EC Nursing and Healthcare

Introduction and Objectives: Acute pain is a complex sensation, which is mostly caused by tissue damage. The natural response of the body to acute pain is adaptive, however, has a very serious pathophysiological and psychological consequences of such a transition in chronic pain, excessive stress response with possible impaired healing, the patient's suffering and dissatisfaction, inability to rehabilitate, reduced tidal volume. Does your treatment principles foremost of which is sufficient frequency of pain, as well as early intervention where appropriate, by treatment with insufficient effect of existing treatments. It is important to choose the appropriate method for the treatment of pain. One possibility is patient controlled analgesia enabling faster relief from pain and reduced consumption of administered drugs.

Methods: A prospective randomized study was started with a pilot project at the department of Anesthesiology and Intensive Care Medicine, University Hospital of Ostrava. The prospective randomized study included 111 patients after total hip arthroplasty. Analgesic therapy for the group of respondents was carried out according to the protocol for analgesic therapy.

Results: Significantly higher patient satisfaction with controlled analgesia according to the Likert scale was demonstrated. In patients with the patient-controlled analgesia method, there was a statistically significant difference in the consumption of analgesics during the first 24 hours after surgery.

Conclusion: The Acute pain service system has been operating at the University Hospital of Ostrava since 2015. It takes care of 800 patients with postoperative pain annually. As part of the application of multimodal analgesia, the method of patient-controlled analgesia is also used. This method brings patients greater satisfaction, faster rehabilitation and lower consumption of analgesics during the first 24 hours after surgery.

Keywords: Acute Pain Service; Patient-Controlled Analgesia; Multimodal Analgesia; Satisfaction

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