Shapiro Arie, Zohar Edna, Kantor Margalit, Memrod Judy, Fredman Brian
Department of Anesthesiology, Critical Care and Pain Management, Meir Hospital, Kfar Saba, Israel.
J Clin Anesth. 2004 Sep;16(6):415-20. doi: 10.1016/j.jclinane.2003.11.002.
To describe our nurse-based Acute Pain Services (APS) and present the results of 4617 patients treated by our service.
Descriptive audit.
Large referral hospital.
4617 patients treated by the APS.
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.
A nurse-based APS provides effective and safe postoperative pain management.
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。
描述性审计。
大型转诊医院。
由APS治疗的4617例患者。
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。
以护士为基础的APS提供了有效且安全的术后疼痛管理。
