Postoperative pain management

2021 ◽  
pp. 282-291
Author(s):  
Glyn Williams ◽  
Richard F. Howard
Keyword(s):  
Pain Management ◽  
Postoperative Pain ◽  
Traumatic Event ◽  
Management Strategies ◽  
Postoperative Pain Management ◽  
Management Program ◽  
Written Information ◽  
Ongoing Training ◽  
Pain Management Program ◽  
Secure Environment

Admission to hospital for surgery is a significant and potentially traumatic event. Fear of separation, an unknown environment, anticipation of pain, painful procedures, or adverse effects are all prominent causes of anxiety and stress that can increase the perception of pain and impact on the quality of perioperative care. Postoperative pain management begins prior to surgery using a biopsychosocial approach that includes the prevention and pharmacological treatment of pain alongside a holistic and well-coordinated strategy that allays fears and anxieties, and allows children and their carers to participate in the selection and implementation of safe and suitable analgesia. A successful postoperative pain management program will include ongoing training of hospital staff, adequate preparation of children and families that provides timely verbal and written information, and the development and implementation of audited institutional analgesic protocols that ensure the safety and efficacy of pain-management strategies in a child-friendly and secure environment.

Postoperative pain management

2013 ◽  
pp. 269-279
Author(s):  
Richard F. Howard
Keyword(s):  
Pain Management ◽  
Postoperative Pain ◽  
Traumatic Event ◽  
Management Strategies ◽  
Postoperative Pain Management ◽  
Hospital Staff ◽  
Written Information ◽  
Ongoing Training ◽  
Secure Environment

Postoperative pain management begins prior to surgery and includes not only the prevention and pharmacological treatment of pain, but also a holistic and well-coordinated strategy that allays fears and anxieties, and allows children and their carers to participate in the selection and implementation of safe and suitable analgesia. Admission to hospital for surgery is a significant and potentially traumatic event. Coping with a strange and unknown environment, fear of separation, anticipation of painful procedures, and postoperative pain or adverse effects such as nausea are all prominent causes of anxiety and stress that can increase the perception of pain and impact on the quality of perioperative care. Therefore, a successful postoperative pain management programme will include: ongoing training of hospital staff, adequate preparation of children and families that provides timely verbal and written information, and the development and implementation of audited institutional analgesic protocols that ensure the safety and efficacy of pain management strategies in a child-friendly and secure environment.

scholarly journals Postoperative Pain Management Strategies in Hip Arthroscopy

2019 ◽  
Vol 12 (4) ◽  
pp. 479-485 ◽  
Author(s):  
Collin LaPorte ◽  
Michael D. Rahl ◽  
Olufemi R. Ayeni ◽  
Travis J. Menge
Keyword(s):  
Pain Management ◽  
Postoperative Pain ◽  
Hip Arthroscopy ◽  
Management Strategies ◽  
Postoperative Pain Management

Postoperative pain management with tramadol after craniotomy: evaluation and cost analysis

2010 ◽  
Vol 112 (2) ◽  
pp. 268-272 ◽  
Author(s):  
Scott Y. Rahimi ◽  
Cargill H. Alleyne ◽  
Eric Vernier ◽  
Mark R. Witcher ◽  
John R. Vender
Keyword(s):  
Pain Management ◽  
Postoperative Pain ◽  
Management Strategies ◽  
Length Of Hospital Stay ◽  
Postoperative Pain Management ◽  
Control Group ◽  
Pain Scores ◽  
Pain Medications ◽  
Hospitalization Costs ◽  
Hospital Stays

Object Patients undergoing craniotomies have traditionally received opiates with acetaminophen for the management of their postoperative pain. The use of narcotic pain medications can be costly, decrease rates of early postoperative ambulation, lengthen hospital stays, and alter a patient's neurological examination. The use of alternative pain medications such as tramadol may benefit patients by resolving many of these issues. Methods The authors conducted a randomized, blinded prospective study to evaluate the efficacy of alternative pain management strategies for patients following craniotomies. Fifty patients were randomly assigned either to a control group who received narcotics and acetaminophen alone or an experimental group who received tramadol in addition to narcotic pain medications (25 patients assigned to each group). Results The control group was noted to have statistically significant higher visual analog scale pain scores, an increased length of hospital stay, and increased narcotic use compared with the tramadol group. The narcotics and acetaminophen group also had increased hospitalization costs when compared with the tramadol group. Conclusions The use of scheduled atypical analgesics such as tramadol in addition to narcotics with acetaminophen for the management of postoperative pain after craniotomy may provide better pain control, decrease the side effects associated with narcotic pain medications, encourage earlier postoperative ambulation, and reduce total hospitalization costs.

