建立以护士为基础、麻醉医生监督的住院急性疼痛服务：4617例患者的经验。

Establishing a nurse-based, anesthesiologist-supervised inpatient acute pain service: experience of 4,617 patients.

作者信息

Shapiro Arie, Zohar Edna, Kantor Margalit, Memrod Judy, Fredman Brian

机构信息

Department of Anesthesiology, Critical Care and Pain Management, Meir Hospital, Kfar Saba, Israel.

出版信息

J Clin Anesth. 2004 Sep;16(6):415-20. doi: 10.1016/j.jclinane.2003.11.002.

DOI:10.1016/j.jclinane.2003.11.002

PMID:15567644

Abstract

STUDY OBJECTIVE

To describe our nurse-based Acute Pain Services (APS) and present the results of 4617 patients treated by our service.

DESIGN

Descriptive audit.

SETTING

Large referral hospital.

PATIENTS

4617 patients treated by the APS.

MEASUREMENT AND MAIN RESULTS

Analgesic regimens [basic pain treatment, patient-controlled analgesia (PCA), epidural analgesia, spinal analgesia, and wound instillation], as well as the associated patient monitoring and event-response algorithms are detailed. The mean visual analog score (VAS) for pain was low. A VAS for pain greater than 30 mm was noted in 15.3% of all pain scores recorded. Bradypnea (respiratory rate < 10 breaths/min) was recorded in 19 patients (overall incidence = 0.4%). No complications resulting in sustained morbidity or mortality occurred. Of the patients, 96% described their overall satisfaction with the APS as either good or excellent.

CONCLUSION

A nurse-based APS provides effective and safe postoperative pain management.

摘要

研究目的

描述我们以护士为基础的急性疼痛服务（APS），并展示我们的服务所治疗的4617例患者的结果。

设计

描述性审计。

地点

大型转诊医院。

患者

由APS治疗的4617例患者。

测量与主要结果

详细介绍了镇痛方案[基本疼痛治疗、患者自控镇痛（PCA）、硬膜外镇痛、脊髓镇痛和伤口灌注]，以及相关的患者监测和事件应对算法。疼痛的平均视觉模拟评分（VAS）较低。在所有记录的疼痛评分中，15.3%的疼痛VAS大于30 mm。19例患者记录有呼吸过缓（呼吸频率<10次/分钟）（总发生率=0.4%）。未发生导致持续发病或死亡的并发症。96%的患者对APS的总体满意度为良好或优秀。