Perioperative Analgesia and Sedation for Postoperative Management-Update of Postoperative Pain Management and Postoperative Sedation-

Background. Pain management is a very important aspect of nursing care among postoperative patients. Deficit in the knowledge and bad attitude towards pain management among nurses remain a problem in Ghana. In order to manage pain better in the surgical wards, nurses should be well equipped with knowledge of pain assessment and management. Purpose. The purpose of the study was to determine nurse’s knowledge and attitude towards pain management among postoperative patients in surgical units in Ghana. Methodology. This study used the quantitative study approach with a descriptive cross-sectional study design. A sample of 211 nurses was recruited using the convenience sampling method. Data were collected using a questionnaire regarding postoperative pain management. Descriptive statistics, Pearson’s correlation coefficient, and the chi-squared test were used to analyze the data using SPSS version 16.0. Results. The mean age of the nurses was 29.77, with the youngest nurse being 23 years and oldest being 39 years. Majority (72.5%) of nurses had moderate knowledge, and 89.6% of the nurses had negative attitude towards pain management. There was no significant relationship between nurse’s knowledge and years of experience as a nurse (r = −0.03, p=0.64), as well as no significant relationship between knowledge and number of years working in the surgical ward (r = 0.06, p=0.36). Also, there was no significant relationship between nurses’ knowledge and nurses’ attitude (r = 0.06, p=0.36). Conclusion and recommendation. The level of knowledge and attitude towards postoperative management were generally inadequate among nurses. Therefore, there is the need to implement in-service training on pain management for nurses working in the surgical units frequently.

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Issues in Postoperative Management: Postoperative Pain Management and Intensive Glycemic Control

ACCP Critical Care Medicine Board Review: 20th Edition ◽

10.1378/ccmbr.20th.425 ◽

2009 ◽

pp. 425-432

Author(s):

Michael A. Gropper

Keyword(s):

Pain Management ◽

Postoperative Pain ◽

Glycemic Control ◽

Postoperative Pain Management ◽

Postoperative Management ◽

Intensive Glycemic Control

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Perioperative analgesia and assessment of pain in children (literature review)

Reports of Vinnytsia National Medical University ◽

10.31393/reports-vnmedical-2021-25(2)-26 ◽

2021 ◽

Vol 25 (2) ◽

pp. 329-335

Author(s):

O. S. Goncharuk

Keyword(s):

Pain Management ◽

Postoperative Pain ◽

Pain Assessment ◽

Age Groups ◽

Postoperative Pain Management ◽

Assessment Tools ◽

Cochrane Library ◽

Perioperative Analgesia ◽

Pain Scales ◽

Nociceptive Responses

Annotation. Adequacy of postoperative analgesia and pain assessment remains a pressing issue in children. In order to provide effective pain management to this population, it is important to consider some specific features such as the age of a child, cognitive imparement, mechanisms of pain, and traumatic cimcumstances resulted in nociceptive responses. Therefore, it is essential for clinicians to be able to choose the appropriate tools for pain assessment in different age groups of children and clinical situations, and to interpret the obtained data correctly. Hence, our study aimed to systematize existing problematic aspects of postoperative pain assessment is children and to analyze the evidence on perioperative analgesia in the paediatic practice. For this purpose, we systematically searched MEDLINE, the Cochrane Library and Google Scholar for trials published between 2002-2020. We paid particular attention to the correct choice of pain assessment tools in children of different age groups, and proper interpretation of the data obtained. The study contains the updated recommendations for postoperative pain management in children. There is a special emphasis on priority of multimodal analgesia in children. Analysis of recent publications shows that newborns and children under 5 years of age should be assessed with comprehensive pain scales that include behavioral characteristics and physiological parameters. It is advisable to use self-assessment pain scales for children older than 5 years of age. In order to manage the acute pain effectively, it should be assessed at least every 4-6 hours. Sufficient perioperative analgesia promotes rapid rehabilitation and prevents children from postoperative homeostatic disruption.

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