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2012, Number 1

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Rev Mex Anest 2012; 35 (1)

Prescribing trends for pain managment in orthopedics and trauma hospital

García-Miranda GM, Guevara-López U, Serratos-Vázquez MC, Roa-Aguirre L, Rivera-Saldívar G

Language: Spanish
References: 25
Page: 40-45
PDF size: 92.50 Kb.


ABSTRACT

The trauma has one of the first sites of morbidity and mortality worldwide, produces severe impact bio-psycho-social, functional disability and severe social and financial implications. Has been treated with medications and nonpharmacologic methods without achieving effective relief, so we set the objective of identifying trends in prescription of painkillers in a hospital in trauma and orthopedics. Material and methods: A descriptive, longitudinal and prospective study assessing pain intensity in three stages, the demographics and prescription painkillers. Results: We studied 418 patients. The average pain intensity by VAS on admission was 5.33 ± 2.33, immediately after surgery and 5.97 ± 2.04 in the late postoperative 5.4 ± 2.02. According to the initial EVER 24.4% presented mild pain, moderate pain 40.4% and 35.2% severe pain, in the immediate postoperative mild pain 14.6%, 40.8% moderate and 44.4% severe and 20.3% in the late mild pain, 47.0% moderate and 32.5% severe, the most widely used analgesics were paracetamol, ketorolac, diclofenac and etofenamato; nalbuphine, buprenorphine and dextropropoxyphene. Conclusions: These results suggest that pain is poorly assessed and that despite several drugs used high numbers of persistent pain.


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