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術前到術後,那些你應該知道止痛大小事,常見問題。
術前到術後,那些你應該知道止痛大小事,常見問題。
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Doctor, what are the current options for postoperative pain control?

There are three kinds of clinical analgesic methods: oral analgesic, intramuscular or intravenous analgesia, and patient-controlled analgesia (PCA). Among them, oral administration has long-term and short-term effects. Intramuscular or intravenous analgesia also has short-term and long-term analgesic effects up to seven days. And there are two types of self-controlled analgesia: intravenous injection and epidural injection.

At present, postoperative pain relief methods and drugs are quite diverse, each of which has different applicable situations and side effects. It still requires the advice of a professional physician before use. Consider that each patient's physique, physical condition, and surgical methods are different. Therefore, the professionally trained attending physicians in the postoperative pain relief team of various hospitals should provide the best professional choice for the specific postoperative condition based on the evaluation results! (courtesy of Dr. Xinen Li, Department of Anesthesiology, Cathay General Hospital)

How does the doctor evaluate my pain?

Pain is subjective. Doctors will rate your pain out of 10. 0 means no pain, 10 means severe pain. The patient is asked to fill in the form and the doctor will do the assessment.

In clinical pain control assessment, doctors will mainly focus on patients' subjective feelings in principle. Secondly, anesthesiologists will observe the patient's heart rate and blood pressure for further analysis and then apply appropriate pain relief methods.(courtesy of Dr. Xinen Li, Department of Anesthesiology, Cathay General Hospital)

Does postoperative pain control affect the wound recovery and life in the future?

According to many years of clinical experience, many patients who have just finished surgery do not have the courage to get out of bed and walk after one or two days of anesthesia withdrawal and generally awake. They are afraid that if they raise their hands and feet, they will pull the wound and cause severe pain. Patients can try to get out of bed as soon as possible 24 hours after the operation. In addition to increasing their gastrointestinal peristalsis and assisting in flatulence, it can prevent pneumonia, and start postoperative rehabilitation early, which is beneficial and harmless to the patient's postoperative recovery. Taking knee joint surgery as an example, well pain control is even more necessary. Patients have to start rehabilitation after surgery. It will affect their follow-up recovery of the knee joint if they do not do healing because of fear of pain. Therefore, postoperative pain control is now a very crucial part of the treatment. According to many years of clinical experience, many patients who have just finished surgery do not get out of bed and walk after one or two days of anesthesia withdrawal and generally awake. They are afraid that if they raise their hands and feet, they will pull the wound and cause severe pain. Patients can try to get out of bed as soon as possible 24 hours after the operation. In addition to increasing their gastrointestinal peristalsis and assisting in flatulence, it can prevent pneumonia, and start postoperative rehabilitation early, which is beneficial and harmless to the patient's postoperative recovery. Taking knee joint surgery as an example, well pain control is even more necessary. Patients have to start rehabilitation after surgery. It will affect their follow-up recovery of the knee joint if they do not do healing because of fear of pain. Therefore, postoperative pain control is now a very crucial part of the treatment.(courtesy of Dr. Xinen Li, Department of Anesthesiology, Cathay General Hospital)

Everyone says that postoperative pain is normal, and it will pass if you endure it for a while. Is it true?

It is a wrong idea to endure postoperative pain. In clinical cases of medical professions, patients often complain about pain after the operation. However, they are unwilling to accept pain control, which leads to various sequelae such as acute pain evolves into chronic pain. They don’t want to move after surgery and delay the time of rehabilitation, which leads to slow recovery. In severe cases, they even stimulate sympathetic nerve excitement because of pain, leading to blood pressure, rise in high blood pressure and stroke, and even die of sudden myocardial infarction.

The above situation indicates that pain is a warning sign from the body. If patients neglect, it is likely to become a fuse to ignite a health crisis. Therefore, well-planned postoperative pain control should also include in the items of communication and evaluation with doctors before the operation.(courtesy of Dr. Xinen Li, Department of Anesthesiology, Cathay General Hospital)

How bad is the pain after the operation?

Clinically, patients often ask me before surgery, "Will it be painful to have the operation?" Pain is a subjective feeling, however. Usually, physicians can only rely on patient feedback experience of the same type of surgery in the past to make an assessment. In recent years, with the improvement of living standards, the public for medical quality requirements are also higher and higher, so medical professionals have been trying to research and develop new "pain control" methods. The latest concept reveals that "pain relief" should not be controlled singly, but multimodal should be adopted.

For example, most patients after traditional surgery use morphine drugs in a single way to pain relief that accompanies side effects such as vomiting and nausea. The multimodal analgesia brings together conventional morphine, anti-inflammatory painkillers, ultrasonic guidance nerve blocking, and other methods. It gives the best pain relief for individuals with different physiological conditions and surgical sites, and its side effects are fewer than traditional methods.(courtesy of Dr. Xinen Li, Department of Anesthesiology, Cathay General Hospital)

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