Postinterventional pain and complications of sonographically guided interventions in the liver and pancreas

Lindner A, Frieser M, Heide R, Wildner D, Neurath M, Dauth W, Bernatik T, Strobel D (2014)

Publication Type: Journal article

Publication year: 2014

Journal

Ultraschall in der Medizin Georg Thieme Verlag

Book Volume: 35

Pages Range: 159-65

Journal Issue: 2

DOI: 10.1055/s-0032-1330497

Abstract

Sonographically guided interventions in abdominal organs are routine procedures with rare severe complications. However, potential patient discomfort or pain is frequently not addressed in the literature.In a prospective 1-year study, the peri- and postinterventional pain of patients undergoing sonographically guided punctures of the liver and pancreas was analyzed. Data acquisition was done with a standardized questionnaire. This included three numeric rating scales (NRS) ranging from "0" to "10" to be answered at puncture and 1 hour and 4 hours later. Data concerning complications and administered analgesic medication was acquired from the patients' charts.223/274 patients could be analyzed (83 %). 91 women (40.8 %) and 132 men (59.2 %) were included. The mean age was 56.0 yrs. Overall the average level of pain was 2.98 at puncture, 1.21 after 1 hour and 0.71 after 4 hours. In patients with diagnostic biopsies, the pain levels were 3.37(0 h)/1.33(1 h)/0.71(4 h) for liver parenchyma, 2.64(0 h)/0.95(1 h)/0.65(4 h) for focal liver lesions and 3.1(0 h)/1.9(1 h)/1.1(4 h) for pancreatic punctures. The pain levels at therapeutic interventions were 3.00(0 h)/2.00(1 h)/0.50(4 h). Female and younger (< 50 yrs) patients had statistically significantly more pain at puncture and 1 hour postintervention. Only minor complications occurred (0.9 %).Severe pain after sonographically guided interventions is rare. Most patients suffer only from mild pain postinterventionally.

Authors with CRIS profile

Markus Neurath Lehrstuhl für Innere Medizin I Deike Strobel Medizinische Fakultät

Involved external institutions

Kreisklinik Ebersberg DE Germany (DE) Institut für Arbeitsmarkt- und Berufsforschung (IAB) der Bundesagentur für Arbeit (BA) DE Germany (DE)

How to cite

APA:

Lindner, A., Frieser, M., Heide, R., Wildner, D., Neurath, M., Dauth, W.,... Strobel, D. (2014). Postinterventional pain and complications of sonographically guided interventions in the liver and pancreas. Ultraschall in der Medizin, 35(2), 159-65. https://doi.org/10.1055/s-0032-1330497

MLA:

Lindner, A., et al. "Postinterventional pain and complications of sonographically guided interventions in the liver and pancreas." Ultraschall in der Medizin 35.2 (2014): 159-65.

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