Normally, our understanding is that the larger the knife edge, the more painful it must be. This understanding is not too problematic, after all, the nerves that perceive pain are mainly concentrated in the skin and subcutaneous. Clues can also be found in the classification of pain: the internal organs are sensitive to chemical damage or traction, but not to knife cutting. In other words, the skin that envelops us is the most painful, and the more we go inward, the less painful it is. Because of this, we can effectively perceive the dangers of the outside world and avoid them in time.
However, with the development of laparoscopic techniques, there seems to be growing doubt about the need for laparoscopic surgical analgesia. Even many other departments of medical staff will ask the anesthesiology department: Is it necessary?
Anesthesiologists have been insisting on answering: necessary. However, the confidence is becoming more and more insufficient. Indeed, the trauma is getting smaller.
Just when we are all doubting its necessity, fortunately there are some studies that give the results. Even, some results directly give the same conclusion as the pain of laparoscopy and ordinary large surgery. While this conclusion is still hard to believe, at least we can clearly understand the fact that laparoscopic surgery can also hurt after surgery.
Continued searching for relevant studies found that laparoscopic pain was more predominantly pain in the early postoperative period. Also, the level of pain is not low.
From actual observation, patients with these laparoscopic surgeries do have the most pain on the day of surgery, followed by the next day.
With these theoretical bases, let's provide a theoretical basis for patient analgesia.
Well, this is not the whole reason. If that alone is enough to support patients with additional medical expenses for analgesia. There is also an important reason: such as chronic pain caused by untimely postoperative pain treatment, which affects the quality of life of patients. Preventing the onset of central sensitization and controlling postoperative pain reduces the incidence of chronic pain. That is to say, this pain is intolerable. Once it evolves into chronic pain, the consequences will be a double whammy, both mentally and physically.
Since you need analgesia, do you have to get an analgesic pump in the same way?
No, there are many ways to relieve pain.
First of all, it is possible to inject drugs for analgesia. The use of low-intensity, non-opioid analgesics as postoperative analgesia for laparoscopic surgery has been very effective.
Secondly, if it is a surgery with relatively large trauma, which mainly refers to surgery with relatively large internal trauma, you can choose some opioid or opioid plus low-intensity analgesics.
Again, peri-local anesthetic infiltration and intraperitoneal infiltration of local anesthetic can be used. In this way, it often has a good effect on major abdominal surgery.
Finally, if compound anesthesia has been performed, multimodal analgesia can be performed directly on the basis of the already implemented spinal canal or nerve block. This analgesic method allows for almost complete control of pain.
In particular, many people are obsessed with analgesic pumps. In fact, when anesthesiologists use analgesic pumps for patients, they must evaluate in advance whether the patient is in pain and how strong the pain is before making a decision. The main reason anesthesiologists encourage patients to use analgesic pumps is that this analgesic method can be used for a long time. In addition, when the patient feels pain but the medical staff cannot rush over in time, they can press the button on the analgesic pump to do the dosing analgesia.
In short, if it were not for the money, the doctor would not be embarrassed, and everyone would not have such a big opinion, you say? Welcome to leave a message to communicate~
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