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Master Thesis

Évaluation de la douleur et de sa prise en charge en SSPI dans un centre expert en chirurgie ambulatoire

Abstract : Introduction. Acute postoperative pain can be a determining factor after surgery, especially after day-surgery. We have tried to assess pain level and the main strategies in postoperative analgesia in the PACU of a surgical centre with an ambulatory activity over a three-year period. Materials and Methods. Data were collected through a computerised questionnaire during the surgery and in the PACU. Demographic data, type of surgery, hospitalisation mode, and degree of urgency were collected. The level of pain at rest was assessed once in the PACU and every 15 minutes until the discharge from the PACU. Analgesic treatments and strategies as locoregional analgesia were also notified. Results. Between 2011 and 2013, 10598 questionnaires were analysed with 32% of patients hospitalised for one-day surgery. ENT, ophtalmology, maxillofacial, plastic, hand and burns surgery were the main specialities in our center. The incidence of moderate to severe pain was 10% upon arrival in the PACU, and 24% during the first hour where the pain level was the highest, except for patients with locoregional analgesia. Locoregional analgesia was administered to 40,8% of ambulatory patients. The most frequent antalgic treatment was the paracetamol-nefopam association. Discussion. Postoperative acute pain level in PACU is still high even with the generalisation of pain assessment in the PACU. Pain level during the first hour could be a performing criterion to evaluate the quality of the analgesic strategy. Conclusion. Postoperative analgesic management has to be improved. Pain level during the first hour in the PACU is the most representative to assess acute postoperative pain level.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01166733
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Tuesday, June 23, 2015 - 10:05:52 AM
Last modification on : Wednesday, August 23, 2017 - 4:33:28 PM
Long-term archiving on: : Tuesday, April 25, 2017 - 5:50:31 PM

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Camille Daugé. Évaluation de la douleur et de sa prise en charge en SSPI dans un centre expert en chirurgie ambulatoire. Médecine humaine et pathologie. 2015. ⟨dumas-01166733⟩

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