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Related Concept Videos

Analgesia and Pain Management01:25

Analgesia and Pain Management

540
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...
540
Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

417
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
417

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Related Experiment Video

Updated: Jun 11, 2025

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
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Comparison of Analgesia Methods Through a Web Platform in Patients Undergoing Thoracic Surgery: Pilot Design,

Rosella Trò1, Angelica Orecchia1, Nicola Disma2

  • 1Department of Informatics, Bioengineering, Robotics and System Engineering, University of Genoa, Genoa, Italy.

JMIR Formative Research
|October 8, 2024
PubMed
Summary

A new digital health app aids pain management after pectus excavatum repair, comparing standard care with cryoanalgesia. Cryoanalgesia significantly reduced hospital stays, showing promise for improved patient recovery and data collection.

Keywords:
health care informaticspain assessmentpectus excavatumweb platform

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Area of Science:

  • Medical Informatics
  • Surgical Innovation
  • Pain Management

Background:

  • Postoperative pain management for pectus excavatum (PE) lacks international consensus.
  • eHealth solutions can improve data collection and patient engagement in pain management.
  • Digital health tools are currently underutilized for PE pain management.

Purpose of the Study:

  • To introduce a tool for comparing standard thoracic epidural analgesia with cryoanalgesia for PE pain.
  • To facilitate comprehensive, quantitative data collection and analysis for pain assessment.
  • To support the Cryoanalgesia for Pain Management After Pectus Excavatum Repair (COPPER) study.

Main Methods:

  • Developed a web and mobile app based on clinician input for data collection and analysis.
  • Utilized digital surveys for medical history and pre/postoperative evaluations.
  • Employed XTENS 2.0 for data management and Ionic for cross-platform development.

Main Results:

  • A pilot study of 72 patients showed successful enrollment and balanced groups.
  • Cryoanalgesia resulted in a significantly shorter hospital stay compared to standard therapy (P<.001).
  • The app demonstrated efficacy in streamlining data collection and patient engagement.

Conclusions:

  • The digital health app shows potential for modernizing PE pain management.
  • Improvements are needed in multilingual support, data validation, and patient incentives.
  • Digital solutions can enhance patient involvement and improve the quality of care.