Ramírez-Palacios CD, Sánchez-De Jesús LE, González-Azuara DA, Pérez-Gómez M, Martínez-Zúñiga ML, Prado-Alcázar JJ, Contreras-Carreto NA

Language: Spanish
References: 16
Page: 156-160
PDF size: 139.02 Kb.

ABSTRACT

Introduction. Acute postoperative pain (APP) is a common complication of surgery. Systematic evaluation and appropriate monitoring is one of the basic indicators of the quality of care in patients with total abdominal hysterectomy (TAH), ensuring rapid postoperative recovery, decreased morbidity and hospital stay. Objective. To evaluate the APP by verbal numeric scale (VNS) and its treatment in patients with TAH. Material and methods. Prospective, longitudinal and observational study was conducted from 2nd August to 30th September 2013 in patients with TAH hospitalized in Hospital de la Mujer, Ministry of Health, Mexico City. Results. Forty-seven patients were included; age 41.55 ± 5.22 years. The main surgical approach was median incision [66.0% (n = 31)], the most common technique was intrafascial [36.20% (n = 17)]. Ketorolac was the most used medication [42.6% (n = 20)] followed by lysine clonixinate and tramadol [23.40% (n = 11)]. The score obtained by VNS in the first hour was 4.51 ± 3.35 points, at the sixth hour was 4.51 ± 2.68. Conclusions. APP assessment should be implemented systematically in all postoperative patients. It is essential to establish a multidisciplinary treatment and choose the ideal drug for adequate control.

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