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[Pain management and the use of analgesics in dermatology]
Objective:
To determine pain assessment and management, and the use of analgesics in dermatology.
Patients And Methods:
Two hundred and sixty six patients hospitalised in a dermatology university department (Henri-Mondor, Créteil) between November 1999 and April 2000 were enrolled in a prospective study. Clinical evaluation of pain intensity and evolution were studied using a visual analogic scale (VAS) pain score at presentation, during hospitalisation, and at discharge. Prescription and consumption of analgesics were also studied.
Results:
Fifty-nine percent of the patients experienced pain. Eighty-four percent of them had mild or moderate to severe pain (VAS<7/10) and were relieved with non or mild opioid analgesics (discharge VAS<4/10). Sixteen percent of them had intense pain requiring morphine (VAS score >=7/10).
Conclusions:
Pain management is very important in dermatology. Every physician should know its principles since dermatologists play a crucial role in the patient's care.