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- Title
Pain following day case oral surgery -- an investigation into post-operative analgesia.
- Authors
Yong, S. L.; Coulthard, P.
- Abstract
Aim: To investigate the post-operative pain experience of patients undergoing oral surgery under day case general anaesthesia. Methods: All ASA I and II patients, aged 16 years and over requiring oral surgery procedures under day case general anaesthetic over a 3 month period were included. Patients were asked to assess their own level of pain using a numerical rating scale at 6 and 24 hours following surgery. The type of surgery performed, type of analgesics prescribed, additional non-prescribed analgesics taken, satisfaction with analgesia provided and pain relief were also recorded. Results: The data of 80 patients was obtained. Patients received post-operatively ibuprofen 600mg or paracetamol 1g or codeine/ paracetamol combination (30/500) or both ibuprofen and a codeine/ paracetamol combination. At 6 hours, 42.6% of patients experienced moderate to severe pain, whereas at 24 hours there was a minor reduction to 38.8%. Thirteen patients required additional nonprescribed analgesics, of these 10 patients belonged to the group who received ibuprofen 600mg alone. Eighty-nine percent of patients were satisfied with their pain relief when questioned. Overall, 70% of patients rated their pain relief as excellent. Conclusion: Post-operative pain following oral surgery under day case general anaesthesia remains a clinical problem. Patients' reported satisfaction levels of pain relief were high despite a high proportion of patients experiencing moderate to severe pain. A more robust management strategy is required to improve the post-operative pain experience.
- Subjects
CODEINE; ACETAMINOPHEN; IBUPROFEN; AMBULATORY surgery; ANALGESIA; ANALYSIS of variance; COMBINATION drug therapy; ORAL surgery; PATIENT satisfaction; POSTOPERATIVE care; POSTOPERATIVE pain; THERAPEUTICS
- Publication
Ambulatory Surgery, 2010, Vol 16, Issue 3, p50
- ISSN
0966-6532
- Publication type
Article