Efectividad del manejo del dolor agudo postoperatorio por el Servicio de Dolor Agudo

Abstract

Background: Analgesia by specialists with formal training in pain management could be more effective, to find out, the results of a team of an acute pain service will be determined. Methods: Retrospective study (n = 108) of post-operative (POP) analgesia; two evaluations were taken: before starting analgesics in the immediate POP period and the second at 24 h. A multivariate analysis was performed to establish independent risk factors associated with the effectiveness of the treatment. Results: The effectiveness was 81.48% at 24 h. The risk factors associated with poor management effectiveness were: a comorbidity, prevalence ratio (PR) = 1.22; fibromyalgia (PR = 8.47), and cancer (PR = 2.47). The duration of surgery was associated with poor control PR = 1.10 for each hour elapsed. Protective factors for poor pain control: administration of non-steroidal anti-inflammatory drugs during the POP period (PR = 0.11) and use of analgesia controlled by the patient (PR = 0.29). Conclusion: POP pain relief is multifactorial; the participation of specialists was very effective. Identification of risk factors led to closer follow-up.

Acute Perioperative Pain Management of the Orthopaedic Patient

“…Effective Pain Management organizational Timely access to pain management specialists in the acute hospital setting contributes to improved outcomes, possibly due to increased expertise in recognizing risk factors related to uncontrolled pain along with increased knowledge of best practice recommendations (Osorio et al, 2022). The adoption of standardized opioid prescribing protocols for postoperative pain have been recognized for their benefits; however, attempting to fit all patients into a standardized protocol can cause undue risk and harm.…”