Analgesics requirement after anterior segment surgery
St. Erik's Eye Hospital, Stockholm, Sweden.Acta ophthalmologica (Impact Factor: 2.51). 01/1995; 72(6):737-8. DOI: 10.1111/j.1755-3768.1994.tb04691.x
A questionnaire was designed to evaluate patients' postoperative symptoms and need for analgesics after cataract surgery and/or trabeculectomy. During the first week and the second week of the study period 5.7% and 7.4% of the patients reported having had postoperative pain. Patients provided with paracetamol after the operation took the tablets not only because of pain, but also for a number of other reasons. Patients not provided with paracetamol, and in need of analgesics, had access to painkillers at home.
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ABSTRACT: Type of surgery is the most important factor conditionning intensity and duration of postoperative pain. Thoracic and spinal surgery are the most painfull procedures. Abdominal, urologic and orthopedic surgery lead to severe postoperative pain. Duration of severe pain rarely exceeds 72 hours. Mobilization increases pain intensity after abdominal, thoracic and orthopaedic surgery. Pain could occur after day-case minor surgical procedures and is often underestimated. Postoperative complications related to pain are difficult to disclose because of the interposition of the direct effects of analgesic treatments. Respiratory and cardiovascular postoperative complications are unrelated to postoperative pain in healthy subjects. This could be different in high risk patients. The surgical procedure is the major determinant of metabolic and psychologic postoperative deterioration. Adequate pain relief allows postoperative rehabilitation and physiotherapy programmes after abdominal and orthopaedic surgery. This could be expected to reduce hospital stay and improve convalescence.Annales Françaises d Anesthésie et de Réanimation 01/1998; 17(6):471-493. DOI:10.1016/S0750-7658(98)80034-8 · 0.84 Impact Factor
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ABSTRACT: The goal of the study is to analyse whether the analgesic therapy of postoperative pain during the first 2 days after surgery differs among the different surgical departments. Patients were randomly chosen from among all those who underwent elective surgery. Characteristics of analgesic treatment (drug, dosage, schedule) and pain intensity were determined at the postoperative anaesthetic care unit and in the first and second postoperative days on the ward. All comparisons were carried out by surgical departments. Six hundred and twenty-three patients from six surgical departments were studied. Analgesic treatment orders varied greatly among the different departments, and these differences were statistically significant regarding number of drugs, type of drugs, analgesic schedule, and completeness of medical orders. Some differences were also observed regarding drug dosage. Patients from gynaecology and obstetrics, traumatology and orthopaedics and general surgery reported the most severe pain. The treatment of postoperative pain differs among the surgical departments, especially regarding analgesic schedules and completeness of analgesic orders. Analgesic therapy may often be based more on customary habits than on the patients' pain intensity.Pharmacoepidemiology and Drug Safety 12/2002; 11(7):607-14. DOI:10.1002/pds.738 · 2.94 Impact Factor
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