Page last updated: 2024-11-01

nitroglycerin and Acute Post-operative Pain

nitroglycerin has been researched along with Acute Post-operative Pain in 31 studies

Nitroglycerin: A volatile vasodilator which relieves ANGINA PECTORIS by stimulating GUANYLATE CYCLASE and lowering cytosolic calcium. It is also sometimes used for TOCOLYSIS and explosives.
nitroglycerol : A nitrate ester that is glycerol in which nitro group(s) replace the hydrogen(s) attached to one or more of the hydroxy groups.
nitroglycerin : A nitroglycerol that is glycerol in which the hydrogen atoms of all three hydroxy groups are replaced by nitro groups. It acts as a prodrug, releasing nitric oxide to open blood vessels and so alleviate heart pain.

Research Excerpts

ExcerptRelevanceReference
" In a prospective, double-blind, randomized trial, we tested the effect of intravenous nitroglycerin on the incidence of angina and minor myocardial necrosis (MMN), as detected by cardiac troponin I increase, after elective coronary stenting."9.09A double-blind, randomized study of the effect of immediate intravenous nitroglycerin on the incidence of postprocedural chest pain and minor myocardial necrosis after elective coronary stenting. ( Bertel, O; Kurz, DJ; Naegeli, B, 2000)
"Nitroglycerin (NTG) has the potential to reduce myocardial ischemia during percutaneous transluminal coronary angioplasty (PTCA)."6.67Buccal nitroglycerin decreases ischemic pain during coronary angioplasty: a double-blind, randomized, placebo-controlled study. ( Ekström, L; Emanuelsson, H; Johansson, SR, 1990)
" In a prospective, double-blind, randomized trial, we tested the effect of intravenous nitroglycerin on the incidence of angina and minor myocardial necrosis (MMN), as detected by cardiac troponin I increase, after elective coronary stenting."5.09A double-blind, randomized study of the effect of immediate intravenous nitroglycerin on the incidence of postprocedural chest pain and minor myocardial necrosis after elective coronary stenting. ( Bertel, O; Kurz, DJ; Naegeli, B, 2000)
"Early postoperative pain after 30 and 60 minutes and the requirement for meperidine were not meaningfully different between the 2 groups."2.79Evaluation of the advantageous anesthetic properties of dexmedetomidine used as hypotensive agent compared with nitroglycerin in orthognathic surgery. ( Apipan, B; Rummasak, D, 2014)
"Nitroglycerine (NTG) has analgesic properties."2.76The analgesic effect of three different doses of nitroglycerine when added to lidocaine for intravenous regional anesthesia in trauma patients. ( Fatemy, A; Honarmand, A; Safavi, M, 2011)
"Fentanyl is a short-acting synthetic opioid with spinal analgesic properties and dose-dependent side-effects."2.75The effect of transdermal nitroglycerine on intrathecal fentanyl with bupivacaine for postoperative analgesia following gynaecological surgery. ( Ahmed, F; Chawla, V; Garg, A; Khandelwal, M; Verma, AP, 2010)
"Overall analysis of postoperative pain at rest showed a significant reduction in the botulinum toxin group vs."2.72Botulinum toxin vs. topical glyceryl trinitrate ointment for pain control in patients undergoing hemorrhoidectomy: a randomized trial. ( Almasio, PL; Arcara, M; Calogero, F; Di Vita, G; Fede, C; Gaetano, DV; Luigi, AP; Matteo, A; Patti, R; Pietro, R; Romano, P; Sammartano, S; Sergio, S, 2006)
"Nitroglycerin (NTG) has been found efficacious in acute pain, but has not been tested for chronic pain with neuropathic characteristics."2.71Efficacy of transdermal nitroglycerin combined with etodolac for the treatment of chronic post-thoracotomy pain: an open-label prospective clinical trial. ( Eidelman, LA; Glantz, L; Godovic, G; Kramer, M; Lekar, M, 2004)
"Nitroglycerin (NTG) has the potential to reduce myocardial ischemia during percutaneous transluminal coronary angioplasty (PTCA)."2.67Buccal nitroglycerin decreases ischemic pain during coronary angioplasty: a double-blind, randomized, placebo-controlled study. ( Ekström, L; Emanuelsson, H; Johansson, SR, 1990)
"Hemorrhoidectomy is associated with postoperative pain and prolonged wound healing."2.53Effect of Glyceryl Trinitrate Ointment on Pain Control After Hemorrhoidectomy: A Meta-analysis of Randomized Controlled Trials. ( Kiu, KT; Lin, CC; Liu, JW; Tam, KW; Wang, CY, 2016)
"Current postoperative pain therapy revolves around the use of wound infiltration and systemic administration of opioids, nonsteroidal anti-inflammatory drugs and paracetamol."2.46Topical application of analgesics: a clinical option in day case anaesthesia? ( McCleane, G, 2010)
"The side effect of headache has often been an associated problem."2.46Meta-analysis of the use of glyceryl trinitrate ointment after haemorrhoidectomy as an analgesic and in promoting wound healing. ( Andreani, SM; Light, D; Patel, B; Ratnasingham, K; Uzzaman, M, 2010)
"Esmolol was used in 25% of patients to reduce motion of the left ventricle (LV) during the left internal mammary artery (LIMA)-LAD anastomosis, but was used less often as the surgeons adapted to the use of a retractor that stabilized the ventricular wall adjacent to the site of the LIMA-LAD anastomosis."1.30Minimally invasive direct coronary artery bypass: anesthetic, monitoring, and pain control considerations. ( Gravlee, GP; Heres, EK; Magovern, JA; Malkowski, MJ; Marquez, J, 1998)

