Akuter Schmerzdienst — Notwendige Organisationsstruktur für eine effektive Schmerztherapie

Neugebauer, Edmund; Driever, R.; Koch, W.; Plankermann, S.; Eypasch, E.; Troidl, H.; Doehn, M.

doi:10.1007/978-3-642-79242-7_298

Cited by 2 publications

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References 4 publications

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“…Ob das Outcome chirurgischer Patienten durch eine effiziente Analgesie verbessert werden kann [16], hängt in erster Linie davon ab, welche Zielkriterien zur Beantwortung der Frage herangezogen werden. Während zunächst weder eine Verkürzung der Rekonvaleszenz noch ein positiver Effekt auf die postoperative Liegedauer eindeutig nachgewiesen werden konnte [14,6], zeigte sich in einer Multicenterstudie mit 23 eingeschlossenen Krankenhäusern und 5837 Patienten, dass neben der Senkung der postoperativen Schmerzintensität auch die Liegezeit durch einen ASD verkürzt werden konnte [15].…”

Section: Methoden Und Organisationsform Der Schmerztherapie In Der Chunclassified

Organisation der Schmerztherapie in der Chirurgie

Lempa¹,

Gerards

Eypasch

et al. 2003

Der Chirurg

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An acute pain service done by surgeons is one possibility for organizing pain therapy in surgical wards. To do this successfully, some preconditions must be kept in mind, such as 24-h presence, an integrated system of documentation, and teamwork between medical and nursing staff. Comparison of differently structured pain therapy in three different hospitals (with and without acute pain service) showed high levels of patient satisfaction with the pain therapies in all three hospitals. One of the preconditions for effective pain therapy in surgery is to formulate a concept which takes into account the specific situation of each hospital.

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Section: Methoden Und Organisationsform Der Schmerztherapie In Der Chunclassified

Organisation der Schmerztherapie in der Chirurgie

Lempa¹,

Gerards

Eypasch

et al. 2003

Der Chirurg

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Phantomschmerztherapie mit Lachscalcitonin und Einfluß auf die postoperative Patientenzufriedenheit

Simanski¹,

Lempa²,

Koch³

et al. 1999

Chirurg

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In this prospective clinical study we examined the intravenous application of salmon-calcitonin in eight patients with severe phantom limb pain (Visual Analogue Scale = 50-100). The patients presented at the Acute Pain Service (APS) section of the Second Department of Surgery, University of Cologne. Six of eight patients (75%) had no phantom limb pain after 10 days of intravenous treatment with salmon-calcitonin (maximum of five cycles of calcitonin infusion). Systematic follow-up examinations after 3, 6 and 12 months showed long-term success. Patient satisfaction was examined with a numeric rating scale (NRS 1-6) between the single infusion cycles. When patient satisfaction was low, the physician modified the time period or drug dosage between infusions. This study shows good or excellent results in patient satisfaction for six of eight patients (75%). A prospective randomized trial is required to verify the excellent results of intravenous salmon-calcitonin in a larger population. Alternative pharmacological and operative treatments of phantom limb pain are critically reviewed and assessed.

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Akuter Schmerzdienst — Notwendige Organisationsstruktur für eine effektive Schmerztherapie

Cited by 2 publications

References 4 publications

Organisation der Schmerztherapie in der Chirurgie

Organisation der Schmerztherapie in der Chirurgie

Phantomschmerztherapie mit Lachscalcitonin und Einfluß auf die postoperative Patientenzufriedenheit

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