Tratamiento del dolor postquirúrgico en el servicio de traumatología en un hospital de segundo nivel

Introduction: pain is the main reason for consultation after traumatology surgeries since they are usually longer procedures generating greater pain in the patient, reason for which the objective of the present analysis was to describe the treatment of post-surgical pain in the service of traumatology in a second level hospital. Materials and methods: this was a descriptive cross-sectional study in 101 individuals older than 12 years who presented a diagnosis of limb fractures admitted to the traumatology service of a second level hospital in the province of Cañar-Ecuador from January to July 2017. Describing the analgesic therapy used for the assessment of patients. Results: 101 cases were evaluated of which 67.3% were represented by the male sex and 32.7% by the female, 52.5% of the fractures were found in the upper limbs and 47.5% in the lower ones, the location most frequent was the radius and ulna, the predominant surgery was the open reduction of osteosynthesis with 60.4% of the cases, the most used analgesic treatment was ketorolac (93%), either as monotherapy 46.5% or associated to other drugs such as tramadol or metamizole 46.5%. The most used combination was ketorolac plus tramadol 45.5%. Of the total combined analgesic prescriptions, 49.5% use two analgesics as therapy. Tramadol was used in more than half of the 52.5% prescriptions. Conclusions: currently in the present health center the most frequent fractures were those of upper limbs and the predominant analgesic therapy was ketorolac and the combination most used was with tramadol.