Table of Contents Author Guidelines Submit a Manuscript
Pain Research and Treatment
Volume 2016, Article ID 5093870, 6 pages
http://dx.doi.org/10.1155/2016/5093870
Clinical Study

A Clinical Experimental Model to Evaluate Analgesic Effect of Remote Ischemic Preconditioning in Acute Postoperative Pain

1Surgery Department, Federal University of Ceará, Fortaleza, CE, Brazil
2Walter Cantídio University Hospital, Fortaleza, CE, Brazil
3Physiology and Pharmacology Department, Federal University of Ceará, Fortaleza, CE, Brazil

Received 28 February 2016; Accepted 7 June 2016

Academic Editor: Donald A. Simone

Copyright © 2016 Francisco Elano Carvalho Pereira et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

This study aims to evaluate the viability of a clinical model of remote ischemic preconditioning (RIPC) and its analgesic effects. It is a prospective study with twenty (20) patients randomly divided into two groups: control group and RIPC group. The opioid analgesics consumption in the postoperative period, the presence of secondary mechanical hyperalgesia, the scores of postoperative pain by visual analog scale, and the plasma levels interleukins (IL-6) were evaluated. The tourniquet applying after spinal anesthetic block was safe, producing no pain for all patients in the tourniquet group. The total dose of morphine consumption in 24 hours was significantly lower in RIPC group than in the control group (). The intensity analysis of rest pain, pain during coughing and pain in deep breathing, showed that visual analogue scale (VAS) scores were significantly lower in RIPC group compared to the control group: , 0.0119, and 0.0015, respectively. There were no differences between groups in the analysis of presence or absence of mechanical hyperalgesia () and in the serum levels of IL-6 dosage over time (). This clinical model of remote ischemic preconditioning promoted satisfactory analgesia in patients undergoing conventional cholecystectomy, without changing serum levels of IL-6.