Podrobný výpis o publikaci

: The text provides an overview of the most common tactics for postoperative pain management in patients after hip or knee replacement surgery. Among the most commonly used analgesic methods and approaches, in the early postoperative phase (i.e., within 48 hours after surgery), are intravenous opioid administration or epidural opioid administration combined with local anesthetic. The addition of additional intravenous analgesics is an option to augment analgesia. Cryotherapy is also standard in early postoperative care. The authors focus on information relevant to the critical care nurse specialist who, based on physician indication, manages and times analgesia in patients in intensive care units. For the purpose of the review study, the PubMed database in English was searched for scientific publications. To formulate recommendations for practice, the authors made final analyses of seven peer-reviewed articles. The results of the present study show the importance of the specialist nurse's expertise in pain management options and methods, as well as her ability to effectively individualize care based on a comprehensive consideration of the patient's personality, current condition, and anamnestic data. Recommendations for practice take into account the context of the care delivery environment in the Czech Republic and the potential for nurses to use their expertise and communication skills in pain management.