Abstract
Purpose:
To quantify and analyze the relation between the intensity of pain and clinical-surgical variables in the immediate postoperative period of patients submitted to laparoscopic bariatric surgery.
Methods:
Prospective observational study, done with obese patients submitted to laparoscopic bariatric surgery who had presented intense pain according to the visual analog scale and also postoperative nausea and vomiting in two distinct moments: in the postanesthesia care unit (PACU) and at the first postoperative day (1st POD).
Results:
The sample was predominantly female, body mass index ≥40, age between 31 and 45 years, nonsmoker nor alcoholic. It was observed that there was a significant reduction from intense pain (PACU) to moderate and mild (1st POD). A difference was observed in the intensity of pain between patients without surgical records (41.0%) and those with no history of postoperative acute pain (34.1%). There was no statistical significance in the correlation of surgical variables and the prevalence of postoperative intense pain. The correlation between high anxiety levels with surgeries and postoperative pain was verified.
Conclusion:
Intense pain was observed in the PACU. There was a significant reduction to moderate and mild in the 1st POD. Previous surgeries and history of postoperative acute pain were identified as protection factors for postoperative pain.
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