Ugeskrift for laeger
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Ugeskrift for laeger · Dec 1999
[Knowledge about amd attitude to postoperative pain therapy of health personnel. A questionnaire survey].
From research results published over the last years it appears that many surgical patients are still undertreated for their postoperative pain. The study was performed in order to reveal the attitudes and knowledge of physicians and nurses towards postoperative pain therapy. Questionnaires were sent to physicians and nurses at the surgical and anaesthesiological wards at the hospital. ⋯ The house staff is still concerned about the risk of inducing dependency when using opioids. The knowledge of the analgesics used in the ward is not sufficient and inappropriate methods of administration of opioids are still used. Educational intervention to improve the staff's knowledge about pain management in postoperative care is strongly needed.
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Ugeskrift for laeger · Dec 1999
Review[Incisional local anesthesia as postoperative pain control after abdominal surgery. A qualitative, systematic review].
A qualitative systematic review of randomized controlled trials (RCT) of incisional local anaesthesia for the control of postoperative pain after open abdominal operations was performed. Twenty-six studies with data from 1211 patients were considered appropriate for analysis. RCT considered inguinal herniotomy, hysterectomy, cholecystectomy and a variety of surgical procedures. ⋯ Five of eight cholecystectomy trials showed significant differences but in three studies of questionable clinical importance and validity. In other procedures results were inconsistent and in some cases of minor clinical importance. Except for herniotomy there is a lack of evidence for effect of incisional local anaesthesia on postoperative pain and further standardized studies are needed before recommendations can be made.
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Ugeskrift for laeger · Dec 1999
Randomized Controlled Trial Comparative Study Clinical Trial[Complications after spinal analgesia using three different spinal needles: Sprotee, Spinocan and Atraucan].
In this prospective, randomised study 197 patients aged below 40 years received spinal analgesia using one of the following needles: Sprotte G24, Spinocan G27 or Atraucan G26. The incidence of insufficient or failed analgesia and difficulties handling the needles were noted. Patients were interviewed within three weeks after anaesthesia so as to establish the incidence of postoperative complications including post-dural puncture headache (PDPH). ⋯ Furthermore a significantly lower incidence of insufficient analgesia was observed with the Sprotte needle (0% versus 12.1% with the Spinocan and 11.6% with the Atraucan, p < 0.05). In conclusion, the Sprotte needle had the best profile with respect to PDPH and successful analgesia. This confirms the importance of the needle tip design.