Evaluation of pain relief sufficiency using the Cumulative Analgesic Consumption Score (CACS) and its modification (MACS)

Alexander Harald Ralf Frank; Philipp Groene; Viktor von Ehrlich-Treuenstätt; Christian Heiliger; Jens Werner; Konrad Karcz

doi:10.5114/wiitm.2017.72329

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Videosurgery and Other Miniinvasive Techniques

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abstract:

Original paper

Evaluation of pain relief sufficiency using the Cumulative Analgesic Consumption Score (CACS) and its modification (MACS)

Alexander Harald Ralf Frank

,

Philipp Groene

,

Viktor von Ehrlich-Treuenstätt

,

Christian Heiliger

,

Jens Werner

,

Konrad Karcz

Videosurgery Miniinv 2017; 12 (4): 448–454

DOI: https://doi.org/10.5114/wiitm.2017.72329

Online publish date: 2017/12/29

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AMA

Frank A, Groene P, Ehrlich-Treuenstätt V, Heiliger C, Werner J, Karcz K. Evaluation of pain relief sufficiency using the Cumulative Analgesic Consumption Score (CACS) and its modification (MACS). Videosurgery and Other Miniinvasive Techniques. 2017;12(4):448-454. doi:10.5114/wiitm.2017.72329.

APA

Frank, A., Groene, P., Ehrlich-Treuenstätt, V., Heiliger, C., Werner, J.,  & Karcz, K. (2017). Evaluation of pain relief sufficiency using the Cumulative Analgesic Consumption Score (CACS) and its modification (MACS). Videosurgery and Other Miniinvasive Techniques, 12(4), 448-454. https://doi.org/10.5114/wiitm.2017.72329

Chicago

Frank, Alexander Harald Ralf, Philipp Groene, Viktor von Ehrlich-Treuenstätt, Christian Heiliger, Jens Werner,  and Konrad Karcz. 2017. "Evaluation of pain relief sufficiency using the Cumulative Analgesic Consumption Score (CACS) and its modification (MACS)". Videosurgery and Other Miniinvasive Techniques 12 (4): 448-454. doi:10.5114/wiitm.2017.72329.

Harvard

Frank, A., Groene, P., Ehrlich-Treuenstätt, V., Heiliger, C., Werner, J.,  and Karcz, K. (2017). Evaluation of pain relief sufficiency using the Cumulative Analgesic Consumption Score (CACS) and its modification (MACS). Videosurgery and Other Miniinvasive Techniques, 12(4), pp.448-454. https://doi.org/10.5114/wiitm.2017.72329

MLA

Frank, Alexander Harald Ralf et al. "Evaluation of pain relief sufficiency using the Cumulative Analgesic Consumption Score (CACS) and its modification (MACS)." Videosurgery and Other Miniinvasive Techniques, vol. 12, no. 4, 2017, pp. 448-454. doi:10.5114/wiitm.2017.72329.

Vancouver

Frank A, Groene P, Ehrlich-Treuenstätt V, Heiliger C, Werner J, Karcz K. Evaluation of pain relief sufficiency using the Cumulative Analgesic Consumption Score (CACS) and its modification (MACS). Videosurgery and Other Miniinvasive Techniques. 2017;12(4):448-454. doi:10.5114/wiitm.2017.72329.

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Postoperative pain is one of the major complications in general and bariatric surgery, associated with ongoing problems such as ileus, pneumonia and prolonged mobilization. In this study, patients undergoing bariatric surgery were analyzed according to their postoperative pain relief regime. In one group patients were treated with a patient-controlled analgesia (PCA) device, while the other group was treated with oral and intravenous analgesic medication. The aim of this study was to analyze which postoperative pain relief therapy would be more appropriate. We chose the Cumulative Analgesic Consumption Score (CACS) and Numeric Rating Scale (NRS) for pain measurement. For better comparison, we performed a modification of CACS according to PCA treatment. We observed better pain relief in the PCA group. Furthermore, we observed an advantage of treatment with laxatives in patients treated with PCA. In conclusion, PCA devices are appropriate instruments for postoperative pain relief in bariatric patients. CACS is a practical tool for postoperative pain measurement, describing individual pain sensation more objectively, although holding further potential in modification.

keywords:

Evaluation of pain relief sufficiency using the Cumulative Analgesic Consumption Score (CACS) and its modification (MACS)

Alexander Harald Ralf Frank , Philipp Groene , Viktor von Ehrlich-Treuenstätt , Christian Heiliger , Jens Werner , Konrad Karcz

obesity, bariatric surgery, MACS, pain relief, Cumulative Analgesic Consumption Score, patient-controlled analgesia

Alexander Harald Ralf Frank

,

Philipp Groene

,

Viktor von Ehrlich-Treuenstätt

,

Christian Heiliger

,

Jens Werner

,

Konrad Karcz