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. 2022;90(2):197-201.
doi: 10.24875/CIRU.20001360.

Effectiveness of acute post-operative pain management by the acute pain service

Walter Osorio  1 , Cesar Ceballos  1 , Jairo Moyano  1
Affiliations
Free article

Effectiveness of acute post-operative pain management by the acute pain service

Walter Osorio et al. Cir Cir. 2022.
Free article

Abstract
in English, Spanish

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.

Objetivo: La analgesia por especialistas con entrenamiento formal en manejo del dolor podría ser más efectiva, para averiguarlo se determinarán los resultados de un servicio de dolor agudo.

Material y métodos: Estudio retrospectivo (n = 108) de analgesia postoperatoria; se tomaron dos evaluaciones: antes de iniciar analgésicos en el postoperatorio inmediato y la segunda a las 24 horas. Se realizó un análisis multivariado para establecer los factores de riesgo independientes asociados con la efectividad del tratamiento.

Resultados: La disminución promedio fue 51,75% en el primer día postoperatorio. La efectividad fue del 81,48% a las 24 horas. Los factores de riesgo asociados con la mala efectividad del manejo fueron: una comorbilidad, razón de prevalencia (RP) = 1,22; fibromialgia (RP = 8,47) y cáncer (RP = 2,47). La duración de la cirugía se asoció con un mal control PR = 1,10 por cada hora transcurrida. Factores protectores para el mal control del dolor: administración de antiinflamatorios no esteroideos durante el postoperatorio (RP = 0,11) y uso de analgesia controlada por el paciente (RP = 0,29).

Conclusión: el alivio del dolor posoperatorio es multifactorial, la participación de especialistas fue muy eficaz. La identificación de los factores de riesgo condujo a un seguimiento más estrecho.

Keywords: Acute pain; Analgesia; Dolor agudo; Dolor postoperatorio; Pain postoperative; Resultado del tratamiento; Treatment outcome.

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