Standardised postoperative analgesic system in orthothopedic surgery

被引：5

作者：

Giesa, M.

Drees, P.

Meurer, A.

Jage, J.

Eckardt, A.

机构：

[1] Univ Mainz, Orthopad Klin & Poliklin, D-55131 Mainz, Germany

[2] Univ Mainz, Anasthesiol Klin, D-55131 Mainz, Germany

来源：

ZEITSCHRIFT FUR ORTHOPADIE UND IHRE GRENZGEBIETE | 2006年 / 144卷 / 03期

关键词：

postoperative pain; pain therapy algorithm; stepwise therapy; pain measurement;

D O I：

10.1055/s-2006-933501

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

In order to treat patients with postoperative acute pain effectively, we have developed a standardised algorithm for analgesia. This process includes three levels and the appropriate supply of medication. The therapy level is defined based on the scale of the operation. Accordingly, the prescription and handling of the pain medication is simplified for the attending physician and nurses. The pain level has to be measured by the nursing staff sing a visual analogue scale (VAS). Thus, the efficiency of the analgesics will be continuously evaluated and controlled. The standardised supply medication can be applied in those cases with pain levels >= 4 (VAS). It is possible to up- or down-grade the level within the system depending on the actual pain experienced by the patient. With this structured pain therapy algorithm we now have a guideline for the consistent postoperative analgesic treatment of patients.

引用

页码：267 / 271

页数：5

共 12 条

[1]

Bernd W, 2004, ANAESTHESIST, V53, P531, DOI 10.1007/s00101-004-0672-6

[2]

BOTTNER F, 2003, Z ORTHOP, V141, P1

[3]

Breme K, 2000, SCHMERZ, V14, P137, DOI 10.1007/s004820070039

[4] Postoperative pain management in infants and children. Representative results of a nation-wide survey in Germany [J].

Bremerich, DH ;

Neidhart, G ;

Roth, B ;

Kessler, P ;

Behne, M .

ANAESTHESIST, 2001, 50 (02) :102-112

[5]

JAGE J, 2004, ESSENTIALS POSTOPERA

[6] POSTOPERATIVE PAIN MANAGEMENT ON SURGICAL WARDS - 8 YEARS EXPERIENCE OF AN ANESTHESIOLOGY-BASED ACUTE PAIN SERVICE [J].

MAIER, C ;

KIBBEL, K ;

MERCKER, S ;

WULF, H .

ANAESTHESIST, 1994, 43 (06) :385-397

[7] Quality management in postoperative pain therapy [J].

Meissner, W ;

Ullrich, K ;

Zwacka, S ;

Schreiber, T ;

Reinhart, K .

ANAESTHESIST, 2001, 50 (09) :661-+

[8]

Neugebauer E, 2003, CHIRURG, V74, P235, DOI 10.1007/s00104-003-0615-9

[9] Effectiveness of interscalene plexus block for open shoulder surgery [J].

Pennekamp, PH ;

Pless, V ;

Kraft, CN ;

Stütz, A ;

Schmitt, O ;

Diedrich, O .

ZEITSCHRIFT FUR ORTHOPADIE UND IHRE GRENZGEBIETE, 2004, 142 (05) :598-602

[10] Postoperative pain therapy [J].

Simanski, C ;

Neugebauer, E .

CHIRURG, 2003, 74 (03) :254-274

← 1 2 →