Assessment of intraoperative pain during Mohs micrographic surgery (MMS): An opportunity for improved patient care. Academic Article uri icon

Overview

MeSH

  • Adult
  • Aged
  • Cohort Studies
  • Female
  • Humans
  • Intraoperative Period
  • Logistic Models
  • Male
  • Middle Aged
  • Monitoring, Intraoperative
  • Odds Ratio
  • Operative Time
  • Pain, Postoperative
  • Pilot Projects
  • Quality Improvement
  • Risk Assessment
  • Treatment Outcome

MeSH Major

  • Mohs Surgery
  • Pain
  • Pain Measurement
  • Patient Care
  • Skin Neoplasms

abstract

  • Intraoperative pain during Mohs micrographic surgery (MMS) has not been characterized. However, many patients report postoperative pain on the day of MMS. We sought to determine if patients experience pain during their MMS visit. In phase I of this study, patients were asked to report intraoperative pain level using the verbal numerical rating scale (0-10) at discharge. In phase II, pain levels were assessed before each Mohs layer and at discharge, to determine whether pain was experienced throughout the day. Pain was reported at some point during the MMS day for 32.8% of patients (n = 98). The mean pain number reported was 3.7 (range 1-8) out of 10. Pain was more commonly reported by patients who spent a longer time in the office, had 3 or more Mohs layers, and had a flap or graft repair. Patients most frequently reported pain with surgical sites of the periorbital area and nose. Time between Mohs layers was not measured. There was nonstandardized use of intraoperative local anesthesia volume and oral pain medications. Some patients experience pain during MMS. However, the majority of patients report a low level of pain. Additional preventative measures could be considered in patients at higher risk. Copyright © 2016 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

publication date

  • September 2016

has subject area

  • Adult
  • Aged
  • Cohort Studies
  • Female
  • Humans
  • Intraoperative Period
  • Logistic Models
  • Male
  • Middle Aged
  • Mohs Surgery
  • Monitoring, Intraoperative
  • Odds Ratio
  • Operative Time
  • Pain
  • Pain Measurement
  • Pain, Postoperative
  • Patient Care
  • Pilot Projects
  • Quality Improvement
  • Risk Assessment
  • Skin Neoplasms
  • Treatment Outcome

Research

keywords

  • Journal Article

Identity

Language

  • eng

Digital Object Identifier (DOI)

  • 10.1016/j.jaad.2016.02.1230

PubMed ID

  • 27125530

Additional Document Info

start page

  • 590

end page

  • 594

volume

  • 75

number

  • 3