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Outcome following the introduction of a procedure specific pain management program for caesarean section

Authors:

R. P. L. Chan ,

Tuen Mun Hospital, HK
About R. P. L.
Consultant Anaesthetist, Department of Anaesthesia and Intensive Care
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W. S. Chan

Tuen Mun Hospital, HK
About W. S.
Consultant Anaesthetist, Department of Anaesthesia and Intensive Care
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Abstract

Based on the results of a prospective audit conducted in 2014 among 310 post caesarean section patients (Group A) at Tuen Mun Hospital, Hong Kong, a procedure specific postoperative pain management programme was implemented. To complete the audit cycle, a second prospective audit was conducted in 2015 among 332 patients (Group B). The proportion of patients with severe pain (VAS>=7/10) reduced significantly from 55.5% (Group A) to 23.0% (Group B) (p<0.001). In Group A, 8% of patients were dissatisfied with the pain relief and this figure dropped significantly to 0.7% after the introduction of the pain management programme (p<0.001). Significantly larger number of patients received preoperative information. (19.5% in Group A vs. 64.7% in Group B, p<0.001). Percentage of patients having pain assessment and reassessment by ward nurses also significantly increased. (p<0.001). In Group B, we managed to enforce a more consistent implementation of evidence-based best practice in our Obstetric unit and decrease the variability of anaesthetic practice. Our findings show that a postoperative pain management programme designed in an evidence-based procedure specific manner can reduce postoperative pain and improve patient satisfaction.

How to Cite: Chan, R.P.L. & Chan, W.S., (2017). Outcome following the introduction of a procedure specific pain management program for caesarean section. Sri Lankan Journal of Anaesthesiology. 26(1), pp.39–44. DOI: http://doi.org/10.4038/slja.v26i1.8257
Published on 20 Dec 2017.
Peer Reviewed

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