gms | German Medical Science

70. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
Joint Meeting mit der Skandinavischen Gesellschaft für Neurochirurgie

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

12.05. - 15.05.2019, Würzburg

Article

Send article

Postoperative pain treatment with or without a structured pain management algorithm following spine surgery – a comparative study

Postoperative SchmerztherapiemitundohneSchmerzeinstellungsalgorithmus nachspinalen Eingriffen –Vergleichsstudie

Meeting Abstract

Search Medline for

  • presenting/speaker Stefan Motov - Technische Universität München, Neurochirurgische Klinik, Klinikum rechts der Isar, München, Deutschland
  • Kaywan Aftahy - Technische Universität München, Neurochirurgische Klinik, Klinikum rechts der Isar, München, Deutschland
  • Ann-Kathrin Jörger - Technische Universität München, Neurochirurgische Klinik, Klinikum rechts der Isar, München, Deutschland
  • Yu-Mi Ryang - Technische Universität München, Neurochirurgische Klinik, Klinikum rechts der Isar, München, Deutschland
  • Bernhard Meyer - Technische Universität München, Neurochirurgische Klinik, Klinikum rechts der Isar, München, Deutschland
  • Ehab Shiban - Technische Universität München, Neurochirurgische Klinik, Klinikum rechts der Isar, München, Deutschland

Deutsche Gesellschaft für Neurochirurgie. 70. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), Joint Meeting mit der Skandinavischen Gesellschaft für Neurochirurgie. Würzburg, 12.-15.05.2019. Düsseldorf: German Medical Science GMS Publishing House; 2019. DocP151

doi: 10.3205/19dgnc488, urn:nbn:de:0183-19dgnc4885

Published: May 8, 2019

© 2019 Motov et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

Objective: We aimed to optimize the postoperative pain management following spine surgery.

Methods: A quasi-experimental study was performed from January till June 2018. Patients were postoperatively classified into three numeric rated scale (NRS) score groups: slight (NRS 0-4), moderate (NRS 5-8) and severe (NRS 9-10) pain. An NRS-based treatment algorithm was implemented for the study group. One, two and three milligrams of piritramide was continuously applied during the first 48 hours following surgery for the slight, moderate and severe pain groups, respectively. Moreover, additional administration of 4 mg piritramide boli were permitted twice a day for the moderate and severe pain groups. The control group received 1.2–2.4 mg of intravenous piritramide based on patient’s complaints. NRS scores were evaluated three times a day at rest and during mobilisation.

Results: 68 and 100 patients were treated in the study and control group, respectively. Median NRS scores during mobilisation were significantly lower in the study group (NRS 4.1 vs. 5.2; p=0.05). There were no significant differences between the groups during the second and third day postoperatively.

Conclusion: Implementation of a structured pain treatment algorithm resulted in a better acute postoperative pain management following spine surgery.