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Background : Inappropriate medications, or doses, routs and duration of appropriate medications for control of acute postoperative pain have both physical and psychological sequelae.Objective : To survey the orders given over the first 24 hours for postoperative pain control at Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Thailand.Methods: cross-sectional descriptive study.Setting: Post Anesthesia Care Unit (PACU), Srinagarind HosptialMaterials and Methods: We inventoried the orders given for the first 24 hours of postopetrative pain control for patients admintted to PACU between June 21 and 22, 2001. Excluded were patients transferred to ICU postoperatively, outpatients and those given anesthesia by local infiltration. Results: 225 patients were admitted to PACU during the sampling period. The types of pain control medication given included : Tramadol 37.4%, Pethidine 29.6% Paracetamol 22.3%, Morphine 10.2%,and Fentanyl 0.5% No jpain treatment was ordered in 8.4% of the cases. The predominant pain control orders from the Department of Surgery was Pethidine 46.4% from Orthopedics, Tramadol Tramadol 76.6%, from ENT, Paracetamol 46.4%, form OB-GYN, Pethidine Pethidine 67.6%, from Ophthalmology, Paracetamol 100%, and from Dentistry, Pethidine (100%). The most common administration routes ordered were: intravenous by the Department of Surgery (82%), intramuscular by Orthopedics (63.6%), intravenous by ENT (48%), intramuscular by OB-GYN (91%), oral by Ophthalmology (100%), and intramuscular by Dentistyr (100%). Differences in dose and duration of administration occurred when both appropriate and inappropriate orders were given.Conclusion: The postoperative pain orders at Srinagarind Hospital have many differences in medications, doses, and duration. It was up to level of pain and many factors in individual patients. This research was designed for survey of the basic information and for development of next research. Keyword: 1. Postoperative pain 2. Doctor’s order 3. Analgesic drugs
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Background: Nowadays surgery is one choice of therapeutic and diagnosis. The impact of surgery may affect behavior of the patients and their family in manyways. They must adjust the perception to acquire an appropriate attitude and/or mind preparation. They consequently can re-plan to lead a normal life after surgery. The anesthesiologists and teams can be aware of the patients perception and behavior in preoperation, intraoperation, and postoperation that they can managed effectively.Objective: The aim of this research was to explore perception of Northeast Thailand patients who undergo surgery Study Design: Qualitative researchTarget population: The patients waited for surgery and the family, and the ones who already had surgery and amounted to 26, 10 men and 16 women.Methods: The participants in the Northeast Thailand, inpatient department of Srinagarind hospital were in-depth interviewed by using semi-structured interview form (SSI) prior to focus group discussion. The data were collected between September 2003 and April 2004. Content analysis and analytical description were presented.Results: This study revealed that their perception about surgical meaning and adjusting the attitude towards the operation are as follows. As to the meaning they though that 1) surgery will help the patients live longer, 2) surgery will cure their illnesses, 3) surgery is a matter of faith in the surgeons to cure the disease, 4) Both general and regional anesthesia are included in surgery, 5) surgery causes fear, 6) surgery is a means to perceive information and experience the pain sensation, and 7) surgery is a last resort of the illness that the patients must accept.Conclusion: The over-all results could be advantageous for the health professional team to realize perception and need of the patients. There are points that could be incorporated in the planning of holistic care to satisfy the patients.Key words: perception of patients, surgery, anesthetic service