Related Experiment Video
Updated: Dec 24, 2025
14:56
An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
Published on: January 27, 2010
21.8K
Complementary and Alternative Medicine for Postoperative Pain: A Systematic Review
Caitlin J Bakker1, Kelsey L Wise1, Benjamin R Williams1
1Health Sciences Libraries (C.J.B.) and Department of Orthopaedic Surgery (K.L.W., B.R.W., and M.F.S.), University of Minnesota, Minneapolis, Minnesota.
The Journal of Bone and Joint Surgery. American Volume
|April 7, 2020
Summary
Evidence is insufficient to confirm if complementary and alternative medicines effectively manage postoperative pain or reduce opioid use in orthopaedic surgery. More research is needed to establish their efficacy.
Area of Science:
- Orthopaedic Surgery
- Pain Management
- Evidence-Based Medicine
Background:
- Postoperative pain management is a significant challenge in orthopaedic surgery.
- Inadequate pain control can lead to adverse patient outcomes and prolonged opioid use.
- Complementary and alternative medicine (CAM) is popular for chronic pain, but its postoperative efficacy is unproven.
Purpose of the Study:
- To systematically review the literature on the efficacy of CAM for postoperative pain management in orthopaedic surgery.
- To evaluate the impact of CAM on postoperative opioid consumption.
Main Methods:
- Systematic literature review of 10 databases.
- Extraction of data on pain measurement and opioid prescriptions.
- Analysis of 8 relevant studies (5 randomized, 3 non-randomized).
Main Results:
- Five studies indicated significant reductions in postoperative pain (p < 0.05).
- Two studies showed significant differences in postoperative opioid consumption (p < 0.05).
- Heterogeneity and potential bias were noted across studies, precluding meta-analysis.
Conclusions:
- Insufficient evidence exists to support the use of CAM for postoperative pain management in orthopaedic surgery.
- The efficacy of CAM as an alternative to opioid use requires further investigation.
- High-quality research is needed to address the current evidence gap.
More Related Videos
Related Concept Videos
01:23Peripheral Artery Disease V: Postoperative Nursing Management
261
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
261
01:15Opioid Analgesics: Synthetic and Semisynthetic Opioids
816
Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
816
01:25Analgesia and Pain Management
1.4K
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...
1.4K
01:24General Anesthesia: Overview
497
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
497
01:20Opioid Analgesics: Morphine and Other Natural Cogeners
752
Opioids are a class of drugs that mimic endogenous opioid peptides and act on opioid receptors, and help in pain relief. These compounds are classified as natural, synthetic, or semi-synthetic. Natural opioids, like morphine, codeine, and thebaine, are derived from the opium poppy plant (Papaver somniferum or Papaver album) and are termed opiates. Synthetic opioids are artificial, while semi-synthetic opioids combine natural and synthetic compounds. Morphine, a prototypical opioid, possesses a...
752
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
420
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
420