[Pain in patients undergoing day-case ENT surgery].
Otorhinolaryngological surgical procedures are nowadays frequently performed as day-cases. This makes it possible to shorten the length of hospitalisation however the surgeon's responsibility connected with the treatment of peri-operative pain is greater. The experience of pain that follows some operations performed on the pharynx is most intense. The decision to discharge the patient depends mainly on his ability to control the pain using oral medication. The purpose of this study was to examine the experiences of postoperative pain in 102 patients operated for ENT (ear, nose, and throat) problems. The numerical 0 to 10 and 6-grade verbal scales were used to assess pain intensity. Character and localisation of pain were also analysed. The patients were followed-up until the end of their complaints. The scores below 5 points were noted by more than 90% of the patients after the first 24 hours and even more individuals on the second postoperative day. The pain reacted relatively well to oral painkillers and did not require prolonged hospitalisation. The pain after the majority of ENT day-case procedures is mild (scores 1 or 2 in the verbal scale). Many properly treated participants of the study did not complain of pain at all. Tonsillectomies were accompanied by most intense pain.
Zagólski
Olaf M
OM
Z Oddziału Chirurgii Jednego Dnia SCDZ Medicina w Krakowie. olafzag@poczta.onet.pl
Kulisiewicz
Jan E
JE
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000556:Ambulatory Surgical Procedures / Q000009:adverse effects / Q000706:statistics & numerical data*; D018712:Analgesics, Non-Narcotic / Q000627:therapeutic use; D000701:Analgesics, Opioid / Q000627:therapeutic use; D004423:Ear / Q000601:surgery; D005260:Female; D006801:Humans; D007830:Larynx / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009666:Nose / Q000601:surgery; D010038:Otorhinolaryngologic Diseases / Q000453:epidemiology / Q000601:surgery*; D013517:Otorhinolaryngologic Surgical Procedures / Q000009:adverse effects* / Q000706:statistics & numerical data; D010147:Pain Measurement; D010149:Postoperative Pain / Q000453:epidemiology* / Q000209:etiology; D010351:Patient Discharge / Q000706:statistics & numerical data
D018712:Analgesics, Non-Narcotic; D000701:Analgesics, Opioid