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Updated: Nov 19, 2025

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Objective postoperative pain assessment using incentive spirometry values: a prospective observational study.

Matthew J Hallman1, Nancy Dorinsky1, Yueting Wang2

  • 1Department of Anesthesiology, University of North Carolina, Chapel Hill, NC 27599-7010, USA.

Pain Management
|February 3, 2021
PubMed
Summary
This summary is machine-generated.

Incentive spirometry (IS) values can objectively track postoperative pain control. Higher IS values correlate with better pain management after major abdominal surgery.

Keywords:
ISNPRSacute painanalgesiaincentive spirometrynumeric pain rating scalepostoperativethoracic epidural

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Area of Science:

  • Anesthesiology
  • Surgical Outcomes
  • Pulmonary Medicine

Background:

  • Postoperative pain significantly impacts patient recovery and satisfaction.
  • Objective measures for assessing pain control after major surgery are needed.
  • Incentive spirometry (IS) is commonly used for pulmonary rehabilitation postoperatively.

Purpose of the Study:

  • To investigate the correlation between incentive spirometry (IS) values and postoperative pain control.
  • To determine if IS measurements can serve as a surrogate marker for effective pain management.

Main Methods:

  • Prospective observational study involving 100 patients undergoing major abdominal procedures.
  • Patients received preoperative thoracic epidural analgesia.
  • Collected preoperative and daily postoperative numeric pain scores, subjective pain descriptions, and IS values.

Main Results:

  • A strong correlation was observed between IS values and numeric pain scores (p < 0.0001).
  • IS values also correlated significantly with postoperative day (p < 0.0001) and subjective pain scores (p < 0.0007).
  • A strong correlation was found between IS values and pain scores.

Conclusions:

  • Incentive spirometry (IS) values serve as an objective surrogate for pain control after surgery.
  • Monitoring IS values over time, compared to a preoperative baseline, enhances its utility in assessing pain management.
  • IS measurements offer a valuable, objective data point for evaluating postoperative pain control effectiveness.