کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
898423 | 1472471 | 2006 | 7 صفحه PDF | دانلود رایگان |

SummaryThe acute pain service (APS) was established at Srinagarind University Hospital in January 2004 and this is the systematic assessment for the first year. We assessed the quality of post-operative pain management provided by the APS. The retrospective, descriptive study included the demographic data and the peri-operative pain management techniques used by the APS between January and December 2004. We determined the incidence of side effects and patient-satisfaction based on self-reports of pain at rest and with movement, using either a numerical rating scale (NRS) or a verbal rating scale (VRS). The study included 1540 patients (14% of all patients receiving anaesthesia care) and of these 60% were females, 69% between 22 and 64 years of age, and 31% undergoing lower abdominal surgery. Three commonly used techniques were intravenous patient-controlled analgesia (IV PCA) (43%), single dose spinal morphine (18%) and intermittent epidural morphine (14%). More than half of the patients (58%) received 1 day of service. The mean NRS score at rest and with movement on the first post-operative day was 2.7 ± 2.5 and 5.2 ± 2.9, respectively. Patient satisfaction was ‘very satisfactory’ (80%). Reasons for dissatisfaction included: pain experienced during the epidural block, unrelieved post-operative pain and severe nausea/vomiting.
Journal: Acute Pain - Volume 8, Issue 4, December 2006, Pages 161–167