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Clinical Utility of the Numerical Verbal Scale (NVS) and the Pain and Functional Activity Scale (PFAS) in the Management of Rescue Analgesia in Acute Postoperative Pain. Randomized Study.

RecruitingNAAges 18 Years - anyAllFundacin Biomedica Galicia Sur
NCT07310953 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Adequate postoperative pain management, along with mobilization and early oral nutrition, is the foundation for optimal recovery after surgery. Unidimensional pain scales (Numerical Verbal Rating Scale - NRS, Visual Analogue Scale - VAS, Categorical Scale - CRS, Facial Pain Scale - FPS) do not adequately reflect a patient's actual analgesic needs. Basing analgesic treatment on the classic algorithm of administering opioids if pain is greater than 4 on the NRS, without considering functional impairment, has been shown to be a cause of overtreatment in surgical wards. The Functional Activity Score (FAS) is the simplest scale, designed for bedside application and geared toward therapeutic decision-making. R: Able to perform any activity; B: Pain prevents some activity; C: Unable to perform any activity. Given the need to standardize functional limitation when measuring postoperative pain

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📋 Eligibility rules (as published)
Inclusion Criteria: * Scheduled surgery with VATS admission * Age \> 18 years * Signed informed consent Exclusion Criteria: * Cognitive-mental deficit assessed using the Pfeiffer questionnaire. Patients with more than two errors if they have a university degree and more than three errors if they do not have a university degree are excluded from the study. * Allergy to any of the analgesic drugs listed on the data collection sheet (Paracetamol / NSAIDs / Metamizole / Dexamethasone / Local anesthetics / Morphine / Fentanyl). * Patients who, in the preoperative survey, present any degree of functional limitation according to the FAS scale (Grade B and C). Withdrawal Criteria: * If the patient withdraws consent. * If the patient experiences delirium, as measured by a positive CAM (Confusion Assessment Method) scale, following surgery.
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What it tests

  • Group A: Rescue analgesia if NVS>4
  • Group B: Rescue analgesia if NVSm > 4 + FAS C
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Where

1 site
Hospital Álvaro Cunqueiro
Vigo, Spain
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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