Analgesia, Pain Management
Conditions
Keywords
Comfort scale, Pain scale, numerical verbal scale, postoperative pain
Brief summary
The objective is to show that the use of therapeutic communication tools, in this case a comfort scale, a low cost and simple to implement method, can reduce pain and therefore the consumption of opioids in the postoperative care unit. Our hypothesis is that the use of a comfort scale will lead to significant postoperative opioid sparing, and consequently to a decrease in the opioid-related side effects The aim of this study is to compare postoperative opioid consumption between patients whose pain is assessed by a numerical verbal scale and those assessed with a comfort scale.
Interventions
OTHERInformed consent
the investigator will verify the inclusion criteria, the patient's understanding of the protocol and will obtain oral informed consent
PROCEDURESurgery
The patient will undergo surgery in accordance with standard care
BEHAVIORALComfort scale
The patient will be evaluated, in the post-operative care unit, with a comfort scale
BEHAVIORALPain
The patient will be evaluated, in the post-operative care unit, with a pain scale
OTHERQuestionnaires
Evaluation of the Experience of Local/General Anesthesia
Sponsors
Rennes University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Multicenter, prospective, interventional, randomized cluster study.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age ≥ 18 years; * Patient eligible for any surgery requiring postoperative opioid administration; * Patient with a social security plan; * French-speaking patient * Free, informed and oral consent by the patient.
Exclusion criteria
* Woman claiming to be pregnant or breast feeding; * Emergency surgery; * Patients using preoperative opioids ; * Opioid addiction; * Patients unable to understand the assessment scales; * Adults under legal protection (safeguard of justice, curatorship, guardianship), persons deprived of liberty.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Opiate consumption in the post-operative care service | 1 day | Opiate consumption in milligrams in the post-operative care service in morphine equivalent. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Opioid consumption in the post-operative care service according to Ambulatory or conventional management | 1 day | Opioid consumption in mg in the post-operative care service in morphine equivalent according to Ambulatory or conventional management |
| Opioid consumption in the post-operative care service according to the Risk related to surgery (minor / intermediate / major) | 1 day | Opioid consumption in mg in the post-operative care service according to the Risk related to surgery (minor / intermediate / major) |
| Opioid consumption in the post-operative care service according to the Type of surgery | 1 day | Opioid consumption in mg in the post-operative care service according to the Type of surgery |
| Determine if the use of a comfort scale in the post-operative care servic is associated with better postoperative analgesia | 1 day | Number of postoperative pain episodes (NRS pain \> 3) expressed in the post-operative care servic after extubation, at rest |
| Determine if the use of a comfort scale can reduce the time to achieve a Kremlin Bicetre score = 0, or a modified Aldrete score ≥ 9 or a Chung score ≥ 9 (for ambulatory) ; | 1 day | Time from extubation to Kremlin Bicetre score = 0, or modified Aldrete score ≥ 9 or Chung score ≥ 9 (for ambulatory) ; |
| Determine whether the use of a comfort scale reduces postoperative nausea and vomiting; | 1 day | Number of postoperative nausea and vomiting episodes in the post-operative care service, the use of anti-emetic treatment will be assessed ; |
| Determine whether the use of a comfort scale is associated with improved postoperative satisfaction. | 1 day | Satisfaction questionnaires |
Countries
France, Lebanon
Outcome results
None listed