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Revista Cubana de Medicina Militar

Print version ISSN 0138-6557On-line version ISSN 1561-3046

Abstract

MARTIN DIEPPA, José M; ABREU FERNANDEZ, Adalberto F  and  DEL VALLE ALONSO, Orlando. Treatment of postoperative acute pain. Rev Cub Med Mil [online]. 2009, vol.38, n.1. ISSN 0138-6557.

Extensive updated literature was reviewed to set forth the importance of treating postoperative pain and the fundamental aspects of controlled analgesic therapy for the patient, its advantages and disadvantages. Recent publications and other papers of interest from authors who are specialists in this field were used, together with the personal experience of the authors of this paper regarding the application of novel methods such as patient-controlled analgesia at surgery. The analgesic effectiveness is comparable to those of the most common methods (only 30 % requires analgesic rescue medication compared to 60 % of the other treated patients). The most frequent side effects were nausea and vomit, which can be mostly prevented by a preventive treatment with Ondasetrón at a dose of 4-8 mg intravenously. Patient-controlled analgesia is an effective method during the first hours after surgery, but disposable pieces of equipment and accessories for this end are very expensive, which makes it difficult for countries like Cuba to apply this method on a broad scale. Despite this, the development of very painful types of surgeries demand more energetic behaviours on the part of anesthesiologists and surgeons to face a problem that is still pending and is called postoperative pain.

Keywords : Postoperative pain; patient-controlled analgesia; Tramadol; Ondasetrón..

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