Adherence Level Of Medical Personnel In Implementing 2019 Postoperative Pain Management Guidelines

Abstract

Received: August, 29, 2021 Revised: November, 17, 2021 Available online: May 2021 Inadequate pain management may increase the risk of complications and postoperative chronic pain. Postoperative Pain Management Guidelines of The Anesthesiology and Reanimation Department, Faculty of Medicine Universitas Airlangga/ Dr. Soetomo Hospital Surabaya were arranged in 2019. This study aims to describe the medical personnel's adherence to implementing postoperative pain management guidelines. This was a descriptive observational study with a retrospective design. Total sampling was carried out on the medical records of patients who underwent elective surgery and received postoperative acute pain management during March-May 2020. A total of 349 patients had moderate pain intensity (62.8%). The medical personnel's adherence with postoperative pain management guidelines was 88.0%. The details were as follows: 99.1% adherence in patients with mild pain, 82.6% in moderate pain, and 81.2% in severe pain. The multimodal analgesia was 12.3% in patients with mild pain, 83.6% in moderate pain, and 100% in severe pain. Most medical personnel have adhered to the postoperative pain management guideline and widely used in multimodal analgesia. There should be a systematic evaluation of guidelines implementation, patient satisfaction, and outcomes.