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ISSN 1561-3046 (Electronic)

2015, Number 4

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Rev Cub Med Mil 2015; 44 (4)

Pain management in the multi-trauma patient in ¨Dr Carlos J. Finlay¨ central military hospital

Laffita ZJ, Pacheco RMD, Mora GS, Nueva MJ, García MA

Language: Spanish
References: 17
Page: 406-415
PDF size: 88.63 Kb.


ABSTRACT

Introduction: trauma has been related always with pain as an accompanist symptom that affects negatively the evolution of the patient. This work aspire to value the attention to polytrauma patient refers to evaluation and treatment of the pain.
Methods: an observational, retrospective, transversal study was made, since January until December of 2013. The sample was 60 patients received in "Dr. Carlos J. Finlay" Military Central Hospital with polytrauma. Stadistics measures descriptors were employed (reasons and proportions).
Results: the 83.3 % of the patients reports pain, at least one time during the intern; only 56.0 % of these were evaluated; in 51.7 % of the sample were evaluated the symptom; in 26.7 % of the sample was used a verbal scale; the rest of the patients were no evaluated. In all of cases were used non-steroids anti-inflammatory drugs, with doses and administration intervals vary. The use of opioids (6.7 %), ketamina (3.4 %), local anesthesics (3.4 %) and support drugs (1.7 %) were poor. Prevail the demand indication (88.3 %), using indicate analgesia in 46.7 % of the sample. The reduction of pain was evaluated in 50.0 % of cases that received analgesia; verify it only in 42.9 % of patients. In 91.7 % of the sample was valued the treatment as inadecuated.
Conclutions: the evaluation and treatment of pain is deficient, confirm the necessity of implement strategies of properties actuations.


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