• Ann Fr Anesth Reanim · Jan 1998

    Review

    [How is postoperative pain evaluated?].

    • F Aubrun.
    • Département d'anesthésie-réanimation chirurgicale, groupe hospitalier Pitié-Salpêtrière, Paris, France.
    • Ann Fr Anesth Reanim. 1998 Jan 1;17(6):462-70.

    AbstractThe assessment of postoperative pain and analgesic efficacy is essential as pain levels and morphine requirements are not predictable. Self-assessment with unidimensional methods (such as the visual analogue pain scale, the numerical rating scale and the verbal rating scale) is the rule for adults and children more than 5 years of age. The former is a validated method and the most accurate and reproducible scale. Assessment of pain is difficult in children less than 5 years old. Only the scales for hetero-assessment with behavioural assessment (CHEOPS and OPS) are used. Finally, morphine consumption with PCA is also an indirect pain assessment method. Postoperative pain should be assessed several times a day in every patient, starting in the recovery room and prolonged during hospital stay. Pain should be measured at rest and in dynamic conditions by the medical and paramedical team.

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