Modification of visual-analog scale for assessment of pain syndrome after major abdominal surgery


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Abstract

Post-operative pain management is the most important component of complex intensive therapy in surgical patients undergone operations differed by volume and traumatic. The key meaning of post-operative pain management is timely assessment of pain severity that defines prescription of analgesics. The authors present modified visual-analog scale (VAS) that allows evidently monitoring pain dynamics in patients for 24 hours. The study was conducted in oncologic patients undergone major cancer surgery on colon. It shows that severity of pain falls mostly to time interval between 3 p.m. and 11 p.m. at 1-3 days and then shifts to the night period (from 11 p.m. to 5 a.m.) at 5-7 days after the operation while using standard method of post-operative analgesia based on opioids, non-steroidal anti-inflammatory drugs and adjuvant.

About the authors

V. A Astakhov

SBEI “Pirogov Russian National Research Medical University" 117997, Moscow

S. V Sviridov

SBEI “Pirogov Russian National Research Medical University" 117997, Moscow

A. A Malyshev

SBEI “Pirogov Russian National Research Medical University" 117997, Moscow

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