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Cirugía y cirujanos
versión On-line ISSN 2444-054Xversión impresa ISSN 0009-7411
Resumen
OSORIO, Walter; CEBALLOS, Cesar y MOYANO, Jairo. Effectiveness of acute post-operative pain management by the acute pain service. Cir. cir. [online]. 2022, vol.90, n.2, pp.197-201. Epub 02-Mayo-2022. ISSN 2444-054X. https://doi.org/10.24875/ciru.20001360.
Background:
Analgesia by specialists with formal training in pain management could be more effective, to find out, the results of a team of an acute pain service will be determined.
Methods:
Retrospective study (n = 108) of post-operative (POP) analgesia; two evaluations were taken: before starting analgesics in the immediate POP period and the second at 24 h. A multivariate analysis was performed to establish independent risk factors associated with the effectiveness of the treatment.
Results:
The effectiveness was 81.48% at 24 h. The risk factors associated with poor management effectiveness were: a comorbidity, prevalence ratio (PR) = 1.22; fibromyalgia (PR = 8.47), and cancer (PR = 2.47). The duration of surgery was associated with poor control PR = 1.10 for each hour elapsed. Protective factors for poor pain control: administration of non-steroidal anti-inflammatory drugs during the POP period (PR = 0.11) and use of analgesia controlled by the patient (PR = 0.29).
Conclusion:
POP pain relief is multifactorial; the participation of specialists was very effective. Identification of risk factors led to closer follow-up.
Palabras llave : Acute pain; Analgesia; Pain postoperative; Treatment outcome.