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New Indian Journal of Surgery

Volume  10, Issue 4, July - August 2019, Pages 389-392
 

Original Article

Monitoring Postoperative Pain Management in General Surgical Wards: A Clinical Audit of Feedback Pain Protocol in Our Institution

SV Arun Prasath1, Vinoth D2, Rajesh Kumar3

1Assistant Professor, 2Senior Resident, 3Professor, Dept of General Surgery, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu

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DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.10419.7

Abstract

“Pain” is defined by the International Association for the Study of Pain as an unpleasant sensory and emotional experience arising from actual or potential tissue damage or described in terms of such damage. There is both the physiologic and affective nature of the pain experience. Inadequate pain control, apart from being inhumane, may result in increased morbidity or mortality. Despite this overwhelming rationale for effective postoperative pain control, the clinical reality is unfortunately, still far from satisfactory. As the importance of postoperative pain relief is undebated, there is a need for an effective protocol in the care of all postoperative patients. In our hospital, we follow a “feedback” pain protocol, in which the VAS pain scale is used to record pain at least once a day, or more depending on the analgesia frequency, with a follow-up after 15 to 45 min to see the level of pain relief, and to receive drug orders for further analgesia if the pain relief is not adequate. The aim of this audit is to find the level of compliance to this protocol, and its effectiveness. The main reason being that there is no standard protocol for postoperative pain management widely being practiced. The surgeons are the ones who are managing the postoperative pain. This audit will determine the effectiveness, and the adherence to protocol, which will suggest whether there is a need for a change in the protocol, or adherence. Objectives being to ensure that the analgesia protocol is followed in all postoperative patients and to ensure that atleast 95% of those who receive the analgesia protocol, has a VAS score of less than 3 in their first two postoperative days.

Keywords: Postoperative pain; Pain protocol; Feedback protocol; Institution


Corresponding Author : Vinoth