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Organization of acute pain services

  • N. Rawal
Part of the Topics in Anaesthesia and Critical Care book series (TIACC)

Abstract

Recent years have seen the development of new analgesic drugs and sophisticated drug delivery systems. Pain management modalities such as patient controlled analgesia (PCA), epidural analgesia with opioids and/or local anaesthetic drugs and regional blocks are being increasingly used. However, in general the obstacles to bringing research to the bedside have not been overcome. The most common technique for providing postoperative analgesia has been and still is the use of i.m. opioids prescribed by surgeons and administered by ward nurses on an as-needed basis. The inadequacies of this method of pain management are well recognised.

Keywords

Pain Management Epidural Analgesia Surgical Ward Regional Block High Dependency Unit 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Ready LB, Oden Rollin Chadwick HS, Benedetti C, Rooke GA, Caplan R, Wild LM (1988) Development of an anaesthesiology-based postoperative pain management service. Anaesthesiology 68: 100–106CrossRefGoogle Scholar
  2. 2.
    Bridenbaugh DL (1990) Acute pain therapy: whose responsibility? Reg Anaesth 15: 219222Google Scholar
  3. 3.
    Rawal N (1994) Organization of Acute Pain Services• a low-cost model. Pain 57 117–123 4 Wheatley RG, Madej TH, Jackson IJB, Hunter D (1991) The first years experience of an acute pain service. Br J Anaesth 67: 353–359Google Scholar
  4. 4.
    Wheatley RG, Madej TH, Jackson IJB, Hunter D (1991) The first years experience of an acute pain service. Br J Anaesth 67: 353–359PubMedCrossRefGoogle Scholar
  5. 5.
    Gould TH, Crosby DL, Harmer M, Lloyd SM, Lunn JN, Rees GAD, Roberts DE, Webster JA (1992) Policy for controlling pain after surgery: effect of sequential changes in management Br Med J 305: 1187–1193Google Scholar
  6. 6.
    Maier C, Kibbe’ K, Mercher S, Wulf H (1994) Postoperative Schmerztherapie auf Allgemeinen Krankenflegestationen: Analyse der achtjahrigen Tatigkeit eines Anasthesiologischen, Akut-Schmerzdienstes (Postoperative pain therapy on normal wards. Eight years experience with an Acute Pain Service ). Anaesthesist 43: 385–397PubMedCrossRefGoogle Scholar
  7. 7.
    Cartwright PD, Helfinger RG, Howell JJ, Siepmann KK (1991) Introducing an acute pain service. Anaesthesia 46: 188–191PubMedCrossRefGoogle Scholar
  8. 8.
    Breivik H, Hogstrom H, Niemi G, Stalder B, Hofer S, Ffellstad B, Haugtomt H, Thomson D (1995) Safe and effective post-operative pain relief: introduction and continuous quality improvement of comprehensive post-operative pain management programmes. Balheres Clin Anaesth 9. 423–460CrossRefGoogle Scholar
  9. 9.
    Rawal N (1995) Acute pain services in Europe: a 17-nation survey. Reg Anaesth 20•S85Google Scholar
  10. 10.
    Semple P, Jackson IJB (1991) Postoperative pain control. A survey of current practice. Anaesthesia 46: 1074–1076Google Scholar
  11. 11.
    Zimmermann DL, Stewart J (1993) Postoperative pain management and acute pain services activity in Canada. Can J Anaesth 40: 568–575PubMedCrossRefGoogle Scholar

Copyright information

© Springer Verlag Italia, Milano 1999

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  • N. Rawal

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