ESS Efficacy Safety Score. Postoperativ monit syst

The ESS program is intended for use by medical staff or skilled persons dealing with pain treatment by opioid analgetics.

NEWS, MEWS or ESS score. ESS will show you all together with earlier registrations in a chart.

Alarm every hour - check the patient - easy registration on the iPad / iPhone. Press a button and see the patient progress at a glance!

All registered clinical variables, given remedies, automatically calculated ESS and National Early Warning Score (NEWS) are placed in special medical chart, which can be printed out or saved as pdf file.
Finally, registered data may be easily transferred to statistical database.

The goal of modern postoperative pain management is to relieve pain while keeping side effects of opioid analgetics to a minimum. Still, in recent investigations, between 20% and 40% of all postoperative patients report high levels of pain after surgery, while 20-30% experience adverse effects of opioid analgetics 1-5. In a clinical study, in which the hospital had introduced pain management guided by the patients’ own numerical scale scores, the investigators unexpectedly found that side effects of opioid analgetics had more than doubled6. The authors suggested that more than just a one-dimensional numerical assessment of pain should be undertaken, for the postoperative treatment to be effective and safe 6-9. Recently, Efficacy Safety Score (ESS), a new “call-out algorithm” for monitoring of efficacy and safety of postoperative pain management was developed and implemented in clinical practice at Kongsberg hospital in Norway (10,11). Shortly, ESS was established after obtaining consensus between 10 international experts in a DELPHI process on which parameters that should be included in the score 10. The final version of ESS consists of the sum of two subjective scores (Verbal Numeric Rate Scale of pain (VNRS) at rest and during mobilization) and four vital scores (consciousness level, postoperative nausea and vomiting, circulation and respiration status)10. Depending on the patient’s status or complaints, each of the ESS features were scored from 0 to 15 and summarized in a total score.
The total score of ESS ≥ 10 was established as a “call-out” alarm for telephone consultation or visit by the responsible anaesthesiologist or acute pain team.

Detailed information about ESS is also available on http://esscore.org (in Norwegian) and http://essdb.no (in English, Norwegian and Russian).

Important note! The authors of ESS program do not take any responsibility for outcome of patient treatment.

References : See this article on www.ess.no