Pre and postoperative analgesia for orthopedic surgeries

Detalhes bibliográficos
Autor(a) principal: Kawai, Verônica Ferreira De Aguiar
Data de Publicação: 2015
Outros Autores: Cortez, Paulo José Oliveira, Valenti, Vitor Engrácia, Oliveira, Fernando Rocha, Vitorino, Luciano Magalhães
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.5935/1806-0013.20150033
http://hdl.handle.net/11449/158251
Resumo: ABSTRACT BACKGROUND AND OBJECTIVES: Pain is frequent in wards and impairs patients’ treatment and recovery, especially orthopedic patients. So, this study aimed at evaluating pre and postoperative analgesic adequacy in patients submitted to orthopedic surgeries, and at looking for possible variables predicting the analgesic adequacy of such patients in both moments. METHODS: This is a quasi-experimental study with two groups, orthopedic pre and postoperative periods, carried out through structured interview, physical evaluation and medical record analysis, in the Surgical Clinic of the Teaching Hospital, School of Medicine, Itajuba/MG, developed with patients in the pre and postoperative periods of orthopedic surgery. RESULTS: Participated in the study 31 patients, all of them with medical prescription of some analgesic drug, being weak opioids those most frequently prescribed in 84% of preoperative cases, increasing to 87% in the postoperative period; 39% had no preoperative pain, decreasing to 36% in the postoperative period. On the other hand, 39% of patients had moderate to severe pain in the preoperative period, increasing to 45% in the postoperative period, being that 74% had analgesic adequacy in the preoperative period, increasing to 81% in the postoperative period. CONCLUSION: Most patients of this study had adequate analgesia in the pre and postoperative periods of orthopedic surgery. In our sample, selected variables have not adequately predicted analgesic adequacy in both moments of the orthopedic surgery.
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spelling Pre and postoperative analgesia for orthopedic surgeriesAnalgesia dos períodos pré e pós-operatório em cirurgias ortopédicasAnalgesiaOrthopedicsPainPain measurementAnalgesiaDorMensuração da dorOrtopediaABSTRACT BACKGROUND AND OBJECTIVES: Pain is frequent in wards and impairs patients’ treatment and recovery, especially orthopedic patients. So, this study aimed at evaluating pre and postoperative analgesic adequacy in patients submitted to orthopedic surgeries, and at looking for possible variables predicting the analgesic adequacy of such patients in both moments. METHODS: This is a quasi-experimental study with two groups, orthopedic pre and postoperative periods, carried out through structured interview, physical evaluation and medical record analysis, in the Surgical Clinic of the Teaching Hospital, School of Medicine, Itajuba/MG, developed with patients in the pre and postoperative periods of orthopedic surgery. RESULTS: Participated in the study 31 patients, all of them with medical prescription of some analgesic drug, being weak opioids those most frequently prescribed in 84% of preoperative cases, increasing to 87% in the postoperative period; 39% had no preoperative pain, decreasing to 36% in the postoperative period. On the other hand, 39% of patients had moderate to severe pain in the preoperative period, increasing to 45% in the postoperative period, being that 74% had analgesic adequacy in the preoperative period, increasing to 81% in the postoperative period. CONCLUSION: Most patients of this study had adequate analgesia in the pre and postoperative periods of orthopedic surgery. In our sample, selected variables have not adequately predicted analgesic adequacy in both moments of the orthopedic surgery.RESUMO JUSTIFICATIVA E OBJETIVOS: A dor é comum nas enfermarias e dificulta o tratamento e a recuperação dos pacientes, principalmente ortopédicos. Assim, o objetivo deste estudo foi avaliar a adequação da analgesia em pacientes submetidos a cirurgias ortopédicas, no pré e pós-operatório, e verificar possíveis variáveis preditoras da adequação analgésica desses pacientes nos dois momentos. MÉTODOS: Trata-se de um estudo quase-experimental com dois grupos, pré e pós-operatório ortopédico, realizado através de entrevista estruturada, exame físico e análise de prontuário, na Clínica Cirúrgica do Hospital Escola da Faculdade de Medicina de Itajubá/MG, desenvolvido com pacientes no pré e pós-operatório de cirurgia ortopédica. RESULTADOS: Foram avaliados 31 pacientes, todos tinham prescrição médica de algum fármaco analgésico, sendo o opioide fraco o mais prescrito em 84% dos casos no pré-operatório passando para 87% no pós-operatório; 39% não apresentavam dor no pré-operatório, diminuindo para 36% no pós-operatório. Por outro lado, 39% dos pacientes apresentaram dor moderada a intensa no pré-operatório, aumentando para 45% no período pós-operatório, 74% apresentaram adequação analgésica no pré-operatório, aumentando para 81% no pós-operatório. CONCLUSÃO: A maior parte dos pacientes desta pesquisa tinha adequação analgésica no pré e pós-operatório de cirurgia ortopédica. Na amostra estudada, as variáveis selecionadas não apresentaram predição da adequação analgésica nos dois momentos da cirurgia ortopédica.Faculdade de Medicina de Itajuba Hospital Escola de Itajuba Departamento de Residencia MultiprofissionalUniversidade Estadual Paulista Faculdade de Filosofia e CienciasUniversidade Federal de