Resumen de Control del dolor en pacientes postquirúrgicos en un hospital comarcal
Mª J. Barragán González, Álvaro González Franco, P. Puente Martinez, M. P. Sacristan de Lama, R. F. Baldomero Cernuda
Objectives: To study postoperative pain, pharmacological patterns and relationship between prescription and administration. Patients and Methods: General Surgery, Gynecology and Traumatology intervened 111 patients. Data was gathered regarding the surgical intervention, the medication and the pain. Results: A drug is administrated to 88% of patients. Metamizol by intravenous pathway is the most administrated one. On the hospital floor, 5.4% of drugs are opiates; with a higher pain reduction: 55.6 mm. 68% of drugs are standardized. In both Traumatology and General Surgery, the administrated dose is lower than the prescribed one. In Gynecology, the contrary occurs. 75.7% of drugs present a moderate-to-very-intense (VVS) pain and 70.3% present a pain level of 30-100 mm (VAS). In Traumatology, the average is 31 mm. In General Surgery, the average is 51 mm and in Gynecology, 58 mm; measured in VAS. Conclusions: A high proportion of patients experience pain. In Traumatology, they suffer less pain. The prescription of opiates is low; increasing in reanimation with a better pain control
