Zur Lage der postoperativen Schmerztherapie in der Bundesrepublik Deutschland: Ergebnisse einer Repräsentativumfrage

Lehmann, K. A.; Henn, Constance

doi:10.1007/978-3-662-21762-7_1

Cited by 5 publications

(6 citation statements)

References 9 publications

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“…They are routinely used in nearly all of the German and Swedish departments (93.4% and 97%), in most cases (73.9%) prophylactically as rectal application after induction of anaesthesia (Bremerich et al, 2001a). Compared to a survey conducted 15 years ago the number of departments using rectal analgesics has increased considerably from 57% in 1987 to 98% in our 2000‐survey (Lehmann and Henn, 1987).…”

Section: Discussioncontrasting

confidence: 60%

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Postoperative analgesia in children — current practice in Germany

Stamer¹,

Mpasios²,

Maier³

et al. 2005

European Journal of Pain

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German departments of anaesthesia were surveyed to determine current practice of postoperative pain management in children. The response rate of the survey was 58.6%: Questionnaires of 383 departments in which paediatric surgery was performed could be analyzed. 37.3% operated an acute pain service (APS). In 58.8% of the hospitals, postoperative pain management in children was mainly performed by surgeons or pediatricians. Anaesthesiologists or an APS were in charge for pain management in children in 38.6% of the institutions. Non-opioid analgesics were the drugs most widely used (93.4%), whereas i.v. opioids were never used in 20.9% of the hospitals and used less than once a week in 28.7%. The intramuscular route was chosen at least occasionally by 27.7% of the respondents. Peripheral and central regional techniques were performed in most of the departments, however, frequency of use varied considerably between hospitals running or not running an APS. The majority performed the techniques of regional anaesthesia less than once a week. The basic primary quality criterion of pain therapy, a regular measurement and documentation of pain scores, was performed in only 4% of the institutions. Paediatric pain management does not meet quality criteria and standards of care already established in adults. In the future, additional education of the medical staff considering analgesic techniques and measurement of pain scores has to be emphasized.

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Section: Discussioncontrasting

confidence: 60%

“…This fact might be a further reason for the relatively high percentage of hospitals in which intramuscular injections of opioids are still performed. According to an investigation by Lehmann and Henn (1987), 20% of the hospitals performed i.m. injections of analgesics in 1987.…”

Section: Discussionmentioning

confidence: 99%

Postoperative analgesia in children — current practice in Germany

Stamer¹,

Mpasios²,

Maier³

et al. 2005

European Journal of Pain

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“…[43][44][45] Pain is not assessed systematically to identify the exact amount of analgesics required and to evaluate outcome. 46,47 Nurses' observations of patient behavior fail to assess pain adequately. 48…”

Section: Discussionmentioning

confidence: 99%

Pain Prevalence in Hospitalized Patients in a German University Teaching Hospital

Strohbuecker

Mayer

Evers³

et al. 2005

Journal of Pain and Symptom Management

137

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Forty-eight units were enrolled in a descriptive, cross-sectional study to identify strengths and weaknesses of pain management in a German university teaching hospital. Patients had to be > or =18 years old and able to speak German; intensive care, psychiatric, obstetric and pediatric units were excluded. Structured interviews were conducted by an independent researcher not involved in patient care. Patients were asked about prevalence of pain during the interview at rest, on movement, and during the 24 hours before the interview; patients rated pain intensity at rest and on movement as well as the worst pain 24 hours before the interview by using a 10 cm visual analogue scale (VAS). In addition, patients indicated localization, duration, and causes of pain. Chart analysis was carried out to check for pain medication, ICD-10 diagnoses, and demographic data. To evaluate the adequacy of pain management, the Pain Management Index (PMI) was assessed. A total of 561 of the 825 inpatients who were contacted participated in the study. Fifty percent experienced pain during the interview and 63% reported pain during the preceding 24 hours. Fifty-eight percent had moderate or severe pain (VAS > or = 45 mm) and 36% reported severe pain (VAS > or = 65 mm). Thirty-three percent had pain for more than six months. The most prevalent localization of the strongest pain was in the lower extremities (20%). Fifty percent of patients with pain received pain medication. Patients on the surgical wards (P = 0.002) and those having severe pain (P < 0.001) were more likely to get analgesics. However, 30% of those with VAS> or =65 mm received no analgesic and only 24% had adequate medication. A negative PMI, indicating inadequate pain therapy, was found in 44% (246/559) of the sample. Sex and age did not influence pain prevalence, pain intensity, or pain therapy. Pain prevalence and intensity in this German university hospital were high and pain therapy was inadequate in many cases. Pain management needs to be improved by continuous assessment and adequate pain medication.

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“…In scientific literature the situation concerning postoperative pain therapy is characterised as one capable of development [1].…”

Section: Introductionmentioning

confidence: 99%

The concept of pre-emptive balanced analgesia in ambulatory foot surgery: results of a prospective study

Arnold

Weber

Hoesslin³

2000

Foot and Ankle Surgery

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Zur Lage der postoperativen Schmerztherapie in der Bundesrepublik Deutschland: Ergebnisse einer Repräsentativumfrage

Cited by 5 publications

References 9 publications

Postoperative analgesia in children — current practice in Germany

Postoperative analgesia in children — current practice in Germany

Pain Prevalence in Hospitalized Patients in a German University Teaching Hospital

The concept of pre-emptive balanced analgesia in ambulatory foot surgery: results of a prospective study

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