Establishment and evaluation of post caesarean acute pain
service in a perinatological center: retrospective
observational study

J 2014

Establishment and evaluation of post caesarean acute pain service in a perinatological center: retrospective observational study

ŠTOURAČ, Petr, Eliška KUCHAŘOVÁ, Ivo KŘIKAVA, Roman MALÝ, Martina KOSINOVÁ et. al.

Basic information

Original name

Establishment and evaluation of post caesarean acute pain service in a perinatological center: retrospective observational study

Name in Czech

Zavedení systému léčby pooperační bolesti po císařském řezu v perinatologickém centru a jeho vyhodnocení: retrospektivní observační studie

Authors

ŠTOURAČ, Petr (203 Czech Republic, guarantor, belonging to the institution), Eliška KUCHAŘOVÁ (203 Czech Republic, belonging to the institution), Ivo KŘIKAVA (203 Czech Republic, belonging to the institution), Roman MALÝ (203 Czech Republic, belonging to the institution), Martina KOSINOVÁ (203 Czech Republic, belonging to the institution), Hana HARAZIM (703 Slovakia, belonging to the institution), Olga SMÉKALOVÁ (203 Czech Republic, belonging to the institution), Ivana BÁRTÍKOVÁ (203 Czech Republic), Roman ŠTOUDEK (203 Czech Republic, belonging to the institution), Petr JANKŮ (203 Czech Republic, belonging to the institution), Martin HUSER (203 Czech Republic, belonging to the institution), Kristýna WÁGNEROVÁ (203 Czech Republic), Olga HAKLOVÁ (203 Czech Republic), Lubomír HAKL (203 Czech Republic, belonging to the institution), Daniel SCHWARZ (203 Czech Republic, belonging to the institution), Hana ZELINKOVÁ (203 Czech Republic, belonging to the institution), Simona LITTNEROVÁ (203 Czech Republic, belonging to the institution), Jiří JARKOVSKÝ (203 Czech Republic, belonging to the institution), Roman GÁL (203 Czech Republic, belonging to the institution) and Pavel ŠEVČÍK (203 Czech Republic, belonging to the institution)

Edition

Česká gynekologie, Praha, Česká lékařská společnost Jana Evangelisty Purkyně, 2014, 1210-7832

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30214 Obstetrics and gynaecology

Country of publisher

Czech Republic

Confidentiality degree

není předmětem státního či obchodního tajemství

RIV identification code

RIV/00216224:14110/14:00077459

Organization unit

Faculty of Medicine

Keywords (in Czech)

systém léčby pooperační bolesti; pooperační analgezie; císařský řez; neopioidní analgezie; opioidní analgezie; epidurální analgezie

Keywords in English

Acute Pain Sevice; postoperative analgesia; Caesarean Section; non-opioid analgesia; opioid analgesia; epidural analgesia

Abstract

V originále

Objective: The aim of this study was to determine the efficacy of establishing a Post Caesarean Acute Pain Service. Design: Retrospective observational study Setting: University Hospital Brno Methods: We evaluated all patients undergoing delivery via Caesarean Section under anaesthesia in the periods 10/2009 – 9/2010 and 11/2010 - 10/2011. During the postoperative period at predefined times, we measured the Visual Analogue Scale, Additional Analgesic Requests, blood pressure, pulse rate and recorded any complications. We compared the Visual Analogue Scale Score and number of Additional Analgesic Requests in two groups of women, 212 patients before and 195 patients after the establishment of an Acute Pain Service in the first 72 hours after Caesarean Section. Results: There was a statistically significant difference in Visual Analogue Scale Score between the groups (p<0.05). The number of Additional Analgesic Requests 24-72 hours after Caesarean Section decreased below one requirement per 24 hours. The most effective analgesic method after Caesarean Section during the first 24 hours postoperatively was epidural analgesia. There was no statistically significant difference 24-72 hours after Caesarean Section between the methods of analgesia used. Conclusion: In conclusion, implementation of a Post Caesarean Acute Pain Service led to decrease in Visual Analogue Scale Score postoperatively.

Citovat

ŠTOURAČ, Petr, Eliška KUCHAŘOVÁ, Ivo KŘIKAVA, Roman MALÝ, Martina KOSINOVÁ, Hana HARAZIM, Olga SMÉKALOVÁ, Ivana BÁRTÍKOVÁ, Roman ŠTOUDEK, Petr JANKŮ, Martin HUSER, Kristýna WÁGNEROVÁ, Olga HAKLOVÁ, Lubomír HAKL, Daniel SCHWARZ, Hana ZELINKOVÁ, Simona LITTNEROVÁ, Jiří JARKOVSKÝ, Roman GÁL and Pavel ŠEVČÍK. Establishment and evaluation of post caesarean acute pain service in a perinatological center: retrospective observational study. Česká gynekologie. Praha: Česká lékařská společnost Jana Evangelisty Purkyně, 2014, vol. 79, No 5, p. 363-370. ISSN 1210-7832.

