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T van de Donk1, B Bakker, B Postulart

  • 1Leids Universitair Medisch Centrum, afd. Anesthesiologie, Leiden.

Nederlands Tijdschrift Voor Geneeskunde
|August 24, 2017
PubMed
Summary

Consuming an ice-lolly after surgery significantly reduced the need for opioid and non-opioid pain relief in the post-anaesthesia care unit. This simple intervention offers a potential method for managing acute postoperative pain.

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Area of Science:

  • Anesthesiology
  • Pain Management
  • Surgical Recovery

Background:

  • Acute postoperative pain is a common challenge following surgical procedures.
  • Effective pain management is crucial for patient recovery and satisfaction.
  • Minimally invasive techniques are sought to reduce analgesic requirements and side effects.

Purpose of the Study:

  • To investigate the impact of consuming an ice-lolly on acute postoperative pain.
  • To evaluate the effect of an ice-lolly on analgesic requirements (opioid and non-opioid).
  • To assess pain scores, nausea, and vomiting in the immediate postoperative period.

Main Methods:

  • A randomized prospective intervention study involving 100 patients undergoing elective laparoscopic cholecystectomy.
  • Patients were allocated to receive either an ice-lolly or standard care post-anesthesia.

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  • Pain scores, analgesic use, and incidence of nausea/vomiting were recorded in the post-anesthesia care unit and ward for 24 hours.

    • Main Results:

    • No significant difference in pain scores was observed between groups in the post-anesthesia care unit.
    • Patients consuming an ice-lolly required significantly lower doses of opioids (p=0.04).
    • Ice-lolly consumption led to reduced need for non-opioid analgesics (10% vs 31%, p=0.01) and overall analgesics in the post-anesthesia care unit (p=0.03).

    Conclusions:

    • Postoperative ice-lolly consumption effectively reduces the requirement for both opioid and non-opioid analgesics in the immediate post-anesthesia care unit.
    • This intervention may offer a simple, non-pharmacological adjunct for acute pain management.
    • No significant differences in pain or analgesic use were noted on the ward beyond 24 hours post-surgery.