Immediate Postoperative Pain in Orthopedic Patients Is More Intense and Requires More Analgesia than in Post-Laparotomy Patients

摘要: Objective. To compare the immediate postoperative pain intensity between orthopedic and general surgery patients evaluate extent of severe in each group. Design. Observational, open-label study. Setting. Post-anesthesia care unit (PACU) a tertiary, university-affiliated hospital. Patients. Patients undergoing or laparotomy under anesthesia over one-year period. Interventions. Follow-up patient self-rated visual analog scale (VAS, 0–10), observation efficacy routine analgesic protocol morphine, ketamine, diclofenac administration PACU. Outcome Measures. We followed scores sorted according to morphine requirements during PACU stay. whose was controlled with ≤120 µg/kg intravenous were considered pain-controllable. Where this amount insufficient control (VAS ≥5/10), categorized as suffering from pain. They further treated repeated doses 1 mg plus 350 ketamine (M+K) eventually diclofenac. follow-up lasted 3 hours. Results. The overall rate within entire cohort (3,460 patients) 9.4%: 123 (6.6%) 202 (12.7%) patients. Pain identified 1.21 ± 0.45 M+K compared 1.37 0.62 ( P < 0.0001) counterparts. One-fifth these demanded more than one injection one-third subgroup = 0.045). Twenty-seven vs nine surgical 0.036) required diclofenac. Conclusions. More suffered analgesia that dictated by existing protocols. Ketamine co-administration proved effective controlling after type surgery.