scholarly journals Postoperative Pain Management

2021 ◽  
Vol 16 (SP1) ◽  
pp. 5-17
Author(s):  
Yusuke Mazda ◽  
Sandra Jadin ◽  
James S. Kahn
Keyword(s):  
Pain Management ◽  
Postoperative Pain ◽  
Acute Pain ◽  
Management Strategies ◽  
Postoperative Pain Management ◽  
Douleur Postopératoire ◽  
Basic Understanding ◽  
Interventional Pain Management ◽  
Short And Long Term

ABSTRACTAfter surgery, over 80% of people experience moderate-to-severe acute pain. Poorly controlled postoperative pain limits recovery and is associated with detrimental short- and long-term morbidity. While surgeons have traditionally been responsible for postoperative pain management, all clinicians providing care for surgical patients have a basic understanding of common pharmacologic and interventional pain management strategies. In this review, we discuss the consequences of acute pain, approaches to pain assessment, and an overview of commonly used therapies to manage postoperative pain. RÉSUMÉAprès une opération, plus de 80 % des gens ressentent des douleurs aiguës modérées à intenses. Une douleur postopératoire mal maîtrisée limite le rétablissement et est associée à une morbidité défavorable à court et à long terme. Bien que les chirurgiens soient habituellement responsables du traitement de la douleur postopératoire, il est impératif que tous les cliniciens qui soignent des patients ayant subi une intervention chirurgicale aient une connaissance de base des stratégies pharmacologiques et interventionnelles courantes relatives au traitement de la douleur. Dans cette revue, nous abordons les conséquences de la douleur aiguë, les approches de l’évaluation de la douleur et un aperçu des traitements couramment utilisés pour traiter la douleur postopératoire.

scholarly journals Perspectives, Perceptions and Experiences in Postoperative Pain Management in Developing Countries: A Focus Group Study Conducted in Rwanda

2015 ◽  
Vol 20 (5) ◽  
pp. 255-260 ◽  
Author(s):  
Ana P Johnson ◽  
Ryan Mahaffey ◽  
Rylan Egan ◽  
Theogene Twagirumugabe ◽  
Joel L Parlow
Keyword(s):  
Resource Allocation ◽  
Developing Countries ◽  
Pain Management ◽  
Postoperative Pain ◽  
Focus Group ◽  
Management Strategies ◽  
Postoperative Pain Management ◽  
Qualitative Assessment ◽  
Treatment Modalities ◽  
Anesthesia Residents

BACKGROUND: Access to postoperative acute pain treatment is an important component of perioperative care and is frequently managed by a multidisciplinary team of anesthesiologists, surgeons, pharmacists, technicians and nurses. In some developing countries, treatment modalities are often not performed due to scarce health care resources, knowledge deficiencies and cultural attitudes.OBJECTIVES: In advance of a comprehensive knowledge translation initiative, the present study aimed to determine the perspectives, perceptions and experiences of anesthesia residents regarding postoperative pain management strategies.METHODS: The present study was conducted using a qualitative assessment strategy in a large teaching hospital in Rwanda. During two sessions separated by seven days, a 10-participant semistructured focus group needs analysis was conducted with anesthesia residents at theCentre Hospitalier Universitaire de Kigali(Kigali, Rwanda). Field notes were analyzed using interpretative and descriptive phenomenological approaches. Participants were questioned regarding their perspectives, perceptions and experiences in pain management.RESULTS: The responses from the focus groups were related to five general areas: general patient and medical practice management; knowledge base regarding postoperative pain management; pain evaluation; institutional/system issues related to protocol implementation; and perceptions about resource allocation. Within these areas, challenges (eg, communication among stakeholders and with patients) and opportunities (eg, on-the-job training, use of protocols, routine pain assessment, participation in resource allocation decisions) were identified.CONCLUSIONS: The present study revealed the prevalent challenges residents perceive in implementing postoperative pain management strategies, and offers practical suggestions to overcoming them, primarily through training and the implementation of practice recommendations.

Sign in / Sign up

Export Citation Format

Share Document