Postoperative analgesia

Utting, J.E.; Smith, Joy

doi:10.1111/j.1365-2044.1979.tb04929.x

Cited by 67 publications

(9 citation statements)

References 112 publications

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“…Local analgesia can eliminate pain whereas systemic analgesia alleviates it (9). Some researchers reported complete analgesia in over 90% of patients treated by this method (6,12,16,21).…”

Section: Discussionmentioning

confidence: 99%

Post-operative management of pain following major abdominal and thoracic operations

Ef¹,

Ja²

2009

E Af Med Jrnl

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Objective: To study the common methods of analgesia and their effectiveness in postoperative patients and to assess the occurrence of common post-operative complications related to pain. Design: A prospective descriptive study. Settings: Three general surgical wards and one cardiothoracic ward at the Kenyatta National Hospital, Nairobi, between 1st September 1996 and 30th November 1996. Patients: One hundred and six adult patients admitted in the hospital for thoracotomy and/ or laparotomy over a period of three months. Results: Overall, 60% of the patients did not achieve adequate pain relief during the first 72 hours after surgery. Age, sex, weight, drug and type of operation did not influence pain score significantly. All but two patients were not prepared psychologically about expectations after surgery. Over ninety seven per cent received pethidine while 2.8% had morphine. The drugs were prescribed and administered with too little attention to the patient' s response and too much concern about adverse effects and narcotic addiction. Conclusion: The results suggest that the standard of post-operative pain relief is poor. Patients need to be told more about what to expect(and demand). The medical and nursing staff need further education in how to prescribe and administer analgesia with reference to individual drug response. Other more effective methods of pain control should be introduced.

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“…Local analgesia can eliminate pain whereas systemic analgesia alleviates it (9). Some researchers reported complete analgesia in over 90% of patients treated by this method (6,12,16,21).…”

Section: Discussionmentioning

confidence: 99%

Post-operative management of pain following major abdominal and thoracic operations

Ef¹,

Ja²

2009

E Af Med Jrnl

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“…There are many reasons why a patient may not ask for analgesia immediately they require it, i.e. they think the nursing staff are too busy with other patients and will not interrupt them, or they do not fully understand the regime and simply wait for the routine drug rounds to request a 'pain-killer' (Utting & Smith, 1979).…”

Section: Discussionmentioning

confidence: 99%

Cognitive responses and the control of post‐operative pain

Pick

Pearce

Legg

1990

British J Clinic Psychol

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This paper examines the relationship between spontaneous cognitive responses and reported pain experience in an acute pain population. Fifty-two patients, admitted for planned major surgery, had their pain intensity, distress and coping responses assessed 48 hours post-operatively. Significant correlations were obtained between negative responses and ratings of pain intensity and distress. No significant correlation was obtained between the analgesic dose and any other variable. The implications of the findings for the management of post-operative pain are discussed.

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“…Postoperative pain relief, however, has been sadly ignored [189] and members of the public [114], and even eminent members of the profession [67,162], have been moved to comment on the severity of pain after surgery and the lack of efforts to relieve it. The standard method of prescribing a fixed dose of opioid to be given at limited time intervals, and with administration being delegated to a nurse, is manifestly a totally inadequate method of producing postoperative analgesia.…”

mentioning

confidence: 99%