Manejo del dolor agudo postoperatorio en pacientes de la especialidad de cirugía general en un hospital del sur del Ecuador

Abstract

Abstract: Management of acute postoperative pain is a daily challenge faced by hospital settings. This study analyzed pain management strategies in general surgery through the review of medical records carried out at the Isidro Ayora General Hospital in Loja. It was found that the female population (57.4%) and the early adulthood age group (41.6%) had a higher incidence in the study. In the immediate postoperative period, a more frequent analgesia scheme was used (75%) with Ketorolac 30 mg IV and Tramadol 50 mg IV every 8 hours. With this, the evaluation of pain with VAS gave in the immediate postoperative period, 57.4% of the patients presented mild pain, in the immediate postoperative period 81.2% reported mild pain, and in the late postoperative period, this figure rose to 87.1%, without being related to the type of surgery performed (p>0.05). It is important that hospital environments adhere to clinical guidelines, and to provide personalized treatments according to individuals, which is why continuous training is important to have better knowledge about the updated and recommended DAP management techniques.