Pain Management in Patients with Peripheral Arterial Disease

Year 2020, Volume: 7 Issue: 1, 12 - 17, 31.03.2020

Buket Özyaprak , Nail Kahraman , Kurtbey Anarat , Mehmet Gamlı , Gönül Erkan , Ahmet Eroğlu

https://doi.org/10.34087/cbusbed.648815

Abstract

Introduction-Aim:
A chronic disease with increasing
frequency, peripheral arterial disease occurs due to atherosclerosis. Fontaine
and Rutherford classifications are common staging methods in peripheral
arterial disease. Resting pain caused by ischemia (Fontaine 3-4) adversely
affect the patient's life and their treatment is as important as the treatment
of the disease. Accurate assessment of pain also provides the right approach.
The Visual Analogue Scale and verbal descriptive pain scale are among the
various scales used in pain measurement. We aim to contribute to the literature
by evaluating our patients who were treated with pain due to peripheral
arterial disease in our hospital.

Materials
and Methods: Patients with peripheral arterial
disease who were treated for pain between January 2014 and September 2018 were
investigated retrospectively. Those with resting pain due to ischemia (Fontaine
stage 3-4) were included in the study, while Fontaine stage 1-2 patients
without pain were excluded. The data were obtained from the patient files and
hospital registry.

Results:
The mean age of the 15 patients who had pain treatment for peripheral arterial
disease was 69.13 ± 8.11 years. The patients included 7 females and 8 males. Six
stage 3 and nine stage 4 patients were identified based on Fontaine
classification. According to the verbal descriptive pain scale, 5 had mild, 7
had moderate and 3 had severe pain. One patient underwent epidural catheter
placement for administration of patient-controlled analgesia while 14 patients
received pharmacological treatment.

Conclusion:
Accurate assessment is important for appropriate
pain treatment in peripheral arterial disease. Communication with the patient
is important in this regard. Risks that may occur in the treatment of pain
should be undertaken with a multidisciplinary approach. 

Keywords

: Peripheral arterial disease, pain, verbal descriptive pain scale

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