Sao Paulo Escola Paulista de EnfermagemUniversidade Estadual Paulista Faculdade de Filosofia e CienciasSociedade Brasileira para o Estudo da DorFaculdade de Medicina de Itajuba Hospital Escola de Itajuba Departamento de Residencia MultiprofissionalUniversidade Estadual Paulista (Unesp)Universidade Federal de Sao Paulo Escola Paulista de EnfermagemKawai, Verônica Ferreira De AguiarCortez, Paulo José OliveiraValenti, Vitor EngráciaOliveira, Fernando RochaVitorino, Luciano Magalhães2018-11-12T17:29:02Z2018-11-12T17:29:02Z2015-09-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article166-170application/pdfhttp://dx.doi.org/10.5935/1806-0013.20150033Revista Dor. Sociedade Brasileira para o Estudo da Dor, v. 16, n. 3, p. 166-170, 2015.1806-0013http://hdl.handle.net/11449/15825110.5935/1806-0013.20150033S1806-00132015000300166S1806-00132015000300166.pdfSciELOreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengRevista Dorinfo:eu-repo/semantics/openAccess2024-08-15T18:47:46Zoai:repositorio.unesp.br:11449/158251Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-15T18:47:46Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Pre and postoperative analgesia for orthopedic surgeries
Analgesia dos períodos pré e pós-operatório em cirurgias ortopédicas
title Pre and postoperative analgesia for orthopedic surgeries
spellingShingle Pre and postoperative analgesia for orthopedic surgeries
Kawai, Verônica Ferreira De Aguiar
Analgesia
Orthopedics
Pain
Pain measurement
Analgesia
Dor
Mensuração da dor
Ortopedia
title_short Pre and postoperative analgesia for orthopedic surgeries
title_full Pre and postoperative analgesia for orthopedic surgeries
title_fullStr Pre and postoperative analgesia for orthopedic surgeries
title_full_unstemmed Pre and postoperative analgesia for orthopedic surgeries
title_sort Pre and postoperative analgesia for orthopedic surgeries
author Kawai, Verônica Ferreira De Aguiar
author_facet Kawai, Verônica Ferreira De Aguiar
Cortez, Paulo José Oliveira
Valenti, Vitor Engrácia
Oliveira, Fernando Rocha
Vitorino, Luciano Magalhães
author_role author
author2 Cortez, Paulo José Oliveira
Valenti, Vitor Engrácia
Oliveira, Fernando Rocha
Vitorino, Luciano Magalhães
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Faculdade de Medicina de Itajuba Hospital Escola de Itajuba Departamento de Residencia Multiprofissional
Universidade Estadual Paulista (Unesp)
Universidade Federal de Sao Paulo Escola Paulista de Enfermagem
dc.contributor.author.fl_str_mv Kawai, Verônica Ferreira De Aguiar
Cortez, Paulo José Oliveira
Valenti, Vitor Engrácia
Oliveira, Fernando Rocha
Vitorino, Luciano Magalhães
dc.subject.por.fl_str_mv Analgesia
Orthopedics
Pain
Pain measurement
Analgesia
Dor
Mensuração da dor
Ortopedia
topic Analgesia
Orthopedics
Pain
Pain measurement
Analgesia
Dor
Mensuração da dor
Ortopedia
description ABSTRACT BACKGROUND AND OBJECTIVES: Pain is frequent in wards and impairs patients’ treatment and recovery, especially orthopedic patients. So, this study aimed at evaluating pre and postoperative analgesic adequacy in patients submitted to orthopedic surgeries, and at looking for possible variables predicting the analgesic adequacy of such patients in both moments. METHODS: This is a quasi-experimental study with two groups, orthopedic pre and postoperative periods, carried out through structured interview, physical evaluation and medical record analysis, in the Surgical Clinic of the Teaching Hospital, School of Medicine, Itajuba/MG, developed with patients in the pre and postoperative periods of orthopedic surgery. RESULTS: Participated in the study 31 patients, all of them with medical prescription of some analgesic drug, being weak opioids those most frequently prescribed in 84% of preoperative cases, increasing to 87% in the postoperative period; 39% had no preoperative pain, decreasing to 36% in the postoperative period. On the other hand, 39% of patients had moderate to severe pain in the preoperative period, increasing to 45% in the postoperative period, being that 74% had analgesic adequacy in the preoperative period, increasing to 81% in the postoperative period. CONCLUSION: Most patients of this study had adequate analgesia in the pre and postoperative periods of orthopedic surgery. In our sample, selected variables have not adequately predicted analgesic adequacy in both moments of the orthopedic surgery.
publishDate 2015
dc.date.none.fl_str_mv 2015-09-01
2018-11-12T17:29:02Z
2018-11-12T17:29:02Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.5935/1806-0013.20150033
Revista Dor. Sociedade Brasileira para o Estudo da Dor, v. 16, n. 3, p. 166-170, 2015.
1806-0013
http://hdl.handle.net/11449/158251
10.5935/1806-0013.20150033
S1806-00132015000300166
S1806-00132015000300166.pdf
url http://dx.doi.org/10.5935/1806-0013.20150033
http://hdl.handle.net/11449/158251
identifier_str_mv Revista Dor. Sociedade Brasileira para o Estudo da Dor, v. 16, n. 3, p. 166-170, 2015.
1806-0013
10.5935/1806-0013.20150033
S1806-00132015000300166
S1806-00132015000300166.pdf
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Revista Dor
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 166-170
application/pdf
dc.publisher.none.fl_str_mv Sociedade Brasileira para o Estudo da Dor
publisher.none.fl_str_mv Sociedade Brasileira para o Estudo da Dor
dc.source.none.fl_str_mv SciELO
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
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