Postoperative analgesia in Italy. National survey on the anaesthetist's beliefs, opinions, behaviour and techniques in postoperative pain control in Italy

Acta Anaesthesiologica Scandinavica
M NolliF Nicosia

Abstract

Using a personal, anonymous questionnaire developed ad hoc, we tried to document the role, the problems and the activities of Italian anaesthetists in postoperative pain control. A random selection-stratified by region-was made from a list of 971 hospitals. The final sample was made up of 395 departments of anaesthesia and intensive care from 369 hospitals. The completeness and consistency of each questionnaire were assessed. The response rate achieved was 78.9% (312 centres in 293 hospitals) with 2435 evaluable questionnaires corresponding to 30% of all Italian anaesthesia departments and 25% of Italian anaesthetists. Only 15.2% of anaesthetists are completely responsible for the postoperative analgesia (POA) (prescriptions and evaluations) and an established attitude for POA (protocols/guidelines) exists in 18 departments only. 60% of anaesthetists use routinely the intramuscular route, 55.2% the intravenous route (infusion plus bolus), and 23.7% the spinal/epidural route. Only 6.2% of the anaesthetists use the patient-controlled analgesia system. Nonsteroidal anti-inflammatory drugs (NSAIDs) are the most commonly used agents (47% NSAID vs 37.9% opioids; NSAID-opioid association 14.7%). A local anesthetics-opioids association...Continue Reading

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Citations

Apr 13, 2001·Acta Anaesthesiologica Scandinavica·M M PuigJ Marrugat
Oct 3, 2006·Current Opinion in Anaesthesiology·P Tarkkila, P H Rosenberg
Sep 6, 2005·European Journal of Pain : EJP·Ulrike M StamerFrank Stuber
Apr 18, 2008·Pain·Dominique FletcherUNKNOWN Pain and Regional Anesthesia Committee of the French Anesthesia and Intensive Care Society (SFAR)
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Oct 14, 2005·Journal of the Peripheral Nervous System : JPNS·Irene AprileLuca Padua
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Jan 5, 2002·American Journal of Surgery·N HuangC Chen

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