[Postoperative pain therapy in Germany].
OBJECTIVE
A survey was performed to obtain information on the organization and practice of postoperative pain management.


METHODS
A questionnaire was mailed to 773 directors of German departments of anesthesiology.


RESULTS
A total of 446 replies (57.7%) could be analyzed. Of the departments, 161 (36.1%) had established an acute pain service (APS), more often in hospitals > or = 1000 beds (63%) than in hospitals with 400-999 beds (40%) and hospitals with < 400 beds (27%). Epidural analgesia was practiced in 97% of the departments, however, it was the analgesic technique of choice for larger abdominal surgery or amputation of the lower limb only in 60.8% and 45.5% of the departments, respectively. Departments with APS provided epidural analgesia more often on general wards than departments without APS (88.2% vs. 68.4%, p < 0.01). Technically more challenging methods (e.g. catheters for regional anesthesia, PCA, PCEA) were more often provided in hospitals running an APS (p < 0.001).


CONCLUSIONS
The number of departments with APS has increased over the last 10 years. Future decisions on reimbursement should consider this extensive service.
Stamer
U
U
Rheinische Friedrich-Wilhelms-Universität, Klinik und Poliklinik für Anästhesiologie und spezielle Intensivmedizin, Sigmund-Freud-Str. 25, 53105 Bonn. ulrike.stamer@ukb.uni-bonn.de
Mpasios
N
N
Stüber
F
F
Laubenthal
H
H
Maier
C
C
D015360:Analgesia, Epidural / Q000009:adverse effects / Q000706:statistics & numerical data; D016058:Analgesia, Patient-Controlled / Q000706:statistics & numerical data; D003625:Data Collection; D005858:Germany; D006801:Humans; D018710:Pain Clinics / Q000706:statistics & numerical data; D010149:Postoperative Pain / Q000188:drug therapy / Q000628:therapy*; D011795:Surveys and Questionnaires
Postoperative Schmerztherapie in Deutschland. Ergebnisse einer Umfrage.