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Assessment of the Management of Postoperative Pain in the Surgery Department of Souro Sanou University Hospital Center in Bobo-Dioulasso

Introduction: Postoperative pain is a component of the surgical procedure. Its care is poorly documented in Burkina Faso. Goal: To evaluate the management of the postoperative pain in the surgical departments of Souro Sanou University Hospital Center in BoboDioulasso. Methodology: It’s a prospective study, transverse type referred to descriptive, covering the period from January 1st to 31st March 2017. It focused on surgical patients, aged at least 15 years old and having been hospitalized for at least 24 hours after their surgery. Results: A total of 124 patients were included in the study . The average age was 42, 65 years old with a sex ratio of 1.82. The majority of patients (52.42%) did not attend school. According to the anesthetic risk, the patients were classified as ASA1 (62.90%); ASA II or ASA III (37.1%). The types of surgery performed were: orthopedic in 36 cases (29.03%); visceral in 40 cases (20.16%); urogenital in 29 cases (23.39%); maxillofacial in 12 cases (9.68%); ENT in 7 cases (5.65%). The frequency of the postoperative pain was 88.71%. The average pain intensity at EVA was 42.73 mm. The anesthetic technique was a general anesthesia in 66.94% and a loco regional in 33.06%. Postoperatively, multimodal analgesia was prescribed in 44.35%. Patients were satisfied with the management of their postoperative pain in 52.42%, against 22.58% unsatisfied. Conclusion: The management of postoperative pain remains insufficient in the surgical departments. Improving the quality of care requires setting up care protocols, training staff and carrying out audits on professional practices.