南京大学医学院附属鼓楼医院, a. 药学部, b. 麻醉科, c. 普外科, d. 脊柱外科, 南京 210008
Working Mode and Effect of Clinical Pharmacists Involved in Postoperative Patient-controlled Analgesia Pump Management
XIE Hana, MA Zheng-liangb, QIU Yu-dongc, CHEN Zheng-xiangd, FAN Qing-qinga, WANG Shao-honga, DING Yia, GE Wei-honga*
a. Department of Pharmacy; b. Department of Anesthesiology; c. Department of General Surgery; d. Department of Orthopedics, Nanjing Drum Tower Hospital, Nanjing 210008, China
Abstract：OBJECTIVE To explore the working mode of clinical pharmacists involved in postoperative patient-controlled analgesia pump management and its effectiveness. METHODS According to the postoperative analgesia pump workflow and pharmaceutical monitoring route, SPS22.0 software was used to analyze the data of patients undergoing elective surgery in the Department of Spinal Surgery and General Surgery of Nanjing Drum Tower Hospital from January 2014 to December 2018. RESULTS =The patient-controlled analgesia(PCA) usage rate in spine surgery and general surgery increased. The postoperative pain control compliance rate remained above 90%, and the incidence of adverse reactions decreased year by year. CONCLUSION Since the clinical pharmacists participated in the management of analgesic pumps, the pharmaceutical monitoring of patient-controlled analgesia pumps has improved the quality of postoperative pain management, enabling patients to receive reasonable, economical and safe drug treatment.
DU Y J, WEI S M.Progresses in patient-controlled analgesin. Med Recap(医学综述), 2008, 14(7):1089-1091.
[2]
GIANFERRARI P, VOLTOLINA M, CLARA M E, et al. Postoperative pain management:epidural analgesia. Minerva Chir, 2003, 58(6):857-860.
[3]
BOND C A, RAEHL C L, PITTERLE M E, et al. Health care professional staffing, hospital characteristics, and hospital mortality rates. Pharmacotherapy, 1999, 19(2):130-138.
[4]
BOND C A, RAEHL C L, FRANKE T. Clinical pharmacy services, pharmacy staffing, and the total cost of care in United States hospitals. Pharmacotherapy, 2000, 20(6):609-621.
[5]
XIE H, MA Z L, CHEN Z X, et al. Role and work mode of clinical pharmacists in the multidisciplinary pain management team. Pharm Clin Res(药学与临床研究), 2015, 23(3):331-336.
[6]
FAN J R, LI X. Collaborative drug therapy management in the United States and its implications for China. Chin J New Drug (中国新药杂志), 2011, 20(23):2381-2386.
[7]
XU J G, DENG X M, FENG Y, et al. Expert consensus on postoperative pain of adult. J Clin Anesthesiol(临床麻醉学杂志), 2017, 33(9):911-917.
[8]
XIE H, LU L J, MA Z L, et al. Working mode and effect of pain clinic provided by clinical pharmacists . Chin J Hosp Pharm(中国医院药学杂志), 2018, 38(12):1247-1249,1255.
2019, Vol. 54 
