3 research outputs found
Natural fault and fracture network characterization for the southern Ekofisk field: A case study integrating seismic attribute analysis with image log interpretation
No full textProduction from the Ekofisk Chalk Field in the North Sea is believed to be significantly influenced by the presence of a connected fault and fracture network. In the current study, we create a 3D seismic discontinuity cube which is representative of this network within the southern part of the Ekofisk Field. This is done using a multiscale workflow which integrates seismic fault and fracture detection with borehole image log interpretation from three horizontal well sections. The results show that faults and fractures are prevalent in the Ekofisk Formations. Within the study area, faults are mainly organised in three orientations: 1) WNW-ESE, 2) NNE-SSW and 3) NNW-SSE. Smaller E-W striking faults are also observed. The interpreted fractures show a similar pattern and are organized in four orientation groups: NW-SE, WNW-ESE, ENE-WSW and NE-SW. The analysis of seismic discontinuity data (i.e. faults and fractures detectable on seismic) indicates that most small-scale discontinuities occur in proximity to large faults, and that the Lower Ekofisk Formation is characterized by more widespread – and a higher intensity of small-scale seismic discontinuities. It is also demonstrated that along each studied well section, the extracted seismic discontinuities show a qualitative correlation with the image log interpretation. This correlation suggests that the 3D seismic discontinuity cube can serve as a proxy for the fault and fracture network in the southern part of the Ekofisk Chalk Field. Following from our key findings, we conclude that the presented workflow and results could provide a starting point for future studies assessing the impact of natural fractures in the Ekofisk – and other complex reservoirs.Reservoir EngineeringApplied Geolog
Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries
No full textBackground: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures. Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge. Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to sideeffects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (β coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and lowand middle-income countries, patient-reported outcomes did not. Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely
