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Text messaging reduces analgesic requirements during surgery.

Jamie E Guillory1, Jeffrey T Hancock, Christopher Woodruff

  • 1Cornell University, Ithaca, New York, USA.

Pain Medicine (Malden, Mass.)
|December 23, 2014
PubMed
Summary
This summary is machine-generated.

Text messaging during surgery significantly reduced the need for supplemental analgesia. This mobile communication strategy offers analgesic-sparing benefits, improving patient comfort and reducing medication requirements.

Keywords:
FentanylPsychosocial FactorsSocial

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Area of Science:

  • Anesthesiology
  • Pain Management
  • Digital Health

Background:

  • Regional anesthesia is commonly used for minor surgeries below the waist.
  • Managing patient comfort and pain during surgery is crucial.
  • Exploring non-pharmacological interventions to reduce analgesic requirements is an ongoing area of research.

Purpose of the Study:

  • To investigate the effect of short message service (SMS) text messaging during surgery on fentanyl intake.
  • To compare text messaging interventions with a distraction condition and standard care.

Main Methods:

  • A randomized controlled trial involving 98 patients undergoing regional anesthesia for minor surgeries.
  • Participants were assigned to text messaging with a companion, text messaging with a stranger, playing a mobile game, or standard care.
  • Intervention (texting or gaming) occurred from before anesthesia until the end of the procedure.

Main Results:

  • Patients receiving standard care had significantly higher odds of requiring supplemental analgesia compared to the text-a-stranger group (odds ratio 6.77, P=0.009).
  • Text messaging with a companion also showed a trend towards reduced analgesia needs compared to standard care (odds ratio 4.39, P=0.03).
  • The distraction condition showed a non-significant trend towards reduced analgesia needs (odds ratio 1.96, P=0.25).

Conclusions:

  • Text messaging during surgery provides analgesic-sparing benefits.
  • Mobile phone communication, particularly with a companion, can enhance social support and improve patient comfort.
  • These findings suggest potential for mobile technology in reducing analgesic requirements in surgical settings.