Urolog. pro Praxi, 2009; 10(4): 234-237

Effective pain therapy after urology surgical procedures

doc. MUDr. Jiří Málek, CSc
Klinika anesteziologie a resuscitace 3. LF UK a FN KV, Praha

In developed countries, the growth in medical interest led to fostered intellectual interest in postoperative pain control. Czech Society of

Anesthesiology and Intensive Care Medicine has acknowledged this trend and published guidelines for acute postoperative pain therapy

in 2008. This short article presents overview of basic analgesics and methods of postoperative analgesia in urology patients. The main

principals for successful therapy are not only good knowledge of drugs, but also organization of acute pain service including regular

measurement and documentation of pain intensity, prompt treatment of intensive pain and use of procedure specific analgesia individualized

according to the patient needs.

Keywords: postoperative analgesia, analgesic drugs, organization of acute postoperative pain service, pain measurements.

Published: November 1, 2009  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Málek J, CSc. Effective pain therapy after urology surgical procedures. Urol. praxi. 2009;10(4):234-237.
Download citation

References

  1. Doporučený postup, ,Léčba akutní pooperační bolesti" (2008, on line), cit. 2009-05-10, dostupný na WWW: http://www.csarim.cz/Text/metodicke-pokyny-a-stanoviska-csarim1?MenuItemId=38.
  2. Málek J, Ševčík P, Bejšovec D, Fričová J, Gabrhelík T, a kol. Léčba akutní pooperační bolesti. Bolest 2008; 11: 141-148.
  3. Pracovní skupina pro léčbu pooperační bolesti ČSARIM: Doporučené postupy léčby akutní pooperační bolesti. Anest Intenziv Med 2008; 19: 162-169.
  4. Jiří Málek, Pavel Ševčík, a kol. Léčba pooperační bolesti. Mladá fronta, 2009: 143 s.
  5. American Pain Society Quality Improvement Committee. JAMA 1995; 1847-1880.
  6. Fitzgerald K, Buggy D. Nonconvential and adjunctive analgesia. In: Shorten GD. Postoperative pain management. Philadelphia: Saunders Elsevier, 2006: 197-209. Go to original source...
  7. Kolektiv autorů. Farmakologie bolesti. In: Rokyta R, Kršiak M, Kozák J Bolest. Praha: Tigis, 2006: 100-171.
  8. SPC jednotlivých látek dostupné on-line (cit. 2009-05-10) na WWW: http://www.sukl.cz/modules/medication/search.php.
  9. Dodds C, Kumar CM, Servin F. Anaesthesia for the elderly patient. Oxford University Press, 2007. Go to original source...
  10. McQuay HJ. Opioid use in chronic pain. Acta Anaesthesiol Scand 1997; 41: 175-183. Go to original source... Go to PubMed...
  11. Rawal N. Postoperative pain treatment for ambulatory surgery. Best Pract Res Clin Anaesthesiol 2007; 27(1): 129-148. Go to original source... Go to PubMed...
  12. Cyna AM, Middleton P. Caudal epidural block versus other methods of postoperative pain relief for circumcision in boys. Cochrane Database Syst Rev 2008; CD003005. Go to original source...
  13. Weksler N, Atias I, Klein M, Rosenztsveig V, Ovadia L, Gurman GM. Is penile block better than caudal epidural block for postcircumcision analgesia? J Anesth 2005; 19: 36-39. Go to original source... Go to PubMed...
  14. Brady-Fryer B, Wiebe N, Lander JA. Pain relief for neonatal circumcision. Cochrane Database Syst Rev 2004; CD004217. Go to original source...
  15. Matsota P, Papageorgiou-Brousta M. Intraoperative and postoperative analgesia with subcutaneous ring block of the penis with levobupivacaine for circumcision in children. Eur J Pediatr Surg 2004; 14: 198-202. Go to original source... Go to PubMed...
  16. Allan CY, Jacqueline PA, Shubhda JH. Caudal epidural block versus other methods of postoperative pain relief for circumcision in boys. Cochrane Database Syst Rev 2003; CD003005.
  17. Choi WY, Irwin MG, Hui TW, Lim HH, Chan KL. EMLA cream versus dorsal penile nerve block for postcircumcision analgesia in children. Anesth Analg 2003; 96: 396-399. Go to original source...




Urology for Practice

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.