Key result
Analgesic adequacy was achieved in 74% of patients in the preoperative period and increased to 81% in the postoperative period among patients undergoing orthopedic surgery.
Why the study?
What is the adequacy of pre and postoperative analgesia in patients undergoing orthopedic surgeries?
What is the adequacy of pre and postoperative analgesia in patients undergoing orthopedic surgeries?
Most patients undergoing orthopedic surgery had adequate analgesia in both pre and postoperative periods, though a significant proportion still experienced moderate to severe pain.
Supports adequate perioperative analgesia in most orthopedic patients; leaves open targeted improvements for those with inadequate control.
BACKGROUND AND OBJECTIVES: Pain is frequent in wards and impairs patients’ treatment and recovery, especially orthopedic patients. So, this study aimed at evaluating pre and postoperative analgesic adequacy in patients submitted to orthopedic surgeries, and at looking for possible variables predicting the analgesic adequacy of such patients in both moments. METHODS: This is a quasi-experimental study with two groups, orthopedic pre and postoperative periods, carried out through structured interview, physical evaluation and medical record analysis, in the Surgical Clinic of the Teaching Hospital, School of Medicine, Itajuba/MG, developed with patients in the pre and postoperative periods of orthopedic surgery. RESULTS: Participated in the study 31 patients, all of them with medical prescription of some analgesic drug, being weak opioids those most frequently prescribed in 84% of preoperative cases, increasing to 87% in the postoperative period; 39% had no preoperative pain, decreasing to 36% in the postoperative period. On the other hand, 39% of patients had moderate to severe pain in the preoperative period, increasing to 45% in the postoperative period, being that 74% had analgesic adequacy in the preoperative period, increasing to 81% in the postoperative period. CONCLUSION: Most patients of this study had adequate analgesia in the pre and postoperative periods of orthopedic surgery. In our sample, selected variables have not adequately predicted analgesic adequacy in both moments of the orthopedic surgery.
No takes yet. Share an insight, caveat, or question.
Kawai et al. (2015) studied Orthopedic surgery (n=31). Analgesic therapy vs. Preoperative vs postoperative period was evaluated on Analgesic adequacy. Analgesic adequacy was achieved in 74% of patients in the preoperative period and increased to 81% in the postoperative period among patients undergoing orthopedic surgery.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: