Optimizing post-operative pain management in Latin America

João Batista Santos Garcia; Patricia Bonilla; Durval Campos Kraychete; Fernando Cantú Flores; Elizabeth Diaz Perez de Valtolina; Carlos Guerrero

doi:10.1016/j.bjane.2016.04.003

Special Article

Optimizing post-operative pain management in Latin America

Aprimorar o controle da dor no pós-operatório na América Latina

João Batista Santos Garcia; Patricia Bonilla; Durval Campos Kraychete; Fernando Cantú Flores; Elizabeth Diaz Perez de Valtolina; Carlos Guerrero

http://dx.doi.org/10.1016/j.bjane.2016.04.003 Braz J Anesthesiol, vol.67, n4, p.395-403, 2017

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Abstract

Abstract Post-operative pain management is a significant problem in clinical practice in Latin America. Insufficient or inappropriate pain management is in large part due to insufficient knowledge, attitudes and education, and poor communications at various levels. In addition, the lack of awareness of the availability and importance of clear policies and guidelines for recording pain intensity, the use of specific analgesics and the proper approach to patient education have led to the consistent under-treatment of pain management in the region. However, these problems are not insurmountable and can be addressed at both the provider and patient level. Robust policies and guidelines can help insure continuity of care and reduce unnecessary variations in practice. The objective of this paper is to call attention to the problems associated with Acute Post-Operative Pain (APOP) and to suggest recommendations for their solutions in Latin America. A group of experts on anesthesiology, surgery and pain developed recommendations that will lead to more efficient and effective pain management. It will be necessary to change the knowledge and behavior of health professionals and patients, and to obtain a commitment of policy makers. Success will depend on a positive attitude and the commitment of each party through the development of policies, programs and the promotion of a more efficient and effective system for the delivery of APOP services as recommended by the authors of this paper. The writing group believes that implementation of these recommendations should significantly enhance efficient and effective post-operative pain management in Latin America.

Keywords

Acute post-operative pain, Pain management, Latin America, Chronic pain

Resumo

Resumo O controle da dor no período pós-operatório é um problema significativo na prática clínica na América Latina. O controle insuficiente ou inadequado da dor é devido, em grande parte, à insuficiência de conhecimento, atitudes e formação e à comunicação precária em vários níveis. Além disso, a falta de conscientização da disponibilidade e importância de políticas e diretrizes inequívocas para avaliar a intensidade da dor, o uso de analgésicos específicos e a abordagem adequada para instruir o paciente levaram ao subtratamento consistente da dor na região. Contudo, esses problemas não são insuperáveis e podem ser abordados no âmbito tanto do provedor quanto do paciente. Políticas e diretrizes substanciais podem ajudar a garantir a continuidade dos cuidados e reduzir as variações desnecessárias na prática. O objetivo deste artigo é chamar a atenção para os problemas associados à dor aguda no pós-operatório (DAPO) e sugerir recomendações para solucioná-los na América Latina. Um grupo de especialistas em anestesiologia, cirurgia e dor desenvolveu recomendações que levarão a um controle mais eficiente e eficaz da dor. Será preciso mudar o conhecimento e o comportamento dos profissionais de saúde e pacientes e obter um compromisso por parte de legisladores. O sucesso dependerá de uma atitude positiva e do compromisso de cada parte através do desenvolvimento de políticas e programas e da promoção de um sistema mais eficiente e eficaz para a prestação de serviços para a DAPO, como recomendado pelos autores deste trabalho. O grupo que as redigiu acredita que a aplicação dessas recomendações deve melhorar de modo significativo a eficiência e eficácia do controle da dor no período pós-operatório na América Latina.

Palavras-chave

Dor aguda no pós-operatório, Controle da dor, América Latina, Dor crônica

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Optimizing post-operative pain management in Latin America

Aprimorar o controle da dor no pós-operatório na América Latina

João Batista Santos Garcia; Patricia Bonilla; Durval Campos Kraychete; Fernando Cantú Flores; Elizabeth Diaz Perez de Valtolina; Carlos Guerrero

Abstract

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