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Home > Archives > Volume 20, No 11 (2022) > Article

DOI: 10.14704/nq.2022.20.11.NQ66102

Overview of Post-Operative Pain Management in Obese Patients Undergoing Elective Abdominal Gynecological Surgery

HendGoodaHassan ;SamiaAbdAlrhmanalwakeel ;Abeer Hassan Mostafa El-sawy ;Nahla Mohammed Amin

Abstract

Postoperative pain is regarded as a type of acute pain resulting from surgical trauma with an inflammatory reaction and initiation of an afferent neuronal firing.Patients undergoing major surgical procedures continue to experience pain, despite better understanding of pathophysiology of post-operative pain and introduction of newer analgesics and delivery techniques, approximately 80% of patients have acute post-operative pain and among them 75% have moderate to severe pain. Persistent pain can cause shallow breathing, which encourages secretion retention, pneumonia, which can cause organ dysfunction and prolong recovery. As a result, ineffective postoperative pain management has physiological, psychological, ethical, and financial consequences. Assessment of pain immediately after surgery can be more difficult and lead to greater inter patient variability in pain scores. Major abdominal surgical procedures should ideally use the Acute Pain Management Service (APMS) for routine pain evaluation and prompt treatment of problems and breakthrough pains during the healing process. Acute pain services are struggling to survive, and doctors agreed that better organisational approaches are needed rather than new treatment and delivery techniques as patients continue to experience pain postoperatively due to wide variability in the efficiency of acute pain services. APMS has improved morbidity and decreased the length of hospital stay, but this service has limitations.The aim of the present study to review the post-operative pain management in obese patients undergoing elective abdominal gynecological surgeries

Keywords

Pain; Analgesia; Obese Patients; AbdominalGynecological Surgery

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