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Acute postoperative pain management - 2009

Acute postoperative pain management is a multidisciplinary task in which they are responsible both anesthesiologist, surgeon, attending physicians and nurses of postoperative department. For this reason, there is often a transfer of responsibilities between the involved medical staff, and often a poor care of the patient's pain. Early postoperative pain treatment can prevent its chronification. Therefore, we present here the algorithm for the treatment of postoperative pain after pulmonary surgery.

Ivo Křikava, Martina Kosinová, Gabriela Kolářová

Acute postoperative pain management is a multidisciplinary task in which they are responsible both anesthesiologist, surgeon, attending physicians and nurses of postoperative department. For this reason, there is often a transfer of responsibilities between the involved medical staff, and often a poor care of the patient's pain. Early postoperative pain treatment can prevent its chronification. Therefore, we present here the algorithm for the treatment of postoperative pain after pulmonary surgery.

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Keywords: postoperative pain, epidural block, therapeutic strategy, analgesic ladder

Review

Treatment of acute pain is one of the main components of modern perioperative patient care. It is not only ethical with an impact on patient satisfaction, but also prevents a negative effect on the functions of many organ systems. Modern trends in the treatment of postoperative pain prefer opioid-free analgesic procedures, especially targeted regional analgesia and multimodal non-opioid analgesia. The presented algorithm presents a clinically accurate presentation of the perioperative analgesia method, and interactively comments on the key points in the decision-making process. It also presents possible complications of analgesia in thoracotomy and their solution. The algorithm leads the student in an illustrative and educational way to a rational modern analgesic practice.

created: 20. 12. 2011 | last modified on: 11. 6. 2020


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