PMID: 8594957Dec 1, 1995Paper

A concept for the improvement of postoperative pain management

Der Anaesthesist
A WiebalckE Vandermeersch

Abstract

Many articles in the literature document the fact that postoperative pain therapy has not improved for decades despite new insights into pain physiology, the availability of powerful analgesics and the development of new techniques. This project was set up to develop practical, effective, safe, and easy to run acute pain therapy. METHODS. Postoperative pain management had to be optimized according to the facilities available today. Therefore, the legal background is presented first. Second, several medical and organizational principles were chosen to serve as a basis for the new organizational structure: Continuously monitoring the patient's pain during the whole stay in hospital, Introduction of a simple verbal 4-point pain score for determination and documentation of pain allowing the nurses to differentiate pain that should be treated or not, A simple sedation score, Use of "balanced analgesia" and "pre-emptive analgesia", Drug administration according to the needs of the patient, Partial transfer of the responsibility for pain treatment to nurses. Plans and algorithms were expanded to allow nurses and anaesthesiologists to reach the previously determined goals. RESULTS. In a small study including 107 patients, it was demons...Continue Reading

Citations

Jan 13, 1999·European Journal of Anaesthesiology·G Brodner, H van Aken
Apr 14, 2007·Der Anaesthesist·F Gerheuser, A Roth
Apr 14, 2011·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·W Schwenk, B Schinkel

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