Az akutfájdalom-kezelő szolgálat szerepe a műtét utáni fájdalomcsillapításban

Lovasi, Orsolya; Lám, Judit; Kósik, Nándor

doi:10.1556/650.2020.31680

Cited by 5 publications

(6 citation statements)

References 31 publications

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“…If usual surgical recovery is inhibited by unsuccessful functional pain management and/or unacceptable adverse effects despite appropriate multimodal therapies and patient-specific opioid optimization, postoperative pain management specialty consultation is advised. Acute and transitional pain services for surgical patients are evolving, and have been associated with reduced opioid use and length of stay [113,[436][437][438][439][440][441]. Renal impairment increases exposure 1 All listed opioids should be reduced in cases of significant hepatic impairment.…”

Section: Postoperative Opioid Considerationsmentioning

confidence: 99%

Perioperative Pain Management and Opioid Stewardship: A Practical Guide

et al. 2021

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Surgical procedures are key drivers of pain development and opioid utilization globally. Various organizations have generated guidance on postoperative pain management, enhanced recovery strategies, multimodal analgesic and anesthetic techniques, and postoperative opioid prescribing. Still, comprehensive integration of these recommendations into standard practice at the institutional level remains elusive, and persistent postoperative pain and opioid use pose significant societal burdens. The multitude of guidance publications, many different healthcare providers involved in executing them, evolution of surgical technique, and complexities of perioperative care transitions all represent challenges to process improvement. This review seeks to summarize and integrate key recommendations into a “roadmap” for institutional adoption of perioperative analgesic and opioid optimization strategies. We present a brief review of applicable statistics and definitions as impetus for prioritizing both analgesia and opioid exposure in surgical quality improvement. We then review recommended modalities at each phase of perioperative care. We showcase the value of interprofessional collaboration in implementing and sustaining perioperative performance measures related to pain management and analgesic exposure, including those from the patient perspective. Surgery centers across the globe should adopt an integrated, collaborative approach to the twin goals of optimal pain management and opioid stewardship across the care continuum.

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Section: Postoperative Opioid Considerationsmentioning

confidence: 99%

Perioperative Pain Management and Opioid Stewardship: A Practical Guide

et al. 2021

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“…In one of our earlier research, we reviewed the literature to identify, when other countries had begun to adopt this organisational innovation, that is the early 1990s, and most of these countries have experienced further development since then [ 14 ]. For instance, Erlewen at al.…”

Section: Discussionmentioning

confidence: 99%

“…In Hungary the research on postoperative pain is scarce. In one of these rare studies Lovasi et al [ 14 ] assessed the severity of postoperative pain among 168 surgical patients of three Hungarian hospitals, on the basis of self-rating on a scale of 0–10, where 0 represented the lack of pain and 10 represented unbearable pain. Right after the operation, 54% of the respondents experienced level 5 or stronger pain, while the corresponding figures 12 hours after the operation and 24 hours after the operation were 55% and 42%, respectively.…”

Section: Introductionmentioning

confidence: 99%

Acute Pain Service in Hungarian hospitals

et al. 2021

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Background Surgical procedures play an increasing role among health technologies to treat diseases. Pain often accompanies such diseases, both as a result of their pathology, but also as the side-effect of the intervention itself, and it is not only a burdensome subjective feeling, but adversely affects the recovery process, can induce complications and increases treatment costs. Acute Pain Service Teams are becoming increasingly widespread in hospitals to address post-operative pain, yet we have so far no data on how many hospitals have actually adopted this technology in Hungary. Objectives The main objectives of our study were to assess the prevalence of Acute Pain Service Teams, map their structure and operation, as well as to understand the barriers and conducive factors of their establishment in Hungarian hospitals. Methods We carried out a survey among the 72 hospitals with surgical departments. The questionnaire was filled in by 52 providers, which gave us a response rate of 72.2%. Results Our results show, that only two of the responding hospitals have Acute Pain Service Teams albeit their structure and operation are in line with the literature. In the 50 hospitals without such teams, financing difficulties and human resources shortages are mentioned to be the most important obstacles of their establishment, but the lack of initiative and interest on the part of the specialities concerned are also an important barrier. Conclusions Lagging behind the more affluent EU member states, but similarly to other Central and Eastern European countries, Acute Pain Service has been hardly adopted by Hungarian hospitals. Hungarian health professionals know the technology and would support its wider introduction, if the technical feasibility barriers could be overcome. Health policy should play a more active role to facilitate change in this area, the investment in which promises a substantial return in terms of health gains and cost savings.

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“…Устойчивый рост количества оперативных вмешательств во всем мире, который, по прогнозам, будет продолжаться, как минимум, до 2030 г., диктует необходимость совершенствования методик интра-и послеоперационного обезболивания [1][2][3].…”

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“…Во многих странах мира, в том числе и в Российской Федерации, в последние годы активно совершенствуются способы обезболивания, увеличивается количество лекарственных средств для купирования болевого синдрома, появляются новые и совершенствуются старые клинические рекомендации и локальные протоколы купирования боли, т.е. проблема адекватного периоперационного обезболивания остается крайне актуальной [2,3].…”

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