardiorespiratorie.