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Related Concept Videos

Analgesia and Pain Management01:25

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Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
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A Protocol of Manual Tests to Measure Sensation and Pain in Humans
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Is it possible to objectify the visual pain scale?

Mehmet Ergin1, Abdullah Sadik Girisgin2, Zerrin Defne Dundar3

  • 1Mehmet Ergin, MD, EP. Assistant Professor, Department of Emergency Medicine, Necmettin Erbakan University, Meram Medicine School, Konya, Turkey.

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|February 13, 2016
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Summary

A new modified Visual Analog Scale (mVAS) offers a more objective pain assessment for renal colic than the standard VAS. The mVAS reduces gender-based pain perception differences, providing a more equitable evaluation.

Keywords:
Analgesia/pain controlClinical managementEmergency department managementRenal colic

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Area of Science:

  • Pain Management
  • Medical Diagnostics
  • Urology

Background:

  • The Visual Analog Scale (VAS) is commonly used for pain assessment.
  • Gender differences in pain perception have been observed using standard pain scales.
  • Objective pain measurement in renal colic is crucial for effective treatment evaluation.

Purpose of the Study:

  • To evaluate the superiority and objectivity of a modified VAS (mVAS) compared to the standard VAS.
  • To assess gender-based differences in pain perception and treatment response in renal colic patients using mVAS.

Main Methods:

  • Patients and controls rated pain during IV line access (VASIV).
  • Renal colic patients rated pain before and after analgesia (VASRC).
  • mVAS was calculated as VASRC minus VASIV.

Main Results:

  • Standard VAS showed higher pain in females at all time points.
  • mVAS revealed no significant gender difference at baseline and 30 minutes.
  • Females reported significantly higher pain only at 15 minutes with mVAS.

Conclusions:

  • The mVAS is a more objective tool for pain assessment in renal colic.
  • mVAS effectively mitigates gender-based disparities in reported pain levels.
  • This modified scale enhances the reliability of pain perception evaluation.