Vijayvargiya Mayank, Panchal Snehal, Asawale Ketan, Desai Akshay
P.D. Hinduja Hopsital, Mumbai, India.
Holy Spirit Hospital, Andheri, India.
J Clin Orthop Trauma. 2021 Apr 20;18:38-43. doi: 10.1016/j.jcot.2021.03.025. eCollection 2021 Jul.
Pain is a result of nociceptive tissue injury and results in acute and chronic impact to patients. Acute pain management is the need of the hour as untreated or under-treated pain may progress to chronic pain. Pain irrespective of its temporality causes a negative impact on the quality of life of the patients. Many Indian emergency settings are not adequately equipped to handle pain due to the heavy load of patients and the lack of awareness about the pain management guidelines. This leads to undertreatment of pain or 'oligoanalgesia'. A pain management protocol can help prevent oligoanalgesia in an emergency setting. Proper utilization of triage systems that incorporate pain as one of the vital signs is necessary. The categorization of pain with the help of a pain scale helps determine the severity of pain and its appropriate management. Pain management is an ongoing process that does not end with the discharge of the patient. Post discharge management of pain is also an important factor to prevent chronic pain. This may involve various modalities for pain management under the preview of multimodal management of pain.
疼痛是伤害性组织损伤的结果，会对患者造成急性和慢性影响。急性疼痛管理是当务之急，因为未经治疗或治疗不足的疼痛可能会发展为慢性疼痛。无论疼痛的持续时间如何，都会对患者的生活质量产生负面影响。由于患者负担过重以及对疼痛管理指南缺乏认识，许多印度的急诊环境没有足够的设备来处理疼痛。这导致疼痛治疗不足或“镇痛不足”。疼痛管理方案有助于在急诊环境中预防镇痛不足。正确使用将疼痛纳入生命体征之一的分诊系统是必要的。借助疼痛量表对疼痛进行分类有助于确定疼痛的严重程度及其适当的管理方法。疼痛管理是一个持续的过程，不会随着患者出院而结束。出院后疼痛管理也是预防慢性疼痛的一个重要因素。这可能涉及在多模式疼痛管理的框架下采用各种疼痛管理方式。
