title: Evaluation of the contribution to postoperative analgesia by local cooling of the wound.
abstract: Thirty healthy patients undergoing lumbar spine surgery were randomly assigned to one of two groups for postoperative pain relief. Group 1 received morphine via patient controlled analgesia and local cooling of the wound by an externally applied cooling pad while group 2 received patient controlled analgesia alone. There was a significant reduction in morphine consumption when local cooling was applied (18.6 mg versus 30.2 mg at 12 h, 29.0 mg versus 49.6 mg at 24 h, p < 0.05). Patients were also significantly more satisfied with their overall postoperative pain management when cooling therapy was used.
authors.affiliation: UCL Hospitals, London.
authors.forename: B
authors.initials: B
authors.lastname: Brandner
authors.forename: B
authors.initials: B
authors.lastname: Munro
authors.forename: L M
authors.initials: LM
authors.lastname: Bromby
authors.forename: M
authors.initials: M
authors.lastname: Hetreed
mesh_terms: D000328:Adult; D016058:Analgesia, Patient-Controlled; D000701:Analgesics, Opioid / Q000008:administration & dosage; D017679:Cryotherapy / Q000295:instrumentation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009020:Morphine / Q000008:administration & dosage; D010147:Pain Measurement; D010149:Postoperative Pain / Q000517:prevention & control*; D017060:Patient Satisfaction; D013131:Spine / Q000601:surgery; D013997:Time Factors
chemical_list: D000701:Analgesics, Opioid; D009020:Morphine