Prise en charge de la douleur postopératoire : évaluation et amélioration de la qualité

Belbachir, A.; Fletcher, Dominique; Larue, François

doi:10.1016/j.annfar.2008.11.011

Cited by 3 publications

(1 citation statement)

References 59 publications

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“…Interventions such as the use of multimodal analgesia, the preemptive use of analgesics and local anesthetics very early in surgery, and the standardization of procedures for pain management in postoperative units have been shown to improve pain management and surgical recovery. Despite this, deficiencies in pain management persist even in developed countries 1,2. Postoperative pain remains a major concern that has been shown to affect outcomes.…”

Section: Introductionmentioning

confidence: 99%

Management of postoperative pain: experience of the Niamey National Hospital, Niger

Chaibou

Sanoussi²,

Sani³

et al. 2012

JPR

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ObjectiveThe aim of this study was to evaluate the management of postoperative pain at the Niamey National Hospital.MethodsA prospective study was conducted in the Department of Anesthesiology and Intensive Care at the Niamey National Hospital from March to June, 2009. Data collected included age, sex, literacy, American Society of Anesthesiologists (ASA) physical status classification, type of anesthesia, type of surgery, postoperative analgesics used, and the cost of analgesics. Three types of pain assessment scale were used depending on the patient’s ability to describe his or her pain: the verbal rating scale (VRS), the numerical rating scale (NRS), or the visual analog scale (VAS). Patients were evaluated during the first 48 hours following surgery.ResultsThe sample included 553 patients. The VRS was used for the evaluation of 72% of patients, the NRS for 14.4%, and the VAS for 13.6%. Of the VRS group, 33.9%, 8.3%, and 2.1% rated their pain as 3 or 4 out of 4 at 12, 24, and 48 hours postoperatively, respectively. For the NRS group, 33.8%, 8.8%, and 2.5% rated their pain as greater than 7 out of 10 at 12, 24, and 48 hours postoperatively, respectively. For the VAS group, 29.3%, 5.4%, and 0% rated their pain as greater than 7 out of 10 at 12, 24, and 48 hours postoperatively, respectively.ConclusionPostoperative pain assessment and management in developing countries has not been well described. Poverty, illiteracy, and inadequate training of physicians and other health personnel contribute to the underutilization of postoperative analgesia. Analysis of the results gathered at the Niamey National Hospital gives baseline data that can be the impetus to increase training in pain management and to establish standardized protocols.

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Section: Introductionmentioning

confidence: 99%