Postoperative pain: frequency and management characterization
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
2. Zaragoza-García F, Landa-García I, Larraínzar-Garijo R, et al. Dolor postoperatorio en España: primer documento de consenso. España: Asociación Española de Cirujanos, Grupo de Dolor de la SECOT, Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor; Sociedad Española del Dolor; 2005. Available at: https://goo.gl/d12o91. Accessed March 14, 2017.
3. Muñoz JM. Manual de dolor agudo postoperatorio. 2010; Hospital Universitario La Paz, Madrid:10-13.
4. Fadazaideh L, Emami H, Samii K. Comparison of visual analogue scale and faces rating scale in measuring acute postoperative pain. Arch Iran Med 2009; 12:73-75.
5. Vidal MA, Torres LM. Estudio observacional PATHOS sobre el dolor postoperatorio leve o moderado: comparación de los resultados de España frente a Europa. Rev Esp Anestesiol Reanim 2008; 55:393-400.
6. Valentín-López B, García Caballero J, Muñoz-Ramón JM, et al. Atención del dolor postoperatorio en un hospital de tercer nivel: situación inicial previa a la implantación de un programa de calidad. Rev Esp Anestesiol Reanim 2006; 53:408-418.
7. Hernández-Hernández L. Protocolos para el control del dolor perioperatorio en cirugía general. Rev Mex Anestesiol 2012; 35:130-133.
8. Martínez-Vázquez de Castro J, Torres LM. Prevalencia del dolor postoperatorio. Alteraciones fisiopatológicas y sus repercusiones. Rev Soc Esp Dolor 2000; 7:465-476.
9. Aubrun F, Valade N, Coriat P, et al. Predictive factors of severe postoperative pain in the postanesthesia care unit. Anesth Anal 2008; 106:1535-1541.
10. Gordon DB, Pellino TA, Miaskowski C, et al. A 10-year review of quality improvement in pain management: recommendations for standardized outcome measures. Pain Manag Nurs 2002; 3:116-130.
11. Gerbershagen HJ, Aduckathil S, Van Wijck AJM, et al. Pain intensity on the first day after surgery. Anesthesiology 2013; 118:934-944.
12. Fernández DL, Gordo F, López S, et al. Manejo de la analgesia postoperatoria en las primeras 24 horas en un hospital de segundo nivel: estudio observacional. Rev Soc Esp Dolor 2006; 13:18-23.
13. Esteve-Pérez N, Del Rosario-Usoles E, Giménez-Jiménez I, et al. Seguridad y efectividad del tratamiento del dolor agudo postoperatorio: seguimiento de 3.670 pacientes. Rev Esp Anestesiol Reanim 2008; 55:541-547.
14. González de Mejía N. Analgesia multimodal postoperatoria. Rev Soc Esp Dolor 2005; 12:112-118.
15. Gallardo NJ. El dolor postoperatorio: pasado, presente y futuro. Rev Chil Anest 2010; 39:69-75.
16. Fernández-Galinski DL, Gordo F, López-Galera S, et al. Conocimientos y actitudes de pacientes y personal sanitario frente al dolor postoperatorio. Rev Soc Esp Dolor 2007; 14:3-8.
17. Hospital de tercer nivel: situación inicial previa a la implantación de un programa de calidad. Rev Esp Anestesiol Reanim 2006; 53:408-418.
18. Santeularia-Vergés MT, Catalá-Puigbó E, Genové-Cortada M, et al. Nuevas tendencias en el tratamiento del dolor postoperatorio en cirugía general y digestiva. Cir Esp 2009; 86:63-71.
Downloads
Altmetric
Article metrics | |
---|---|
Abstract views | |
Galley vies | |
PDF Views | |
HTML views | |
Other views |