Summary:
The treatment of postoperation pains is an indispensable part of complex therapy of
patients. The pain after operation principally influences nutrition and hydration of the patient
and consequently the duration and course of convalescence and last, but not least, the overall
satisfaction of the patients with the surgical intervention and therapy.
Since 2002 the Otolaryngological ward of the Hospital at Frýdek Místek has been monitoring the
intensity of acute postoperation pain and efficiency of analgesic therapy by means of a “Visual
analogous scale”. Based on the analysis of errors in analgesia of the pain the authors recommend
the usage of higher dosage of analgesics, administration of analgesic combinations and more frequent
used of opioids, optimally the selection of analgesics according to individual sensitivity of
the patients. The administration of analgesics should be on preventive basis (preemptive therapy
of pain), rather more frequently and not after the patient asks due to the already encountered
pain. Since the efficiency of analgesics is individually different, suitable efficiency of analgesic
application should be monitored in the preoperation period and modify the medication according
to the needs of the patient.
Key words:
pain, analgesic application, pain intensity, Visual analogous scale.
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