Aktuelle Aspekte zum Schmerzmanagement während und nach dermatologischen Operationen

Perioperative pain management in dermatosurgery – current practice in Germany: Data analysis of a Germany‐wide online survey among dermatosurgeons

“…For example, it is recommended to assess pain history according to the PQRST system (Table 3) and to use self‐report scales such as the VAS for daily assessment of pain intensity 12 . For severe or prolonged pain, the more detailed painDETECT ® questionnaire can be used 9 . It is noteworthy that in our survey, only 25% of respondents reported performing standardized pain assessment, primarily using the VAS.…”

“…(post-)herpetic neuralgia, and very rarely on the therapeutic management of (post-)operative pain. [6][7][8][9][10] In addition, surgical care of dermatological patients has special features with regard to the pain experience and influencing emotional factors (predominantly in elderly patients with additional chronic diseases, procedures predominantly under local anesthesia, and the facial area as a more emotionally affected localization). For these reasons, dermatosurgeons face a special challenge when it comes to adequate pain management during dermatologic surgery.…”

“…There are no specialist guidelines on this subject, only recommendations on pain management concepts. 9 In many cases, surgeons follow the WHO Analgesic Ladder for pain management, although this was developed primarily for the management of tumor-associated pain and is now considered at least partially outdated. 9,[11][12][13] The current German AWMF S3 Guideline "Acute Perioperative and Post-Traumatic Pain Management" provides comprehensive recommendations for perioperative pain management, but does not specifically address the concerns of dermatologic surgery.…”

“…9 In many cases, surgeons follow the WHO Analgesic Ladder for pain management, although this was developed primarily for the management of tumor-associated pain and is now considered at least partially outdated. 9,[11][12][13] The current German AWMF S3 Guideline "Acute Perioperative and Post-Traumatic Pain Management" provides comprehensive recommendations for perioperative pain management, but does not specifically address the concerns of dermatologic surgery. 14 Therefore, there is an obvious lack of relevant information on pain management in patients following dermatologic surgery.…”

“…In dermatology, most studies and recommendations on pain management focus on the treatment of acute and chronic pain in skin diseases, e.g. (post‐)herpetic neuralgia, and very rarely on the therapeutic management of (post‐)operative pain 6–10 . In addition, surgical care of dermatological patients has special features with regard to the pain experience and influencing emotional factors (predominantly in elderly patients with additional chronic diseases, procedures predominantly under local anesthesia, and the facial area as a more emotionally affected localization).…”