ABSTRACT
Postoperative pain management is nowadays considered an integral part of modern surgical practice. An audit was made in 2010 to assess the status of acute postoperative pain management at Jordan University Hospital. Data were collected from patients' files and through face-to-face interviews of all patients aged over 16 years who underwent general, gynaecological, ear-nose-throat and orthopaedic surgery. Of 275 patients, 72.0% experienced moderate to severe pain postoperatively at rest and 89.3% on movement. No analgesics were prescribed to 4.7% of the patients and of the remainder, a single analgesic was prescribed to 51.5%. Pethidine and paracetamol were the drugs most commonly prescribed (to 66.9% and 42.5% of patients respectively), most often on a regular schedule rather than on-demand. Despite improvements in pain management worldwide, patients at this hospital were still suffering from postoperative pain. Awareness among professionals and the public is needed and a structured acute pain management programme is essential.
Subject(s)
Analgesics/therapeutic use , Pain Management/standards , Pain, Postoperative/therapy , Adult , Analgesia, Patient-Controlled/standards , Analgesia, Patient-Controlled/statistics & numerical data , Analgesics/administration & dosage , Clinical Audit , Female , Health Care Surveys , Humans , Interviews as Topic , Jordan , Male , Medical Records/statistics & numerical data , Pain Management/methodsABSTRACT
Postoperative pain management is nowadays considered an integral part of modern surgical practice. An audit was made in 2010 to assess the status of acute postoperative pain management at Jordan University Hospital. Data were collected from patients' files and through face-to-face interviews of all patients aged over 16 years who underwent general, gynaecological, ear-nose-throat and orthopaedic surgery. Of 275 patients, 72.0% experienced moderate to severe pain postoperatively at rest and 89.3% on movement. No analgesics were prescribed to 4.7% of the patients and of the remainder, a single analgesic was prescribed to 51.5%. Pethidine and paracetamol were the drugs most commonly prescribed [to 66.9% and 42.5% of patients respectively], most often on a regular schedule rather than on-demand. Despite improvements in pain management worldwide, patients at this hospital were still suffering from postoperative pain. Awareness among professionals and the public is needed and a structured acute pain management programme is essential
Subject(s)
Hospitals, University , Meperidine , Acetaminophen , Analgesics , Pain, PostoperativeABSTRACT
OBJECTIVE: There are only two previous reports of wild barley inhalation into the tracheobronchial tree in the literature. Our aim is to describe the effects, outcome and management of wild barely inhalation into the airways. METHODS: In a retrospective study, 18 patients with inhalation of spike of wild barley into the tracheobronchial tree were divided into 2 groups according to their clinical presentation. RESULTS: Eighteen children below 5 years of age presented between 1989 and 1994 inclusive. Fourteen patients presented with a short duration of choking and cough. The wild barley spike was removed by laryngoscopy (12 patients) or rigid bronchoscopy (2 patients). Four patients presented with a longer history of cough, dyspnea and fever and had serious respiratory disease such as pneumothorax, lobar pneumonia and pleural empyema requiring surgical intervention. All patients made a satisfactory recovery. CONCLUSION: Wild barley is a common grass in our area and we should be aware that children are exposed to the risk of inhalation into the airways.
Subject(s)
Bronchi , Empyema, Pleural/etiology , Foreign Bodies/complications , Foreign Bodies/diagnostic imaging , Hordeum/adverse effects , Pneumonia, Aspiration/etiology , Pneumonia, Pneumococcal/etiology , Pneumothorax/etiology , Trachea , Anti-Bacterial Agents/therapeutic use , Bronchoscopy , Chest Tubes , Child, Preschool , Cough/etiology , Dyspnea/etiology , Empyema, Pleural/diagnostic imaging , Empyema, Pleural/therapy , Female , Fever/etiology , Foreign Bodies/therapy , Humans , Infant , Male , Pneumonia, Aspiration/diagnostic imaging , Pneumonia, Aspiration/therapy , Pneumonia, Pneumococcal/diagnostic imaging , Pneumonia, Pneumococcal/therapy , Pneumothorax/diagnostic imaging , Pneumothorax/therapy , Radiography , Retrospective Studies , Risk FactorsABSTRACT
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