Acute postoperative pain management - 2009

Acute postoperative pain management is a multidisciplinary task in which they are responsible both anesthesiologist, surgeon, attending physicians and nurses of postoperative department. For this reason, there is often a transfer of responsibilities between the involved medical staff, and often a poor care of the patient's pain. Early postoperative pain treatment can prevent its chronification. Therefore, we present here the algorithm for the treatment of postoperative pain after pulmonary surgery.

postoperative pain
epidural block
therapeutic strategy
analgesic ladder
Published at: 20.12.2011


Assoc. Prof. Tomáš Gabrhelík, MD, PhD
Head of Department of Anaesthesiology and Intensive Care, Regional Hospital of Tomáš Baťa, Zlín, Czech Republic

Treatment of acute pain is one of the main components of modern perioperative patient care. It is not only ethical with an impact on patient satisfaction, but also prevents a negative effect on the functions of many organ systems. Modern trends in the treatment of postoperative pain prefer opioid-free analgesic procedures, especially targeted regional analgesia and multimodal non-opioid analgesia. The presented algorithm presents a clinically accurate presentation of the perioperative analgesia method, and interactively comments on the key points in the decision-making process. It also presents possible complications of analgesia in thoracotomy and their solution. The algorithm leads the student in an illustrative and educational way to a rational modern analgesic practice.


ŠEVČÍK, Pavel, Michaela VOJTÍŠKOVÁ, Jiří MÁLEK, et al. Doporučené postupy diagnostiky a terapie České společnost anesteziologie, resuscitace a intenzivní medicíny: léčba akutní pooperační bolesti. 2008.

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