Management of Acute Pain

Management Of Acute Pain :
Physiology and Guidelines
Fransiscus Arifin

(S.Sos,MSi,SpB,DMAS,FInaCS,FICS)
Departemen Ilmu Bedah
Fakulteas Kedokteran
Universitas Katolik Widya Mandala
Surabaya

To cure, sometimes
To relief, often
To comfort, always
Edward Livingstone Trudeau

What is PAIN ?

How do you know there is pain ?
• What do you “hear” ?
• What do you “see” ?
• What do you “feel” ?

How do you assess Pain ?
• Duration ?
• Severity ?

How do you “Stop” pain ?

Pain Assessment
Pain History
– O – Onset
– P – Provoking / Palliating factors
– Q – Quality / Quantity
– R – Radiation
– S – Severity
– T – Timing

Pain Assessment
Visual Analogue Scale

Opioid dan Lainnya
•
•
•
•
•
•

Morphin Sulfate
Codein
Fentanyl
Tramadol
Tramadol/Paracetamol Fixed dose
Gabapentin