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Revista Mexicana de Anestesiología

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ISSN 0484-7903 (Print)
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2019, Number 3

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Rev Mex Anest 2019; 42 (3)

Evaluation of postoperative pain, standardization of protocols of action, and continuous improvement based on goals

Garduño-López AL, Castro-Garcés L, Acosta-Nava VM
Full text How to cite this article

Language: Spanish
References: 8
Page: 160-166
PDF size: 183.82 Kb.


Key words:

pain assessment, postoperative pain, internal audits, gestion system, pain out, protocols in acute pain.

ABSTRACT

The assessment of postoperative pain using unidimensional scales such as the verbal analog scale (VAS), are being abandoned. Currently the evaluation is made based on the activities that, according to the type of surgery, the patient can perform during the first hours of postoperative period. The treatment of pain requires an organizational framework, which must include the design of protocols that allow continuous improvement based on results, according to the needs of each hospital. The implementation and planning of strategies through internal audits such as the Pain Out system, are a basis for the management of new units of acute pain (visit http://www.painoutmexico.com).


REFERENCES

  1. Zaslansky R, Rothaug J, Chapman CR, et al. Pain Out: the making of an international acute pain registry. Eur J Pain. 2015;19:490-502.

  2. Chou R, Gordon D, de Leon-Casasola O, Rosenberg J, Bickler S, Brennan T, Griffith S. Management of Postoperative Pain: a clinical practice guideline from the American pain society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists’ committee on regional anesthesia, executive committee, and administrative council. J Pain. 2016;17:131-157.

  3. Schug SA, Palmer GM, Scott DA, Hallivell R, Trinca J. Acute pain management: scientific evidence. 4th ed. Melbourne: ANZCA and FPM; 2015. Working Group of the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine. Available from: http://fpm.anzca.edu.au/documents/apmse4_2015_final.

  4. Prospect Group Recommendations. www.postoppain.org.

  5. Kharasch ED, Brunt LM. Perioperative opioids and public health. Anesthesiol. 2016;124:960-965.

  6. The Joint commission’s pain standards: origins and evolution. Published May 2017. [Accessed 2019] Available from: https://www.jointcommission.org/assets/1/6/Pain Std_History_Web_Version_05122017.pdf

  7. Levy N, Sturgess J, Mills P. “Pain as the fifth vital sign” and dependence on the “numerical pain scale” is being abandoned in the US: Why? Br J Anaesth. 2018;120:435-438.

  8. Petti E, Scher C, Meador L, Van Cleave JH, Carrington RM. Can multidimensional pain assessment tools help improve pain outcomes in the perianesthesia setting? J Perianesth Nurs. 2018;33:767-772.




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Rev Mex Anest. 2019;42