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Expected and experienced pain during epidural catheter insertion.

S Mogensen1, L Berglund, M Eriksson

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Patients undergoing major abdominal surgery expect significantly more pain from epidural procedures than they actually experience. This study highlights a notable difference between anticipated and actual pain levels during epidural catheter insertion.

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Area of Science:

  • Anesthesiology
  • Pain Management
  • Surgical Patient Care

Background:

  • Epidural catheter insertion is a common pain relief method in anesthesia.
  • Limited data exists on patient expectations versus experienced pain from epidural procedures.
  • Understanding this discrepancy is crucial for managing patient anxiety and improving care.

Purpose of the Study:

  • To investigate and compare expected versus experienced pain during epidural block procedures.
  • To analyze patient-reported pain levels associated with epidural catheterization in major abdominal surgery.

Main Methods:

  • Thirty adult patients undergoing elective major abdominal surgery were enrolled.
  • Pain expectations were recorded pre-procedure on an 11-point numeric rating scale.
  • Experienced pain was assessed post-procedure using the same scale.

Main Results:

  • Median expected pain was 5.0, while median experienced pain was 2.0.
  • A statistically significant difference (P < 0.0001) was found between expected and experienced pain.
  • Demographic factors and prior epidural experience did not influence pain perception.

Conclusions:

  • Patients consistently anticipate greater pain from epidural blocks than what they report experiencing.
  • This finding suggests a potential overestimation of procedural discomfort by patients.
  • Managing patient expectations may be key to reducing perceived epidural pain.