Acute Pain Services and Postsurgical Pain Management in the Netherlands: A Survey

Boekel, R.L.M. van; Steegers, Monique A H; Noord, Inge Verbeek-van; Sande, Rob van der; Vissers, Kris

doi:10.1111/papr.12192

Cited by 30 publications

(60 citation statements)

References 51 publications

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“…Also, APS needs to assess its own performance, performing a constant evaluation of pain intensity, therapeutic efficacy, and complications, defining how to prevent and treat them as soon as possible. In order to ensure an appropriate management of acute postoperative pain, the APS has an important role in training patients and the medical and nursing staff involved in perioperative care, and in performing audits and clinical research on the efficacy of existing and new methods of treatment …”

Section: Introductionmentioning

confidence: 99%

Acute Pain Service: A 10‐Year Experience

et al. 2019

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Background Pain management after surgery is crucial to decrease perioperative morbidity and mortality. Acute pain services (APS) are multidisciplinary teams that represent a modern strategy to address pain inside hospitals. The APS defines and applies pain treatment protocols specific for each surgery. To evaluate the performance of the APS at our institute, we performed a large retrospective cohort study focusing on complications of epidural analgesia and IV opiates. Methods Data from the 10 years of activity of the APS were collected. Pain was assessed using the VAS at rest (VASr) and during movement (VASm) at each daily visit; the presence of side effects and complications was also assessed. Results A total of 17,913 adult patients were followed by APS during the study period. Epidural analgesia was used in 7,776 cases (43%), while 9,239 (52%) patients used IV patient‐controlled analgesia (PCA). A combination of the 2 was used in 87 patients (0.5%). A total of 456 perineural catheters (2.6%) were placed, while 442 patients(2.5%) used other analgesic techniques. We recorded 163 dural punctures during catheter placement, with no epidural hematoma, epidural abscess, or meningitis, and no permanent modification in sensitive or motor functions. Conclusions In our large case series, APS was confirmed safe and effective in treating postoperative pain, using both epidural analgesia and IV PCA with morphine.

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Section: Introductionmentioning

confidence: 99%

Acute Pain Service: A 10‐Year Experience

et al. 2019

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“…Suboptimal pain control has been frequently reported in acute care settings and documented to negatively impact patients' health, delay recovery, increase postoperative morbidity, and reduce patient satisfaction [2, 4, 13, 14]. It also increases the risk of developing chronic pain resulting in higher use of healthcare resources and costs [15, 16].…”

Section: Introductionmentioning

confidence: 99%

Patient Perception of Acute Pain Management: Data from Three Tertiary Care Hospitals

Ramia

Nasser

Salameh

et al. 2017

Pain Research and Management

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Introduction. The primary objectives of this study were to assess patients' description of their acute pain intensity; patients' attitude towards their pain management during hospitalization; and their overall satisfaction with pain treatment. Methodology. A cross-sectional questionnaire-based study was conducted between October 2014 and March 2015 in three medical centers in Lebanon. All participants' responses were reported using descriptive statistics. The association between categorical variables was evaluated using Pearson χ2 test or Fisher's exact test where the expected cell count was < 5. Results. A total of 119 women on the maternity services and 177 patients on the orthopedic services were surveyed. Around 50% of obstetric and 37% of orthopedic patients reported pain to be severe at its highest intensity. In maternity and orthopedic patients, respectively, unfavorable practices included pain not being assessed prior to pain medication administration (19.3% and 30.5%), having to wait for ≥30 minutes before getting the pain medication (14.2% and 11.3%), and pain score not being documented on medical chart (95% and 93.2%). Surprisingly, 94.1% of the maternity and 89.2% of orthopedic patients were satisfied to strongly satisfied with their pain management. Conclusion. Pre- and postoperative pain remain a prevalent problem that requires a consensus and joint efforts for improvement.

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“…According to several studies, the implementation of an APS brought improvement to analgesic quality, but not as much as expected . It is not conclusively clear how an APS is most effectively organized or which tasks (patient‐focused or non‐patient‐focused) improve unsatisfying pain management . In the center where this study was undertaken, a state‐of‐the‐art APS run by the Department of Anesthesiology exists.…”

Section: Discussionmentioning

confidence: 93%

“…The reasons are many and have been discussed from different points of view. Some studies emphasized multimodal pain treatment, and some searched for causes within the organization of acute pain services (APS) . Others looked into treatments specific to surgical procedures and the levels of pain to be expected after these procedures .…”

Section: Discussionmentioning

confidence: 99%

Pain Assessment Discrepancies: A Cross‐Sectional Study Highlights the Amount of Underrated Pain

Ransbeeck

Budilivski²,

Spahn

et al. 2017

Pain Practice

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Acute Pain Services and Postsurgical Pain Management in the Netherlands: A Survey

Abstract: Almost all hospitals have an APS. They differ in both the way they are locally organized, along with the activities they employ. Future research needs to compare the effect of patient and nonpatient-related activities of APSs on outcomes related to pain management.

Cited by 30 publications

References 51 publications

Acute Pain Service: A 10‐Year Experience

Acute Pain Service: A 10‐Year Experience

Patient Perception of Acute Pain Management: Data from Three Tertiary Care Hospitals

Pain Assessment Discrepancies: A Cross‐Sectional Study Highlights the Amount of Underrated Pain

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