Controle da dor pós-operatória: comparação entre métodos analgésicos

Chaves, Lucimara Duarte; Pimenta, Cibele Andrucioli de Mattos

doi:10.1590/s0104-11692003000200011

Cited by 17 publications

(31 citation statements)

References 6 publications

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“…Analgesic prescriptions should be regular and under a "to be administered if necessary" scheme to maintain a constant plasma level and enable its availability for episodes of pain (5) , although there is a trend to give analgesics prescribed under the "to be administered if necessary" scheme less frequently (16) . The prescription under a mixed scheme (fixed time + "to be prescribed if necessary") is more adequate to the patients' needs (1) .…”

Section: Discussionmentioning

confidence: 99%

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Avaliação da dor em pós-operatório de cirurgia cardíaca

2010

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Objectives: To evaluate the intensity of pain in patients after cardiac surgery; the study aimed to: 1-identify possible associations between physiological alterations (tachycardia, tachypnea, increased blood pressure, sweating, paleness, nausea and vomiting) and postoperative pain, and 2-describe the used analgesia. Methods: This prospective study evaluated 30 patients in a public teaching hospital, from the immediately postoperative period till the 4th postoperative day. To analyze the data was used the software Statistical Package for Social Sciences. Results: Most (26/86.7%) patients had pain, being 19 (63.3%) in the 1st postoperative day. It was found a predominance of mild pain during all occasions of evaluation. Also was found a correlation (p<0.001) between pain and the presence of physiological alterations, most frequently, tachypnea and increased blood pressure. The analgesia was treated with drugs, being the opiates and simple analgesics the most prescribed. Conclusion: A mild pain was present during all periods which influenced mainly the occurrence of tachypnea and high blood pressure. Only drugs were used for analgesia. Keywords: Postoperative pain; Cardiac surgical procedures; Pain measurement RESUMO Objetivos: Avaliar a intensidade da dor, em pacientes no pós -operatório de cirurgia cardíaca; identificar possíveis associações entre alterações fisiológicas (taquicardia, taquipnéia, elevação da pressão arterial, sudorese, palidez cutânea, náuseas, vômitos) e dor pós-operatória; e descrever a analgesia utilizada. Métodos: Estudo prospectivo que avaliou 30 pacientes de um hospital público de ensino, do pós-operatório imediato ao 4° pós-operatório. Utilizou-se o software Statistical Package for the Social Sciences para análise dos dados. Resultados: A maioria (26 / 86,7%) dos pacientes apresentou dor, sendo 19 (63,3%) no 1º pós-operatório. Verificou-se predominância de dor leve em todos os tempos avaliados. Houve correlação (p<0,001) entre dor e presença de alterações fisiológicas, sendo mais freqüentes, taquipnéia e aumento de pressão arterial. A analgesia utilizada foi medicamentosa, sendo opióides e analgésicos simples os mais prescritos. Conclusão: A dor esteve presente em todos os períodos avaliados, de intensidade leve, e influenciou principalmente na ocorrência de taquipnéia e elevação de pressão arterial. Somente fármacos foram utilizados para analgesia. Descritores: Dor pós-operatória; Procedimentos cirúrgicos cardíacos; Medição da dor RESUMEN Objetivos: Evaluar la intensidad del dolor en pacientes en posoperatorio de cirugía cardíaca; identificar posibles asociaciones entre alteraciones fisiológicas (taquicardia, taquipnea, elevación de la presión arterial, sudoresis, palidez cutánea, náuseas, y vómitos) y dolor posoperatorio; y, describir la analgesia utilizada. Métodos: se trata de estudio prospectivo que evaluó 30 pacientes de un hospital público de enseñanza, en el posoperatorio inmediato y en los cuatro días siguientes. Se utilizó el software Statistical Package for the Social S...

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Section: Discussionmentioning

confidence: 99%

“…It is essential to control pain to provide complete care for the patient, because prolonged painful stimuli probably cause postoperative complications and suffering (5) , related to the increase in postoperative morbidity and mortality (2) .…”

Section: Introductionmentioning

confidence: 99%

Avaliação da dor em pós-operatório de cirurgia cardíaca

2010

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“…The postoperative pain control is essential for comprehensive care to surgical patients, as prolonged painful stimuli appear to predispose to more severe pain and complications in the postoperative period [24]. Since the 1970s, the effects of TENS have been studied on acute and chronic pain.…”

Section: Discussionmentioning

confidence: 99%

Estimulação elétrica nervosa transcutânea após cirurgia de revascularização miocárdica

Lima¹,

Farias²,

Carvalho³

et al. 2011

Rev Bras Cir Cardiovasc

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“…A single study is available din Brazil in which the author compared to costs and outcomes of different analgesic methods in patients submitted to different types of surgery (7) .…”

Section: Análisis De Costo-efectividad En El Tratamiento Analgésico Pmentioning

confidence: 99%