Abstract
Purpose:Several methods have been proposed for postoperative pain management, including administration
of opioid analgesics, epidural analgesia, and perineural and infiltrative techniques;
however, data are lacking on the relationship between pain intensity, patients’ age
and gender, and surgery duration. Design: Prospective, observational, single-center study. Methods: The study included patients greater than or equal to 18 years old who underwent surgery
with different anesthesia types, grouped according to the American Society of Anesthesiologists’
physical status classification score. The McGill Pain Questionnaire was used to assess
postoperative pain intensity. The postoperative pain evaluation was performed in the
first 5 minutes on entering the postanesthesia care unit (PACU), and at 30 minutes
and 24 hours after the operation. Results: Our results showed a significant negative relationship between pain intensity as
assessed at 5 and 30 minutes postoperatively and age. Postoperative pain intensity
at 24 hours was significantly lower after low-risk surgeries lasting up to 1 hour;
pain intensity was also significantly lower at 30 minutes following epidural anesthesia.
When nonsteroidal anti-inflammatory drugs were not administered in the PACU, pain
intensity was significantly lower at 5 minutes, 30 minutes, and 3 hours. Conclusions: Postoperative analgesic administration should be conducted in accordance with age
and surgery type. Additionally, epidural anesthesia can reduce the immediate postoperative
pain intensity.
Keywords
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Article Info
Publication History
Published online: September 23, 2022
Publication stage
In Press Corrected ProofFootnotes
Conflict of interest: The authors have no conflict of interest to declare.
Identification
Copyright
© 2022 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.
