The Effect of Improving Preoperative Sleep Quality on Perioperative Pain by Zolpidem in Patients Undergoing Laparoscopic Colorectal Surgery: A Prospective, Randomized Study
- PMID: 35069955
- PMCID: PMC8767387
- DOI: 10.1155/2022/3154780
The Effect of Improving Preoperative Sleep Quality on Perioperative Pain by Zolpidem in Patients Undergoing Laparoscopic Colorectal Surgery: A Prospective, Randomized Study
Abstract
Methods: A prospective, randomized study was conducted with 88 patients undergoing laparoscopic colorectal surgery. The experimental group (S group, n = 44) was given 10 mg of zolpidem tartrate one night before the surgical procedure, while no medication was given to the control group (C group, n = 44). The primary outcome was the intraoperative remifentanil consumption. Sufentanil consumption, average patient-controlled analgesia (PCA) effective press times, the visual analog scale (VAS) scores, and incidences of postoperative nausea and vomiting (PONV) were recorded at 6 h (T1), 12 h (T2), and 24 h (T3) postoperatively.
Results: The intraoperative remifentanil consumption was significantly lower in the S group than that in the C group (p < 0.01). Sufentanil consumption at 6 h and 12 h postoperatively was significantly lower in the S group than that in the C group (p < 0.05); average PCA effective press times and VAS scores, at 6 h and 12 h postoperatively, were significantly lower in the S group than those in the C group (p < 0.01); differences between groups 24 h postoperatively were not significant. No significant between-group difference was noted in the incidence of nausea and vomiting.
Conclusion: Improving patients' sleep quality the night before surgical procedure by zolpidem can decrease the usage of intraoperative analgesics and reduce postoperative pain.
Copyright © 2022 Zhennan Xiao et al.
Conflict of interest statement
The authors declare that there are no conflicts of interest regarding the publication of this paper.
Figures
Similar articles
-
Prospective investigation of intravenous patient-controlled analgesia with hydromorphone or sufentanil: impact on mood, opioid adverse effects, and recovery.BMC Anesthesiol. 2018 Apr 10;18(1):37. doi: 10.1186/s12871-018-0500-1. BMC Anesthesiol. 2018. PMID: 29636011 Free PMC article. Clinical Trial.
-
Transversus abdominis plane block versus perioperative intravenous lidocaine versus patient-controlled intravenous morphine for postoperative pain control after laparoscopic colorectal surgery: study protocol for a prospective, randomized, double-blind controlled clinical trial.Trials. 2014 Dec 4;15:476. doi: 10.1186/1745-6215-15-476. Trials. 2014. PMID: 25472808 Free PMC article. Clinical Trial.
-
Adding dexmedetomidine to morphine-based analgesia reduces early postoperative nausea in patients undergoing gynecological laparoscopic surgery: a randomized controlled trial.BMC Anesthesiol. 2020 Jan 8;20(1):11. doi: 10.1186/s12871-019-0928-y. BMC Anesthesiol. 2020. PMID: 31914930 Free PMC article. Clinical Trial.
-
Analgesic effect of the ultrasound-guided subcostal approach to transmuscular quadratus lumborum block in patients undergoing laparoscopic nephrectomy: a randomized controlled trial.BMC Anesthesiol. 2019 Aug 14;19(1):154. doi: 10.1186/s12871-019-0825-4. BMC Anesthesiol. 2019. PMID: 31412770 Free PMC article. Clinical Trial.
-
Prospective randomized controlled study on improving sleep quality and impact of zolpidem after total hip arthroplasty.J Orthop Surg Res. 2019 Sep 3;14(1):289. doi: 10.1186/s13018-019-1327-2. J Orthop Surg Res. 2019. PMID: 31481074 Free PMC article. Clinical Trial.
Cited by
-
Quality of Postoperative Pain Management in Orthopedic Patients and Its Impact on Sleep Quality and Patient Satisfaction: An Integrative Review.Cureus. 2024 Jul 31;16(7):e65872. doi: 10.7759/cureus.65872. eCollection 2024 Jul. Cureus. 2024. PMID: 39219928 Free PMC article. Review.
References
Publication types
MeSH terms
Substances
Associated data
LinkOut - more resources
Full Text Sources