Acute postoperative pain management - 2009

Author: Ivo Křikava, Martina Kosinová, Gabriela Kolářová

Institution: Faculty of Medicine at Masaryk University in Brno

Medical discipline: Emergency Medicine

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

Educational evel: Undergraduate level | Graduate

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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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.

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