A new, patient-controlled System for which there is no venous access is required, supplemented for a few weeks, the pain treatment in the district hospital of Ebersberg. First and foremost, it is used in patients of the orthopedics and accident surgery, to avoid the after surgery pain, and to promote the important mobilization phase.
Ebersberg – Strong pain medicines like morphine and other opioids may be given to clinic patients only by medical professionals, resulting in individual cases, delays in pain reduction are possible. Now there is a new procedure in which the Patient is active and the time of the gift of self-determination. By the push of a button is a kind of tablet dispenser the painkiller, a strongly acting Opioid, under the tongue (“sublingual”). “Through the absorption of the active ingredient through the oral mucosa, the effect occurs much faster than in the case of painkillers, swallowed, and only in the intestines need to be taken,” explains Peter Lemberger, chief physician of the anaesthesia in Ebersberg.
compared to Pain therapy with venous access or catheters, such as the patient controlled pain pump, have the new System advantages: “There is no infection risk, which results from the puncture for venous access, and the Patient is mobile,” says Lemberger. For the recovery, it is important to be able to quickly go back to bed and leave, in order to promote movement and physical therapy the healing process. The safety and security of patients is ensured by a sophisticated System, With a type the device is attached to the lock on the bed, and can only be used with a coded thumb patch’ is enabled. After each of the tablet dispensing of the applicator for a certain period of time is blocked, so that Overdose can be avoided. The instruction in the operation is done exclusively by qualified medical staff – Doctors and nurses – and often even before the anesthetic. “So it can use the Patient if needed after surgery,” says Lemberger.
“However, it is not suitable for everyone,” admits the chief doctor. For example, in elderly patients with dementia or in patients with limitation of movement of the arms back to reach for the experience of a multi-month test phase is still on other pain therapies. In principle, the patient-controlled pain therapy could be used in any Department in the ebersberger clinic. In particular, for small operations, however, often weaker pain would be enough drugs. Patients after major surgery, for example, on the stomach, according to the Lviv continues to be a pain catheter close to the spinal cord, if from a medical point of view nothing speaks against it. Otherwise, it could also be used in these patients, the new method applied. The sublingual pain therapy for about two years on the market. In Bavaria the district hospital of Ebersberg is one of the first hospitals in which the application system is used.
Sybille Föll
