Postoperative Pain Management and the Risk Factors in Major Operation: a Baseline Study of Acute Pain Service, Siriraj Hospital
Sanansilp, V.; Dejarkom, S.; Deetayart, S.
Journal of the Medical Association of Thailand 99(5): 549-556
2016
ISSN/ISBN: 0125-2208 PMID: 27501610 Document Number: 16757
Acute pain service (APS) has been set up at Siriraj Hospital with the aim of providing postoperative pain management for patients receiving anesthetic pain control and other complicated cases undergoing major operations. To identify the incidence of moderate to severe postoperative pain and its risk factors. To describe the techniques used and adverse effects in patients under APS care. A prospective study in 340 surgical patients under APS care from January to September 2008 was performed. Data were obtained from medical records and patients' answers during 48 hours postoperatively. The incidences of postoperative pain scores 4-10 at 24 and 48 hours were 28.8% and 7.4%, with median pain intensity (0-10, , respectively). Of the patients, 67.9% received epidural block for postoperative analgesia. The incidences of nausea/vomiting and itching that needed treatment were 12.4% and 9.4%, respectively. Risk factors that should be concerned were age ≤ 65 years, pre-operative prolonged analgesic use and surgeries with expected severe degree of pain.
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