Effect of a comfort scale compared with a pain numerical rate scale on opioids consumption in postanaesthesia care unit: the COMFORT study,British Journal of Anaesthesia

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Effect of a comfort scale compared with a pain numerical rate scale on opioids consumption in postanaesthesia care unit: the COMFORT study
British Journal of Anaesthesia ( IF 9.1 ) Pub Date : 2024-09-07 , DOI: 10.1016/j.bja.2024.06.029
Nicolas Fusco ₁ , Ludovic Meuret ₂ , Franck Bernard ₃ , Hervé Musellec ₃ , Laure Martin ₃ , Mathilde Léonard ₄ , Sigismond Lasocki ₅ , Thierry Gazeau ₆ , Romain Aubertin ₇ , Dorothée Blayac ₈ , Florient Leviel ₉ , Marc Danguy des Deserts ₁₀ , Samia Madi-Jebara ₁₁ , Julien Fessler ₁₂ , Sylvain Lecoeur ₁₃ , Cédric Cirenei ₁₄ , Rémi Menut ₁₅ , Clément Lebreton ₁₆ , Stéphane Bouvier ₁₇ , Claire Bonnet ₁₈ , Axel Maurice-Szamburski ₁₉ , Mathilde Cattenoz ₂₀ , Magida El Alami ₂₁ , Elsa Brocas ₂₂ , Christophe Aveline ₂₃ , Ludovic Gueguen ₂₄ , Eric Noll ₂₅ , Aurélie Gouel-Chéron ₂₆ , Olivier Evrard ₂₇ , Mathieu Fontaine ₂₈ , Yên-Lan Nguyen ₂₉ , Céline Ravry ₃₀ , Emmanuel Boselli ₃₁ , Bruno Laviolle ₃₂ , Helene Beloeil ₃₃ ,

Affiliation

CHU Rennes, Anesthesia and Intensive Care Department, Rennes, France; Private Hospital, Anesthesia Department, Saint-Grégoire, France; Hypnosis Institute, Émergences Campus, F-35000 Rennes, France.
CHU Rennes, Anesthesia and Intensive Care Department, CIC 1414, Rennes, France.
Private Hospital, Anesthesia Department, Saint-Grégoire, France; Hypnosis Institute, Émergences Campus, F-35000 Rennes, France.
CHU Rennes, Inserm, CIC 1414, Rennes, France.
CHU d'Angers, University of Angers, Anesthesia and Intensive Care Department, Angers, France.
Clinique Jules Verne, Department of Anaesthesiology, Nantes, France.
Clinique Saint-Jean, Department of Anaesthesiology, Saint-Jean-de-Védas, France.
Clinique du Parc, Department of Anaesthesiology, Lyon, France.
CHU Amiens-Picardie, Anesthesiology and Critical Care Department, Amiens, France.
HIA Clermont-Tonnerre, Department of Anaesthesiology, University of Brest, Inserm, UMR1304-GETBO, Brest, France.
Hôpital Hôtel Dieu de France, Anesthesia and Intensive Care Department, Beirut, Lebanon.
Hôpital Foch, Department of Anesthesiology, Suresnes, France; Department of anesthesiology, University of Versailles-Saint-Quentin-en-Yvelines, Versailles, France.
CH Saint-Brieuc, Department of Anesthesiology, Saint-Brieuc, France.
CHU Lille, Department of Anesthesiology, Critical Care and Pain Medecine, Lille, France.
CHU Toulouse Purpan, Hôpital Riquet, Anesthesia and Intensive Care Department, University Toulouse 3-Paul Sabatier, Toulouse, France.
Polyclinique Saint-Laurent, Department of Anesthesiology, Rennes, France.
Groupe Hospitalier Mutualiste, Department of Anesthesiology, Grenoble, France.
CHU Toulouse, Anesthesia and Intensive Care Department, Université Paul Sabatier, Toulouse, France.
Clinique Juge, Almaviva, Department of Anesthesiology, Marseille, France.
CH Fleyriat, Department of Anesthesiology, Bourg-en-Bresse, France.
CH La Rochelle, Department of Anesthesiology, La Rochelle, France.
CH Sud Francilien, Anesthesia and Perioperative Medicine Department, Corbeil-Essonnes, France.
Hôpital Privé Sévigné, Department of Anesthesiology, Cesson-Sévigné, France.
CH Bretagne Atlantique, Department of Anesthesiology, Vannes, France.
CHU Strasbourg, Hôpital de Hautepierre, Anesthesia, Intensive Care and Perioperative Medicine Department, Strasbourg, France.
Hopital Beaujon, Departement of Anesthsiology, Paris Cité Université, Paris, France; Anaesthesiology and Critical Care Medicine Department, DMU PARABOL, Bichat Hospital, AP-HP, Paris, France; Institut Pasteur, Université Paris Cité, INSERM UMR1222, Antibodies in Therapy and Pathology, Paris, France.
CHU Tours Hôpital Bretonneau, Department of Anesthesiology and Intensive Care, Tours, France.
Hôpital Saint Joseph Saint Luc, Anesthesia and Intensive Care Department, Lyon, France.
Hôpital Cochin, APHP, Anesthesia and Intensive Care Department, Université Paris Cité, Paris, France.
CH Dax-Côte d'Argent, Department of Anesthesiology, Dax, France.
CH Pierre Oudot, Department of Anesthesiology, Bourgoin-Jallieu, France.
CHU Rennes, University of Rennes, Inserm, UMR_S 1085, CIC 1414, Rennes, France.
University of Rennes, CHU Rennes, Inserm, COSS1242, CIC 1414, Anesthesia and Intensive Care Department, Rennes, France.

The way that pain is assessed in the PACU could impact on postoperative pain and analgesic consumption. However, there is currently no evidence to support this speculation. The authors hypothesised that using a comfort scale reduces postoperative opioid consumption when compared with a standard numerical rating scale (NRS) to evaluate pain in the PACU.

中文翻译：

麻醉后护理室中舒适量表与疼痛数值率量表对阿片类药物消耗量的影响：COMFORT 研究

PACU 中评估疼痛的方式可能会影响术后疼痛和镇痛药的消耗。不过，目前没有证据支持这一猜测。作者假设，与标准数字评定量表 (NRS) 相比，使用舒适量表来评估 PACU 中的疼痛可减少术后阿片类药物的消耗。

更新日期：2024-09-07

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