analysis-improvement-factors-affecting-satisfaction-patients-with

Analysis and Improvement of Factors Affecting Satisfaction of Patients with Postoperative Patient-Controlled Analgesia

Patient-controlled analgesia (PCA) is widely used for postoperative pain management, yet patient satisfaction remains influenced by multiple clinical and ...

Peking University People's Hospital

Acupuncture promotes the recovery of gastrointestinal function and provides analgesia after major abdominal surgery. The effects of transcutaneous electrical acupoint stimulation (TEAS) remain unclear.

Transcutaneous electrical acupoint stimulation in adult patients receiving gastrectomy/colorectal resection: A randomized controlled trial.

Perioperative hypothermia can lead to a variety of adverse events that hinder rapid recovery after surgery in clinical settings. General anesthesia combined with paravertebral block (PVB) may add additional heat loss and thus increase the incidence of hypothermia in patients undergoing thoracoscopic lung surgery. However, gaps in the knowledge of the influence of the PVB time sequence on patients' body temperature remain. The aim of this study was to explore the potential impact of the time sequence of PVB on the risk of hypothermia.

Preoperative thoracic paravertebral block provides greater benefits for body temperature protection in patients undergoing thoracoscopic lung surgery: a retrospective cohort study.

This study compared the effects of opiate-free anesthesia (OFA) using thoracic paravertebral block combined with dexmedetomidine versus traditional anesthesia with sufentanil and remifentanil on postoperative adverse reactions after thoracoscopic lung surgery.

Efficacy of opioid-free anesthesia in reducing postoperative adverse events for thoracoscopic pulmonary surgery: a randomized controlled trial.

In video-assisted thoracoscopic surgery, sufentanil patient-controlled intravenous analgesia (PCIA) demands continuous infusion, raising opioid load and side-effects while lacking κ-receptor visceral coverage. Oxycodone's dual µ/κ profile and longer action allow demand-only PCIA. We compared the 2 within a standardized TPVB-NSAID protocol. Single-center retrospective study (Jan 2017-Dec 2018). Adults undergoing video-assisted thoracoscopic lung surgery with multimodal analgesia were allocated to sufentanil (S) or oxycodone (O) PCIA. After 1:1 propensity matching (n = 527 per group), opioid consumption, numerical rating scale pain, analgesic demands, PONV, dizziness, sleep quality and length of stay were compared. Matched groups were comparable demographically and intraoperatively. Postoperative days 1 to 2 opioid use (morphine equivalents) was lower in O (0.8 mg and 1.2 mg) than S (27.4 mg and 36.5 mg; P < .001). Resting numerical rating scale on day 2 favored O (P = .043); exercise scores were similar. Patients pressed the O pump more often (2 vs 0 and 3 vs 1; P <.01). PONV day-1: O 1.5 %, S 6.5 % (P <.001); dizziness: 3.8 % vs 9.9 % (P <.001). Good sleep reported in 73.1 % O vs 61.9 % S (P <.001). Postoperative stay shorter in O (P = .002). Within a TPVB-NSAID multimodal regimen, oxycodone-based PCIA provided equivalent analgesia, lower opioid consumption and fewer adverse effects than sufentanil-based PCIA, and was associated with earlier discharge after thoracoscopic lung surgery.

Application of oxycodone in multimodal analgesia for thoracoscopic lung surgery: A single-center retrospective observational study.

Perioperative hypothermia is common during video-assisted thoracoscopic surgery (VATS) and is associated with adverse clinical outcomes. Transcutaneous electrical acupoint stimulation (TEAS) is a noninvasive neuromodulation technique that may modulate thermoregulation; however, evidence from randomized controlled trials remains limited. This study evaluated whether TEAS prevents perioperative hypothermia in patients undergoing VATS.

Effect of transcutaneous electrical acupoint stimulation on perioperative hypothermia in video-assisted thoracoscopic surgery: a randomized controlled trial.

Article	Year
Transcutaneous electrical acupoint stimulation in adult patients receiving gastrectomy/colorectal resection: A randomized controlled trial. World journal of gastrointestinal surgery\| PubMed ID: 37555116	2023
Preoperative thoracic paravertebral block provides greater benefits for body temperature protection in patients undergoing thoracoscopic lung surgery: a retrospective cohort study. BMC anesthesiology\| PubMed ID: 40490717	2025
Efficacy of opioid-free anesthesia in reducing postoperative adverse events for thoracoscopic pulmonary surgery: a randomized controlled trial. BMC anesthesiology\| PubMed ID: 41388253	2025
Application of oxycodone in multimodal analgesia for thoracoscopic lung surgery: A single-center retrospective observational study. Medicine\| PubMed ID: 41630287	2026
Effect of transcutaneous electrical acupoint stimulation on perioperative hypothermia in video-assisted thoracoscopic surgery: a randomized controlled trial. Frontiers in medicine\| PubMed ID: 42145755	2026

Weixin Zhang

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