title: Establishment and evaluation of a post caesarean acute pain service in a perinatological center:retrospective observational study.
abstract: OBJECTIVE
  The aim of this study was to determine the efficacy of establishing a Post Caesarean Acute Pain Service.
  
  
  METHODS
  Retrospective observational study.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  In conclusion, implementation of a Post Caesarean Acute Pain Service led to decrease in Visual Analogue Scale Score postoperatively.
  
  
  BACKGROUND
  Acute Pain Service, postoperative analgesia, Caesarean Section, non-opioid analgesia, opioid analgesia, epidural analgesia.
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