Interdisziplinäre postoperative Schmerztherapie an einer Urologischen Klinik

Pain and Its Treatment in Urology

“…[1,8,[15][16][17][18] To stress the importance of postoperative pain management, I would like to cite a review article [16] on postoperative epidural or spinal anesthesia, which shows the impressive reduction of mortality by about one third and the following morbidity rate reduction: respiratory depression 59 %, pulmonary embolism 55 %, transfusion requirements 50 %, deep vein thrombosis 44 %, pneumonia 39 %. Furthermore, as we have learnt above, we can prevent chronifi cation processes, save costs and satisfy our patient better, all of these factors contributing to the good reputation of your institution and you as an operative urologist.…”

“…The management should be planned in close collaboration with the anesthesiologists, who will take care of these applications and monitor them as well. An interdisciplinary, postoperative 'pain service' should be established as was published by Jage et al [18] on a 4-year experience with such a tool.…”