Postoperative pain: frequency and management characterization

  • Patricia E. García-Ramírez Palliative Care and Pain Medicine in the Cancer Patient, Hospital General Regional No. 1, Instituto Mexicano del Seguro Social, Ciudad Obregón, Mexico.
  • Selenne Guadalupe González-Rodríguez Palliative Care and Pain Medicine in the Cancer Patient, Hospital General Regional No. 1, Instituto Mexicano del Seguro Social, Ciudad Obregón, Mexico.
  • Fernando Soto-Acevedo Family Medicine Unit 1, Instituto Mexicano del Seguro Social, Ciudad Obregón, Mexico.
  • Olga Rosa Brito-Zurita Directorate of Education and Research, Highly Specialized Medical Units, Instituto Mexicano del Seguro Social, Ciudad Obregón, Mexico.
  • Ramón Cabello-Molina Palliative Care and Pain Medicine in the Cancer Patient, Hospital General Regional No. 1, Instituto Mexicano del Seguro Social, Ciudad Obregón, Mexico.
  • Cruz Mónica López-Morales Research Assistant Coordinator, Instituto Mexicano del Seguro Social, Ciudad Obregón, Mexico.
Keywords: Pain, Postoperative, Postoperative Period, Acute Pain, Analgesia, Analgesics

Abstract

Introduction:

Acute postoperative pain is a usual symptom and a surgical challenge.

Objective:

To determine the frequency of pain in the postoperative period of patients undergoing elective surgery and to characterize pain management at a second-level public hospital.

Material and methods:

A cross-section study of 175 postop patients was conducted, analyzing variables such as level of pain 24 hours after surgery according to the visual analog scale, type of surgery, use of analgesics, and anesthetic technique.

Results:

The findings indicate that the frequency of moderate, severe, and excruciating pain is 66.3%. In all cases, the analgesia treatment was prescribed by the treating service, and 2 to 3 nonsteroidal anti-inflammatory drugs were used in 86.4% of the cases, with a minimal use of opioids in 13% of the patients. The anesthetic techniques used included balanced general anesthesia, neuro-axial block, and a mixed technique; the latter improved pain control.

Conclusion:

The frequency of postoperative pain is similar to the level reported in other trials (30%-70%), pointing to the need to review our current management, with more extensive participation and training of the staff involved in pain control.

References

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How to Cite
1.
García-Ramírez PE, González-Rodríguez SG, Soto-Acevedo F, Brito-Zurita OR, Cabello-Molina R, López-Morales CM. Postoperative pain: frequency and management characterization. Colomb. J. Anesthesiol. [Internet]. 2018Apr.1 [cited 2021Jan.26];46(2):93-7. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/153

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Published
2018-04-01
How to Cite
1.
García-Ramírez PE, González-Rodríguez SG, Soto-Acevedo F, Brito-Zurita OR, Cabello-Molina R, López-Morales CM. Postoperative pain: frequency and management characterization. Colomb. J. Anesthesiol. [Internet]. 2018Apr.1 [cited 2021Jan.26];46(2):93-7. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/153
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