Research

Studies (31)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's4 (12.90)18.2507
2000's14 (45.16)29.6817
2010's11 (35.48)24.3611
2020's2 (6.45)2.80

Authors

AuthorsStudies
Jin, J1
Unasa, H1
Bahl, P1
Mauiliu-Wallis, M1
Svirskis, D1
Hill, A1
Yang, Y1
Feng, K1
Lei, Y1
Qiu, L1
Liu, C1
Li, G1
Mari, FS1
Nigri, G1
Dall'Oglio, A1
Cosenza, UM1
Milillo, A1
Terrenato, I1
Pancaldi, A1
Brescia, A1
Khan, KI1
Waqas, A1
Akmal, M1
Mahmood, S1
Iqbal, A1
Cakmak, BM1
Cakmak, G1
Akpek, E1
Arslan, G1
Sahin, MS1
Rummasak, D1
Apipan, B1
Liu, JW1
Lin, CC1
Kiu, KT1
Wang, CY1
Tam, KW1
Feltracco, P1
Brezzi, ML1
Barbieri, S1
Serra, E1
Milevoj, M1
Ori, C1
Karanlik, H1
Akturk, R1
Camlica, H1
Asoglu, O1
Gentile, A1
Tran-Van, D1
Dardare, E1
Fritsch, N1
Benois, A1
Fontaine, B1
McCleane, G1
Garg, A1
Ahmed, F1
Khandelwal, M1
Chawla, V1
Verma, AP1
Ratnasingham, K1
Uzzaman, M1
Andreani, SM1
Light, D1
Patel, B1
Siddiqui, MR1
Daulatzai, N1
Honarmand, A1
Safavi, M1
Fatemy, A1
Franceschilli, L1
D'Ugo, S1
de Luca, E1
Cadeddu, F1
Milito, G1
di Lorenzo, N1
Gaspari, AL1
Sileri, P1
Elton, C1
Sen, P1
Montgomery, AC1
Hwang, DY1
Yoon, SG1
Kim, HS1
Lee, JK1
Kim, KY1
Glantz, L1
Godovic, G1
Lekar, M1
Kramer, M1
Eidelman, LA1
Sen, S1
Ugur, B1
Aydin, ON1
Ogurlu, M1
Gursoy, F1
Savk, O1
Ball, AM1
Smith, KM1
Patti, R1
Almasio, PL1
Luigi, AP1
Arcara, M1
Matteo, A1
Sammartano, S1
Sergio, S1
Romano, P1
Pietro, R1
Fede, C1
Calogero, F1
Di Vita, G1
Gaetano, DV1
Tan, KY1
Sng, KK1
Tay, KH1
Lai, JH1
Eu, KW1
Davies, MJ1
Silbert, BS1
Mooney, PJ1
Dysart, RH1
Meads, AC1
Heres, EK1
Marquez, J1
Malkowski, MJ1
Magovern, JA1
Gravlee, GP1
Kurz, DJ1
Naegeli, B1
Bertel, O1
Lauretti, GR2
Oliveira, AP2
Julião, MC1
Reis, MP1
Pereira, NL1
Wasvary, HJ1
Hain, J1
Mosed-Vogel, M1
Bendick, P1
Barkel, DC1
Klein, SN1
Rodrigues, AM1
Paccola, CA1
Ross, A1
Johansson, SR1
Ekström, L1
Emanuelsson, H1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Topical Application of GTN 0.4% in the Treatment of Anismus Following Stapled Haemorrhoidopexy[NCT01279551]Phase 2/Phase 340 participants (Actual)Interventional2004-01-31Completed
Effects of Addition of Systemic Tramadol or Adjunct Tramadol to Lidocaine Used for Intravenous Regional Anesthesia in Patients Undergoing Hand Surgery[NCT02658721]Phase 360 participants (Actual)Interventional2013-01-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

7 reviews available for nitroglycerin and Acute Post-operative Pain

ArticleYear
Can Targeting Sphincter Spasm Reduce Post-Haemorrhoidectomy Pain? A Systematic Review and Meta-Analysis.
    World journal of surgery, 2023, Volume: 47, Issue:2

    Topics: Botulinum Toxins; Diltiazem; Hemorrhoidectomy; Humans; Nitroglycerin; Pain, Postoperative; Spasm

2023
Comparing the efficacy and safety of different analgesic strategies after open hemorrhoidectomy: a systematic review and network meta-analysis.
    International journal of colorectal disease, 2023, Jan-07, Volume: 38, Issue:1

    Topics: Analgesics; Diltiazem; Hemorrhoidectomy; Humans; Network Meta-Analysis; Nitroglycerin; Ointments; Pa

2023
Effect of Glyceryl Trinitrate Ointment on Pain Control After Hemorrhoidectomy: A Meta-analysis of Randomized Controlled Trials.
    World journal of surgery, 2016, Volume: 40, Issue:1

    Topics: Analgesics, Non-Narcotic; Headache; Hemorrhoidectomy; Hemorrhoids; Humans; Nitroglycerin; Ointments;

2016
[Management of transdermal therapeutics in perioperative care].
    Annales francaises d'anesthesie et de reanimation, 2009, Volume: 28, Issue:4

    Topics: Administration, Cutaneous; Analgesics; Anesthetics; Cardiovascular System; Contraindications; Diffus

2009
Topical application of analgesics: a clinical option in day case anaesthesia?
    Current opinion in anaesthesiology, 2010, Volume: 23, Issue:6

    Topics: Administration, Topical; Ambulatory Surgical Procedures; Analgesia; Analgesics; Analgesics, Opioid;

2010
Meta-analysis of the use of glyceryl trinitrate ointment after haemorrhoidectomy as an analgesic and in promoting wound healing.
    International journal of surgery (London, England), 2010, Volume: 8, Issue:8

    Topics: Analgesics; Headache; Hemorrhoids; Humans; Nitroglycerin; Ointments; Pain Measurement; Pain, Postope

2010
Postoperative pain management: can transdermal patches help?
    Orthopedics, 2006, Volume: 29, Issue:3

    Topics: Administration, Cutaneous; Analgesics; Anesthetics, Local; Antiemetics; Clonidine; Fentanyl; Humans;

2006

Trials

20 trials available for nitroglycerin and Acute Post-operative Pain

ArticleYear
Topical glyceryl trinitrate ointment for pain related to anal hypertonia after stapled hemorrhoidopexy: a randomized controlled trial.
    Diseases of the colon and rectum, 2013, Volume: 56, Issue:6

