title: [Pain therapy with metamizole after ambulatory surgery?]
abstract: One third of operations are performed on an outpatient basis in Germany, but methods of postoperative pain therapy are less studied. We observed 126 patients with ambulatory and planned surgery in the field of orthopedics and trauma surgery. They were treated with the analgesic metamizole intra- and postoperatively and completed the patients' questionnaire QUIPS on the first postoperative day. In all, 79 patients (61.7%) reported current pain ≥4 on the numerical rating scale (NRS); 84 (66.6%) had restrictions in mobility, 48 (38.1%) described sleep disorders, and 26 (20.6%) wished for more or stronger analgesics. However, 91 (72.2%) of our patients were satisfied with the their pain therapy. Chances are that the treatment of nociceptive pain during movement with NSAID or COX-2-inhibitors is more successful. Further investigations should follow.
authors.affiliation: Klinik für Schmerz- und Palliativmedizin, Katholisches Klinikum Lünen-Werne GmbH, Altstadtstr. 23, 44534, Lünen, Deutschland. drlux@web.de.|Fakultät für Gesundheit, Universität Witten-Herdecke, Alfred-Herrhausen-Str. 50, 58448, Witten, Deutschland. drlux@web.de.
authors.forename: E A
authors.initials: EA
authors.lastname: Lux
authors.affiliation: Fakultät für Gesundheit, Universität Witten-Herdecke, Alfred-Herrhausen-Str. 50, 58448, Witten, Deutschland.
authors.forename: E
authors.initials: E
authors.lastname: Neugebauer
authors.affiliation: Klinik für Orthopädie und Unfallchirurgie, Katholisches Klinikum Lünen-Werne, Lünen, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Zimmermann
mesh_terms: D000328:Adult; D000368:Aged; D000556:Ambulatory Surgical Procedures; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000009:adverse effects / Q000627:therapeutic use*; D004177:Dipyrone / Q000009:adverse effects / Q000627:therapeutic use*; D004305:Dose-Response Relationship, Drug; D004334:Drug Administration Schedule; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures; D059408:Pain Management / Q000379:methods*; D010147:Pain Measurement; D010149:Postoperative Pain / Q000188:drug therapy*; D017060:Patient Satisfaction; D014947:Wounds and Injuries / Q000601:surgery
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D004177:Dipyrone
keywords: Ambulatory surgery; Metamizole; Pain therapy