@article{1210451,
   author = {Štourač, Petr and Kuchařová, Eliška and Křikava, Ivo and Malý, Roman and Kosinová, Martina and Harazim, Hana and Smékalová, Olga and Bártíková, Ivana and Štoudek, Roman and Janků, Petr and Huser, Martin and Wágnerová, Kristýna and Haklová, Olga and Hakl, Lubomír and Schwarz, Daniel and Zelinková, Hana and Littnerová, Simona and Jarkovský, Jiří and Gál, Roman and Ševčík, Pavel},
   article_location = {Praha},
   article_number = {5},
   keywords = {Acute Pain Sevice; postoperative analgesia; Caesarean Section; non-opioid analgesia; opioid analgesia; epidural analgesia},
   language = {eng},
   issn = {1210-7832},
   journal = {Česká gynekologie},
   title = {Establishment and evaluation of post caesarean acute pain service in a perinatological center: retrospective observational study},
   volume = {79},
   year = {2014}
}

TY  - JOUR
ID  - 1210451
AU  - Štourač, Petr - Kuchařová, Eliška - Křikava, Ivo - Malý, Roman - Kosinová, Martina - Harazim, Hana - Smékalová, Olga - Bártíková, Ivana - Štoudek, Roman - Janků, Petr - Huser, Martin - Wágnerová, Kristýna - Haklová, Olga - Hakl, Lubomír - Schwarz, Daniel - Zelinková, Hana - Littnerová, Simona - Jarkovský, Jiří - Gál, Roman - Ševčík, Pavel
PY  - 2014
TI  - Establishment and evaluation of post caesarean acute pain service in a perinatological center: retrospective observational study
JF  - Česká gynekologie
VL  - 79
IS  - 5
SP  - 363-370
EP  - 363-370
PB  - Česká lékařská společnost Jana Evangelisty Purkyně
SN  - 12107832
KW  - Acute Pain Sevice
KW  - postoperative analgesia
KW  - Caesarean Section
KW  - non-opioid analgesia
KW  - opioid analgesia
KW  - epidural analgesia
N2  - Objective: The aim of this study was to determine the efficacy of establishing a Post Caesarean Acute Pain Service. Design: Retrospective observational study Setting: University Hospital Brno Methods: We evaluated all patients undergoing delivery via Caesarean Section under anaesthesia in the periods 10/2009 – 9/2010 and 11/2010 - 10/2011. During the postoperative period at predefined times, we measured the Visual Analogue Scale, Additional Analgesic Requests, blood pressure, pulse rate and recorded any complications. We compared the Visual Analogue Scale Score and number of Additional Analgesic Requests in two groups of women, 212 patients before and 195 patients after the establishment of an Acute Pain Service in the first 72 hours after Caesarean Section. Results: There was a statistically significant difference in Visual Analogue Scale Score between the groups (p<0.05). The number of Additional Analgesic Requests 24-72 hours after Caesarean Section decreased below one requirement per 24 hours. The most effective analgesic method after Caesarean Section during the first 24 hours postoperatively was epidural analgesia. There was no statistically significant difference 24-72 hours after Caesarean Section between the methods of analgesia used. Conclusion: In conclusion, implementation of a Post Caesarean Acute Pain Service led to decrease in Visual Analogue Scale Score postoperatively.
ER  -

ŠTOURAČ, Petr, Eliška KUCHAŘOVÁ, Ivo KŘIKAVA, Roman MALÝ, Martina KOSINOVÁ, Hana HARAZIM, Olga SMÉKALOVÁ, Ivana BÁRTÍKOVÁ, Roman ŠTOUDEK, Petr JANKŮ, Martin HUSER, Kristýna WÁGNEROVÁ, Olga HAKLOVÁ, Lubomír HAKL, Daniel SCHWARZ, Hana ZELINKOVÁ, Simona LITTNEROVÁ, Jiří JARKOVSKÝ, Roman GÁL and Pavel ŠEVČÍK. Establishment and evaluation of post caesarean acute pain service in a perinatological center: retrospective observational study. \textit{Česká gynekologie}. Praha: Česká lékařská společnost Jana Evangelisty Purkyně, 2014, vol.~79, No~5, p.~363-370. ISSN~1210-7832.

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