The German Network for acute pain management and Regional Anesthesia (NRA) is a multi-center, non-interventional registry and benchmark project, assessing and analysing clinical and patient-reported procedural and outcome data of systemic analgesia and regional anesthesia hosted by the German Society of Anesthesia and Intensive Care Medicine (DGAI) and professional Society German Anesthetists (BDA)
NRA offers the systematic documentation of patient related and procedure related components for acute pain treatments during and after surgery. NRA collects preoperative, intraoperative, and postoperative data from treating physicians who complete a standard form. Data are collected concurrently with patient care by pain nurses or treating physicians and include detailed information about the medical conditions of patients having acute pain treatment along with the procedure and postoperative course. The registry provides the basis for large scale analyses and benchmarks for several parameters. The registry also aims at performing population-based research. Furthermore, its infrastructure allows for the conduct of prospective studies comparing the effectiveness of processes of care.
Study Type
OBSERVATIONAL
Enrollment
224,744
Saarland University Medical Center
Homburg, Saarland, Germany
Acute complications during insertion of regional anesthesia
Procedural complications include dural puncture, bleeding, nerve damage, intoxication, malfunction, technical and equipment difficulties or failures.
Time frame: at the day of insertion, day zero
Pain levels after surgery
Pain and pain related outcome measures (NRS at rest and on exertion, opioid and non-opioid consumption), interference of pain with activities, pain therapy side effects, pre-hospital existence of pain, information on general treatment
Time frame: Daily visits (ward rounds) as long as in-hospital pain treatment is given; may take up to the length of the hospital stay, up to 90 days
Satisfaction
1\. Patient and physician satisfaction: Satisfaction with the respective pain treatment reported by patients (verbal numeric rating scale ranging from 0 (=completely dissatisfied) to 10 (=completely satisfied).
Time frame: after end of acute pain treatment, between day zero and up to day 90
Complications of acute pain treatment
hypotension, sedation, urinary retention, infections, procedural complications such as nausea and vomiting, respiratory depression, itching, malfunction, nerve damage, intoxication, technical and equipment difficulties or failures
Time frame: Daily visits (ward rounds) as long as in-hospital pain treatment is given; may take up to the length of the hospital stay, between day zero and day 90
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