Assessment of intraoperative and immediate postoperative pain management in adult orthopedic surgical patients at the post anesthesia care unit of Tikur anbessa specialized hospital
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Date
2017-11
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Addis Ababa Universty
Abstract
Background
Despite the increased focus on pain management programs and the development of new standards for intraoperative and postoperative pain, assessment remains a concern for patients. Pain therapy is a central medical task and a legal duty and optimum pain control is a fundamental right for all patients.
Objectives
To evaluate the prevalence and intensity of pain in adult patients after orthopedic surgeries. To describe the practice of intraoperative and postoperative pain management in adult orthopedic surgical patients at Tikur Anbessa Specialized Hospital.
Methodology
Institutional based prospective cross-sectional study was conducted on 324 study participants to assess the immediate postoperative pain management in adult orthopedic surgical patients at the post anesthesia care unit. Visual Analogue Scale was used to assess the level of pain. Data was collected using a structured questionnaire and was be analyzed using Statistical Package for Social Sciences, version 20.
Results
The total number of participants was 384. The number of male participants was 264 (60.9%) and female participants 150 (39.1%). Upper limb surgeries constituted 67.7% of the cases and fracture was the commonest cause for orthopedic surgeries 70.3%. Among the study participants 191 (49.7%) had experienced moderate to severe post-operative pain. Open Reduction and Internal Fixation constituted 68.2% of the operations done. Regional anesthesia accounted for 51.3% and general anesthesia 48.2%. Among those patients who were operated under general anesthesia 53% of them received morphine via intravenous route, 20.5% received combination of weak opioid and NSAID, and 18.9% received intravenous tramadol for intraoperative analgesia. Among the study participants 28.9% of them stayed in the PACU for two hours and the rest stayed for an hour.
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Keywords
Pain therapy