Can we do better with postoperative pain management?

Am J Surg

University of Illinois College of Pharmacy, M/C 886, 833 S. Wood St., Rm. 164, Chicago, IL 60612-7230, USA.

Published: November 2001

AI Article Synopsis

  • Increased focus on pain management is needed in healthcare, with a review of guidelines and technologies aimed at improving pain relief for patients.
  • Despite these efforts, reports show that a significant number of patients still experience moderate to severe pain after various surgical procedures.
  • New standards and guidelines from health organizations offer hope for better pain management practices in the future.

Article Abstract

Background: In the last decade, there has been heightened awareness that pain management needs to be a priority for all health care settings and clinicians. The article will overview practice guidelines and new technology, and assess their impact on pain relief in inpatient and outpatient surgeries from a patient's perspective.

Methods: Literature was retrieved by searches from 1996 to 2000 Medline and CINAHL (nursing database), using keywords "postoperative pain," "postsurgical pain," "patient outcomes," "pain outcomes," "survey," "questionnaire," and "practice guidelines."

Results: Overall, current practice standards have had minimal impact on decreasing patients' reports of pain. The incidence of moderate to severe pain with cardiac, abdominal, and orthopedic inpatient procedures has been reported as high as 25% to 50%, and incidence of moderate pain after ambulatory procedures is 25% or higher.

Conclusions: Despite the advances, the incidence of pain remains high. Yet the future is promising, with new standards from the Joint Commission on Accreditation of Health care Organizations paving the way for reduction of institutional barriers and improved implementation of guidelines.

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Source
http://dx.doi.org/10.1016/s0002-9610(01)00766-8DOI Listing

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