    Topics: Administration, Topical; Adult; Anal Canal; Female; Hemorrhoids; Humans; Lidocaine; Male; Middle Age

2013
Efficacy of combination of 0.2% GTN and lignocaine ointments in wound healing and pain relief after Milligan Morgan hemorrhoidectomy--a comparison with lignocaine and 0.2% GTN ointments separately.
    International journal of surgery (London, England), 2014, Volume: 12, Issue:4

    Topics: Adult; Anesthetics, Local; Double-Blind Method; Female; Hemorrhoidectomy; Hemorrhoids; Humans; Lidoc

2014
Peri- and postanalgesic properties of lidokain, lornoxicam, and nitroglycerine combination at intravenous regional anesthesia.
    BioMed research international, 2014, Volume: 2014

    Topics: Administration, Intravenous; Adolescent; Adult; Analgesics; Anesthesia, Conduction; Anesthesia, Intr

2014
Evaluation of the advantageous anesthetic properties of dexmedetomidine used as hypotensive agent compared with nitroglycerin in orthognathic surgery.
    Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, 2014, Volume: 72, Issue:12

    Topics: Adult; Antihypertensive Agents; Dexmedetomidine; Female; Humans; Hypnotics and Sedatives; Male; Nitr

2014
The effect of glyceryl trinitrate ointment on posthemorrhoidectomy pain and wound healing: results of a randomized, double-blind, placebo-controlled study.
    Diseases of the colon and rectum, 2009, Volume: 52, Issue:2

    Topics: Administration, Topical; Adult; Analgesics; Double-Blind Method; Female; Hemorrhoids; Humans; Male;

2009
The effect of transdermal nitroglycerine on intrathecal fentanyl with bupivacaine for postoperative analgesia following gynaecological surgery.
    Anaesthesia and intensive care, 2010, Volume: 38, Issue:2

    Topics: Administration, Cutaneous; Adult; Anesthetics, Local; Bupivacaine; Cyclic GMP; Double-Blind Method;

2010
The analgesic effect of three different doses of nitroglycerine when added to lidocaine for intravenous regional anesthesia in trauma patients.
    Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES, 2011, Volume: 17, Issue:6

    Topics: Adolescent; Adult; Aged; Anesthesia, Conduction; Anesthesia, Intravenous; Anesthetics, Local; Drug A

2011
Role of 0.4% glyceryl trinitrate ointment after haemorrhoidectomy: results of a prospective randomised study.
    International journal of colorectal disease, 2013, Volume: 28, Issue:3

    Topics: Adult; Aged; Demography; Female; Hemorrhoidectomy; Hemorrhoids; Humans; Male; Middle Aged; Nitroglyc

2013
Initial study to assess the effects of topical glyceryl trinitrate for pain after haemorrhoidectomy.
    International journal of surgical investigation, 2001, Volume: 2, Issue:5

    Topics: Administration, Topical; Aged; Double-Blind Method; Drug Administration Schedule; Female; Follow-Up

2001
Effect of 0.2 percent glyceryl trinitrate ointment on wound healing after a hemorrhoidectomy: results of a randomized, prospective, double-blind, placebo-controlled trial.
    Diseases of the colon and rectum, 2003, Volume: 46, Issue:7

    Topics: Administration, Topical; Adult; Double-Blind Method; Female; Hemorrhoids; Humans; Male; Middle Aged;

2003
Efficacy of transdermal nitroglycerin combined with etodolac for the treatment of chronic post-thoracotomy pain: an open-label prospective clinical trial.
    Journal of pain and symptom management, 2004, Volume: 27, Issue:3

    Topics: Administration, Cutaneous; Aged; Anti-Inflammatory Agents, Non-Steroidal; Drug Therapy, Combination;

2004
The analgesic effect of nitroglycerin added to lidocaine on intravenous regional anesthesia.
    Anesthesia and analgesia, 2006, Volume: 102, Issue:3

    Topics: Adult; Aged; Anesthesia, Conduction; Anesthesia, Intravenous; Anesthetics, Combined; Double-Blind Me

