Poor Sleep Before Surgery and Post Operative Pain

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Veteran Member

Date Joined May 2003
Total Posts : 9448
   Posted 4/29/2009 7:50 PM (GMT -6)   

Poor Sleep the Night Before Surgery Is Linked with Postoperative Pain

Women who sleep poorly the night before they undergo surgery have increased postoperative pain according to researchers from the Mount Sinai School of Medicine in New York.

"In the March issue of the Journal of Pain and Symptom Management, Dr. Caroline E. Wright and colleagues report on 24 women who agreed to wear a sleep-monitoring device the night before routine breast-conserving surgery. The actigraphy device provided objective validated measures of sleep duration (total sleep time) and disruption (low sleep efficiency). On postoperative day 7, pain severity and interference with activities of daily living were assessed with the Brief Pain Inventory."

Lower sleep efficiency was significantly associated with greater pain severity and interference during the week after surgery.

Those women who slept worst the night prior to surgery had 59% to 64% higher pain scores.

Lower sleep efficiency was not associated with depressed mood, emotional upset, or relaxation as assessed on the morning of surgery.

J Pain Symptom Manage 2009;37:352-362

Who the devil sleeps well BEFORE surgery??

Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.

Veteran Member

Date Joined Mar 2006
Total Posts : 1354
   Posted 4/29/2009 10:37 PM (GMT -6)   
So thats why I was in so much pain after my resection - the sleepless night before!!!
Thanks for this C2.

Regular Member

Date Joined Mar 2008
Total Posts : 381
   Posted 4/29/2009 11:15 PM (GMT -6)   
At my pre-surgery assessment I asked if I could take a sleeping pill the night before and he said it was probably a good idea so that I could get a good night's sleep.

55 yr. old F dx. CD 07/07
Was on prednisone for three months but no medication for next 11 months.
Started weekly methotrexate injections 09/22/08.
Sigmoidectomy scheduled for May 11/2009

Regular Member

Date Joined Apr 2009
Total Posts : 51
   Posted 4/30/2009 8:10 AM (GMT -6)   
Over 30 years experience! Dx 1976, surgery every seven years, the only effective long term drug has been very low doses of prednisone. Refuse to take anymore immune suppressants.

Regular Member

Date Joined Feb 2009
Total Posts : 161
   Posted 4/30/2009 10:41 AM (GMT -6)   
I took Ambien the night before both of my c-sections and slept really well.

Veteran Member

Date Joined Apr 2005
Total Posts : 3763
   Posted 4/30/2009 11:27 AM (GMT -6)   
How about the fact that I don't even sleep before a procedure, let alone a surgery! I'm always afraid the alarm won't go off or some other problem will come up. I just can't sleep even with a sleeping pill!

CD 20 years officially, 30 unofficially. 3 resections '93, '95 '97
Managing with strict low residue diet, keeping symptoms to a minimum. All test show small amount of ulceration, still have occasional blockages. But still have a great time with my 2 daughters and husband!

Prednisone, 6MP,Prevacid, B12 shots, Bentyl, Xifaxan.....

Veteran Member

Date Joined Mar 2005
Total Posts : 635
   Posted 4/30/2009 12:01 PM (GMT -6)   
Who sleeps the night before surgery?  Good article..was it written by Captain Obvious?

28 years with Crohns in the term ileum.  Feb 07 Resection.  No meds currently..but there will be some I'm sure. Taking acidophilus.

Regular Member

Date Joined Mar 2009
Total Posts : 318
   Posted 4/30/2009 1:36 PM (GMT -6)   
I take enough sleep MEDS to knock a horse out according to the nurses but the night before any surgery i can't shut my eyes i think its cause we don't know what to expect after wards how much pain will we have will there be drainage tubes will there be a NG tube a central line there is so much that goes through our heads the dreaded night before. Jenn

Had Crohns 17 years had numerous bowel resections,fistulas,fissures,hemmies,kidney problems,fibro,arthritis,dignosed at 13 had GI feeding tube,nasal feeding tube,cental lines,ports,4 ruptured bowel emergency surgeries,TMJ,depression,current meds are Hydromorphone,30 ,Hydromophome,8 ,Ketoprofen,100 ,Trazadone,50 ,Lorazepam,10 ,Zopliclone,5 ,atriplyine,75 ,Losac,50 Tylenol Athritis ,B-12 injections ,Iron injections ,Gravol,75 Predisone,5mg ,Humira,40mg once a week.Still looking for the doctor with all the answers if you find him forward him to me please.P.S my bathroom is the nicest room in my house cause i spend so much time there,i am thinking about installing the computer and maybe a hot-dog stand.

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