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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
885
the investigator will verify the inclusion criteria, the patient's understanding of the protocol and will obtain oral informed consent
The patient will undergo surgery in accordance with standard care
The patient will be evaluated, in the post-operative care unit, with a comfort scale
The patient will be evaluated, in the post-operative care unit, with a pain scale
Evaluation of the Experience of Local/General Anesthesia
Chu Rennes - Pontchaillou
Rennes, CHU de Rennes, France
CHRU Amiens Picardie
Amiens, France
CHU Angers
Angers, France
CH Bourg en Bresse
Bourg-en-Bresse, France
CH Pierre Oudot
Bourgoin, France
HIA Clermont Tonnerre
Brest, France
Hôpital Privé Sévigné
Cesson-Sévigné, France
CH Sud Francilien
Corbeil-Essonnes, France
CH Dax
Dax, France
GHM de Grenoble
Grenoble, France
...and 19 more locations
Opiate consumption in the post-operative care service
Opiate consumption in milligrams in the post-operative care service in morphine equivalent.
Time frame: 1 day
Opioid consumption in the post-operative care service according to Ambulatory or conventional management
Opioid consumption in mg in the post-operative care service in morphine equivalent according to Ambulatory or conventional management
Time frame: 1 day
Opioid consumption in the post-operative care service according to the Risk related to surgery (minor / intermediate / major)
Opioid consumption in mg in the post-operative care service according to the Risk related to surgery (minor / intermediate / major)
Time frame: 1 day
Opioid consumption in the post-operative care service according to the Type of surgery
Opioid consumption in mg in the post-operative care service according to the Type of surgery
Time frame: 1 day
Determine if the use of a comfort scale in the post-operative care servic is associated with better postoperative analgesia
Number of postoperative pain episodes (NRS pain \> 3) expressed in the post-operative care servic after extubation, at rest
Time frame: 1 day
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) ;
Time from extubation to Kremlin Bicetre score = 0, or modified Aldrete score ≥ 9 or Chung score ≥ 9 (for ambulatory) ;
Time frame: 1 day
Determine whether the use of a comfort scale reduces postoperative nausea and vomiting;
Number of postoperative nausea and vomiting episodes in the post-operative care service, the use of anti-emetic treatment will be assessed ;
Time frame: 1 day
Determine whether the use of a comfort scale is associated with improved postoperative satisfaction.
Satisfaction questionnaires
Time frame: 1 day
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