A national snapshot study of perioperative pain management in patients undergoing abdominal surgery in the United Kingdom
Across the UK there is widespread variability in the approaches used to manage pain in patients undergoing surgery. Nevertheless good perioperative analgesia is essential to optimise patient outcomes.
This study aims to describe current practice in perioperative pain management following abdominal surgery and to observe how pain control affects post-operative outcomes.
Data will be collected over two weeks using a multi-centre prospective observational design. The study will be a collaboration between surgical and anaesthetic trainee networks.
Data to be collated will include:
- Intraoperative and post operative analgesic techniques.
- The surgical procedure.
- The efficacy of postoperative pain control in recovery and for 48 hours after leaving recovery.
- 30 day surgical complications and readmission rates.
Audit standards proposed by the Royal College of Anaethetists will be used to determine pain management efficacy and 30 day surgical complications will be collated using the Clavien-Dindo1 classification .
A pilot study has been conducted within General surgery at 2 trusts to refine the study protocol, nevertheless the premise of this study is relevant to all surgical specialities.
The intention is to use results to generate hypotheses for future collaborative cohort and randomised studies that aim to evaluate the efficacy, safety and patient experience of perioperative pain management.
Paul Marriott, ST7 Upper GI Surgery, Queen Elizabeth Hospital Birmingham, Edgbaston, Birmingham, UK.
Charlotte Small, Research Fellow in Anaesthesia and Critical Care, Queen Elizabeth Hospital Birmingham, Edgbaston, Birmingham, UK.
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