2006
Botulinum toxin vs. topical glyceryl trinitrate ointment for pain control in patients undergoing hemorrhoidectomy: a randomized trial.
    Diseases of the colon and rectum, 2006, Volume: 49, Issue:11

    Topics: Adult; Botulinum Toxins, Type A; Defecation; Female; Hemorrhoids; Humans; Injections; Male; Manometr

2006
Randomized clinical trial of 0.2 per cent glyceryl trinitrate ointment for wound healing and pain reduction after open diathermy haemorrhoidectomy.
    The British journal of surgery, 2006, Volume: 93, Issue:12

    Topics: Adult; Analgesics; Diathermy; Double-Blind Method; Female; Hemorrhoids; Humans; Male; Middle Aged; N

2006
Combined epidural and general anaesthesia versus general anaesthesia for abdominal aortic surgery: a prospective randomised trial.
    Anaesthesia and intensive care, 1993, Volume: 21, Issue:6

    Topics: Aged; Analgesia; Analgesia, Epidural; Anesthesia, Epidural; Anesthesia, General; Aorta, Abdominal; A

1993
A double-blind, randomized study of the effect of immediate intravenous nitroglycerin on the incidence of postprocedural chest pain and minor myocardial necrosis after elective coronary stenting.
    American heart journal, 2000, Volume: 139, Issue:1 Pt 1

    Topics: Angina Pectoris; Angioplasty, Balloon, Coronary; Biomarkers; Coronary Angiography; Coronary Disease;

2000
Transdermal nitroglycerine enhances spinal neostigmine postoperative analgesia following gynecological surgery.
    Anesthesiology, 2000, Volume: 93, Issue:4

    Topics: Administration, Cutaneous; Analgesia; Anesthesia, Spinal; Anesthetics, Local; Bupivacaine; Cholinest

2000
Randomized, prospective, double-blind, placebo-controlled trial of effect of nitroglycerin ointment on pain after hemorrhoidectomy.
    Diseases of the colon and rectum, 2001, Volume: 44, Issue:8

    Topics: Administration, Topical; Dose-Response Relationship, Drug; Double-Blind Method; Drug Administration

2001
The effect of transdermal nitroglycerin on spinal S(+)-ketamine antinociception following orthopedic surgery.
    Journal of clinical anesthesia, 2001, Volume: 13, Issue:8

    Topics: Adjuvants, Anesthesia; Administration, Cutaneous; Adult; Analgesia, Epidural; Analgesics; Anesthesia

2001
Buccal nitroglycerin decreases ischemic pain during coronary angioplasty: a double-blind, randomized, placebo-controlled study.
    American heart journal, 1990, Volume: 120, Issue:2

    Topics: Administration, Buccal; Angioplasty, Balloon, Coronary; Coronary Disease; Double-Blind Method; Human

1990

Other Studies

4 other studies available for nitroglycerin and Acute Post-operative Pain

ArticleYear
Epidural anesthesia and analgesia in liver resection and living donor hepatectomy.
    Transplantation proceedings, 2008, Volume: 40, Issue:4

    Topics: Analgesia; Analgesics; Anesthesia, Epidural; Hepatectomy; Humans; Injections, Intravenous; Living Do

2008
Re: Meta-analysis of the use of glyceryl trinitrate ointment after haemorrhoidectomy as an analgesic and in promoting wound healing.
    International journal of surgery (London, England), 2011, Volume: 9, Issue:3

    Topics: Analgesics; Hemorrhoids; Humans; Meta-Analysis as Topic; Nitroglycerin; Ointments; Pain, Postoperati

2011
Minimally invasive direct coronary artery bypass: anesthetic, monitoring, and pain control considerations.
    Journal of cardiothoracic and vascular anesthesia, 1998, Volume: 12, Issue:4

    Topics: Adrenergic beta-Antagonists; Adult; Aged; Aged, 80 and over; Analgesics, Opioid; Anesthesia, General

1998
Analgesia for day surgery.
    The Medical journal of Australia, 1992, May-18, Volume: 156, Issue:10

    Topics: Administration, Cutaneous; Ambulatory Surgical Procedures; Analgesia; Analgesics; Humans; Nitroglyce

1992