Formalization of analgesics accounting in patients with spinal pathology during postoperative period
Objective. To test validity of formalized Analgesiс Assessment Scale (AAS) by examining the correlation of its parameters (gradations) with other parameters characterizing pain intensity during the treatment, and to assess the adequacy of conducted analgesia in patients with spinal tuberculosis...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"
2017-03-01
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| Series: | Хирургия позвоночника |
| Subjects: | |
| Online Access: | https://www.spinesurgery.ru/jour/article/view/173/313 |
| Summary: | Objective. To test validity of formalized Analgesiс Assessment Scale (AAS) by examining the correlation of its parameters (gradations)
with other parameters characterizing pain intensity during the treatment, and to assess the adequacy of conducted analgesia in patients
with spinal tuberculosis by taking into account AAS gradations.
Material and Methods. The study was performed in a prospective cohort of 15 consecutive patients who underwent similar elective spine
surgery for tuberculous spondylitis. Postoperatively, all patients received systemic analgesia with parenteral narcotic and non-narcotic
analgesics, depending on pain intensity subjectively assessed by patients using VAS. The protocol for postoperative analgesia included
records of pain intensity assessed by VAS, systolic and diastolic blood pressure (BPsist and BPdiast), heart rate, and the AAS gradations
of analgesic consumption.
Results. An analysis of the correlation between AAS and other variables characterizing pain intensity in the postoperative period showed
a strong positive association of AAS with VAS (r = 0,567; P < 0,05) and ADsist (r = 0.340; P < 0.05) variables, which confirms usability
of each of these parameters in the assessment of pain intensity.
Conclusion. The AAS tested in a pilot study on the cohort of 15 consecutive patients operated for spinal disorders proved its effectiveness
in pain intensity assessment, pain therapy, and convenience of analgesics accounting. |
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| ISSN: | 1810-8997 2313-1497 |