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Evaluation of Pain Management after Surgery: An Observational Study

Background and Objectives: Choosing a pain management strategy is essential for improving recovery after surgery. Effective pain management reduces the stress response, facilitates mobilization, and improves the quality of the postoperative period. The aim of the study was to assess the effectivenes...

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Autores principales: Sierżantowicz, Regina, Lewko, Jolanta, Bitiucka, Dorota, Lewko, Karolina, Misiak, Bianka, Ładny, Jerzy Robert
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7073849/
https://www.ncbi.nlm.nih.gov/pubmed/32046199
http://dx.doi.org/10.3390/medicina56020065
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author Sierżantowicz, Regina
Lewko, Jolanta
Bitiucka, Dorota
Lewko, Karolina
Misiak, Bianka
Ładny, Jerzy Robert
author_facet Sierżantowicz, Regina
Lewko, Jolanta
Bitiucka, Dorota
Lewko, Karolina
Misiak, Bianka
Ładny, Jerzy Robert
author_sort Sierżantowicz, Regina
collection PubMed
description Background and Objectives: Choosing a pain management strategy is essential for improving recovery after surgery. Effective pain management reduces the stress response, facilitates mobilization, and improves the quality of the postoperative period. The aim of the study was to assess the effectiveness of pain management in patients after surgery. Materials and Methods: The study included 216 patients operated on in the following surgical wards: the Department of Cardiosurgery and the Department of General and Endocrine Surgery. Patients were hospitalized on average for 6 ± 4.5 days. Patients were randomly selected for the study using a questionnaire technique with a numerical rating scale. Results: Immediately after surgery, pre-emptive analgesia, multimodal analgesia, and analgosedation were used significantly more frequently than other methods (p < 0.001). In the subsequent postoperative days, the method of administering drugs on demand was used most often. Patients with confirmed complications during postoperative wound healing required significantly more frequent use of drugs from Steps 2 and 3 of the World Health Organization (WHO) analgesic ladder compared with patients without complications. Conclusion: The mode of patient admission for surgery significantly affected the level of pain perception. Different pain management methods were used and not every method was effective.
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spelling pubmed-70738492020-03-19 Evaluation of Pain Management after Surgery: An Observational Study Sierżantowicz, Regina Lewko, Jolanta Bitiucka, Dorota Lewko, Karolina Misiak, Bianka Ładny, Jerzy Robert Medicina (Kaunas) Article Background and Objectives: Choosing a pain management strategy is essential for improving recovery after surgery. Effective pain management reduces the stress response, facilitates mobilization, and improves the quality of the postoperative period. The aim of the study was to assess the effectiveness of pain management in patients after surgery. Materials and Methods: The study included 216 patients operated on in the following surgical wards: the Department of Cardiosurgery and the Department of General and Endocrine Surgery. Patients were hospitalized on average for 6 ± 4.5 days. Patients were randomly selected for the study using a questionnaire technique with a numerical rating scale. Results: Immediately after surgery, pre-emptive analgesia, multimodal analgesia, and analgosedation were used significantly more frequently than other methods (p < 0.001). In the subsequent postoperative days, the method of administering drugs on demand was used most often. Patients with confirmed complications during postoperative wound healing required significantly more frequent use of drugs from Steps 2 and 3 of the World Health Organization (WHO) analgesic ladder compared with patients without complications. Conclusion: The mode of patient admission for surgery significantly affected the level of pain perception. Different pain management methods were used and not every method was effective. MDPI 2020-02-07 /pmc/articles/PMC7073849/ /pubmed/32046199 http://dx.doi.org/10.3390/medicina56020065 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Sierżantowicz, Regina
Lewko, Jolanta
Bitiucka, Dorota
Lewko, Karolina
Misiak, Bianka
Ładny, Jerzy Robert
Evaluation of Pain Management after Surgery: An Observational Study
title Evaluation of Pain Management after Surgery: An Observational Study
title_full Evaluation of Pain Management after Surgery: An Observational Study
title_fullStr Evaluation of Pain Management after Surgery: An Observational Study
title_full_unstemmed Evaluation of Pain Management after Surgery: An Observational Study
title_short Evaluation of Pain Management after Surgery: An Observational Study
title_sort evaluation of pain management after surgery: an observational study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7073849/
https://www.ncbi.nlm.nih.gov/pubmed/32046199
http://dx.doi.org/10.3390/medicina56020065
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