Abstract

VASALLO COMENDEIRO, Víctor José et al. Chronic or persistent pain. Rev cuba anestesiol reanim [online]. 2013, vol.12, n.1, pp. 4-11. ISSN 1726-6718.

Background: The lack of experience in the treatment of chronic pain in "Luis Díaz Soto" Central Military Hospital led to the implementation of a consultation for chronic pain. Methods: Research was done in two stages. The first, (the descriptive stage) was designed to come closer to the behaviour of chronic pain in the hospital in which the investigation was done and the second (the cohort phase) was intended to evaluate the effectiveness of two analgesic and therapeutic proposals. Results: Diagnostic mistakes were shown which also revealed that there was no control of the essential concepts of the subject matter of the investigation. The sex that predominated was the female one (61%) and the average age was 52,6 years. The specialties that referred the most patients to the chronic pain consultation were: Oncology (201 cases), Gynaecology (137 cases) and Orthopaedics (68 cases). The combination of tramadol-paracetamol-piroxicam-amitriptyline was more effective than the one of cosedal-paracetamol-piroxicam-amitriptyline, with less undesirable effects and higher probabilities of dose adjustment. The average time resolution of pain symptoms was 19 ± 4 days. The average number of consultations was four and the average patients´ discharge was achieved at the 151 days of treatment. Symptoms reappeared in 16 cases and in only 9 cases it was impossible to control them in an optimal way. Conclusions: The implementation of a consultation for chronic pain allowed us to attend patients suffering from this particular type of pain, to know their behaviour in this hospital and to implement measures that improve their quality of life.

Keywords : chronic pain; analgesics; nonsteroidal anti-inflammatory drugs (NSAIDs); adjuvant agents; symptom solution; temporary evolution.

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