| Abstract No.: | C-D3155 |
| Country: | Nigeria |
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| Title: | PAIN MANAGEMENT IN THE SURGICAL PATIENTS: ARE WE DOING ENOUGH?
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| Authors/Affiliations: | 1 Olusola Idowu*; 1 Babatunde Osinaike;
1 University College Hospital, Department of Anaestheisa, Ibadan, Nigeria
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| Content: | Obective: Pain is among the most common and distressing symptoms encountered by the surgical patients with its adverse physiological consequences on the cardio- respiratory system as well as on healing. With the resent introduction of opioids in our institution, we conducted a study to know if we are doing enough in the management of pain in our surgical patients intra-operatively which will reflect in the immediate post operative period.
Method: This is a prospective non randomized study that was carried out in the recovery room of the University College Hospital on patients that had elective general anaesthesia. Patients were assess on severity of pain at ten (10) minutes interval for one hour using the visual analog pain scale (VAS) this was also translated to the local language the patients understand. Information on the patients Age, weight, ASA status , type of operation , surgical unit, analgesic used intra-operatively was obtained from the anesthetic chart while pain medication in the recovery room was obtained from the recovery room nurse chart.
Results. I present a preliminary result done over a three week period in September 2007.Twenty(20) patients were assessed of which fourteen(70%) were females and six(30%) were males, the age range was 19years- 68years(mean=44years) while the weight range was 50kg- 96kg(mean=71.95kg). The range for duration of surgeries was 45minutes – 315minutes (mean=147minutes). The surgical units were gynecology, oncological, gastrointestinal, ENT, urological, neurological and orthopaedic, while surgeries done were mastectomy, myomectomies, TAH, Caldwell luc, appendectomy, ORIF and laminectomy. At ten minutes 16(80%) of the patients had a pain score of 0-2, while 4(20%) had a score of 3-5. At twenty minutes 13(65% ) had a VAS of 0-2, 4(20%) had a score of 3-5and 3(15%) had a score of 6-7. At thirty minutes 11(55%) of the patients had no pains, 3(15%) had mild pain and 6(30%) had moderate pain. At forty minutes10 (50%) had no pains, 6(30%) had mild pains while 4(20%) had moderate pains. At fifty minutes 9(45%) had a VAS of 0-2, 6(30%) had a VAS of 3-5, 4(20%) had a VAS of 6-7 and 1(5%) had a VAS of 8-10. At sixty minutes 8(40%) had a VAS of 0-2, 7(35%) had a VAS of 3-5, 3 (15%) had a VAS of 6-7, and 2(10%) had a VAS of 8-10. The analgesics used intraoperatively were morphine 70%, pethidine 15% and pentazocine 15%.
Conclusion. The resent availability of opioids in the University College Hospital had improved pain management in the surgical patients
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