EFFECT OF SHORT TERM USE OF HEAD BAND ON POSTOPERATIVE PAIN AFTER CATARACT SURGERY

Rahimi Varposhti, M and Naghibi, KH and Moradi Farsani, D and Jazayeri, S.M (2018) EFFECT OF SHORT TERM USE OF HEAD BAND ON POSTOPERATIVE PAIN AFTER CATARACT SURGERY. The Journal of Urmia University of Medical Sciences, 28 (11). pp. 688-697.

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Abstract

Although cataract surgery is common worldwide, there are little studies on controlling its postoperative pain with non-pharmacological strategies. One of these strategies strategies is using .head bands This study aimed to evaluate the effect of using head band on postoperative pain after cataract surgery. Materials & Methods: In this randomized clinical trial, 586 candidates for cataract surgery under topical anesthesia and sedation were randomly divided into two equal groups; group (S) who used head band before starting of sedation until the end of operation with 10-15 mmHg pressure; and the second group (control) who did not use head band. Pain intensity and additional analgesic consumption were assessed in recovery room each 15 minutes for 1 hour. Also pulse rate, respiratory rate, oxygen saturation (SpO2), and blood pressure presence of vomiting, using ondansetron and apotel, duration of being in recovery room, and finally patients’ satisfaction were evaluated. Results: The mean visual analogue scale (VAS) score was significantly lower in group S in 30, 45 and 60 minutes after entrance to recovery room. The mean O2 saturation was significantly higher in S group in 45 and 60 minutes after entrance to the recovery room. The incidence of vomiting, consumption of ondansetron and apotel was significantly lower in S group. Patients' satisfaction was significantly higher in S group. Conclusion: Using head band before cataract surgery can improve postoperative pain, vital sign and complications. It can also reduce use of ondansetron and apotel and increases patients' satisfaction.

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