Post-surgery acute pain Unit

Casuistry of the Hospital de Clínicas

  • José Saralegui Universidad de la República, Facultad de Medicina, Cátedra de Anestesiología, Profesor Agregado
  • Mario Balverde Universidad de la República, Facultad de Medicina, Cátedra de Anestesiología, Profesor Adjunto
  • William Baptista Universidad de la República, Facultad de Medicina, Anestesiología, Residente
  • Guzmán Amonte Universidad de la República, Facultad de Medicina, Anestesiología, Residente
  • Ana Lagomarsino Universidad de la República, Facultad de Medicina, Anestesiología, Residente
  • Alejandra Bounous Universidad de la República, Facultad de Medicina, Anestesiología, Residente
  • Marcela Cerizola Universidad de la República, Facultad de Medicina, Anestesiología, Residente
  • Gisella Fernández Universidad de la República, Facultad de Medicina, Anestesiología, Residente
  • María Eugenia García Universidad de la República, Facultad de Medicina, Anestesiología, Residente
  • Laura Illescas Universidad de la República, Facultad de Medicina, Anestesiología, Residente
  • Silvia Requelme Universidad de la República, Facultad de Medicina, Anestesiología, Residente
  • Diego Sarasúa Universidad de la República, Facultad de Medicina, Anestesiología, Residente
Keywords: POSTOPERATIVE PAIN, PAIN CLINICS, ANALGESIA

Abstract

Prevalence of post-surgery acute pain rates is high; Acute Pain Units have proved to manage it efficiently.
The paper analyzes the first Pain Unit in the country, in the Anesthetic Department in the Hospital de Clínicas.
A population of 617 surgical patients was prospectively analyzed to evaluate the incidence and intensity of pain according to an analogous numeral scale (ENA).
Pharmacological protocols were used to measure intensity of pain: mild pain: non steroids anti-inflammatory (AINEs); moderate pain: AINEs plus weak opiod; severe pain: strong opiod. Thoracic or back peridural catheter was considered for major toracic or abdominal surgery.
At recovering ward the pain incidence was 44%: mild pain = 11%, moderate = 15% and severe = 18%.
After individualized adjustment of painkillers, incidence and severity of pain significantly decreased: 21%, 20.7% = mild pain – 0.3% = moderate pain).
At 24-hour stay-in ward, incidence grew as follow: mild = 27%, moderate = 11% and severe = 3%).
Patients were discharged from the Acute Pain Unit as follow: after 24 hours, 555 (90%), after 48 hours, 41 (7%) and after 72 hours, 21 (3%).
The Acute Pain Unit had better managed post-surgical pain, an influent aspect of recovering.

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Published
2006-03-31
How to Cite
1.
Saralegui J, Balverde M, Baptista W, Amonte G, Lagomarsino A, Bounous A, Cerizola M, Fernández G, García ME, Illescas L, Requelme S, Sarasúa D. Post-surgery acute pain Unit. Rev. Méd. Urug. [Internet]. 2006Mar.31 [cited 2024Nov.22];22(1):66-2. Available from: http://www2.rmu.org.uy/ojsrmu311/index.php/rmu/article/view/786
Issue
Vol 22 No 1 (2006): Revista Médica del Uruguay
Section
Original Articles
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