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.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
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: 100–106
Bridenbaugh DL (1990) Acute pain therapy: whose responsibility? Reg Anaesth 15: 219222
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: 353–359
Wheatley RG, Madej TH, Jackson IJB, Hunter D (1991) The first years experience of an acute pain service. Br J Anaesth 67: 353–359
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: 1187–1193
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: 385–397
Cartwright PD, Helfinger RG, Howell JJ, Siepmann KK (1991) Introducing an acute pain service. Anaesthesia 46: 188–191
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. 423–460
Rawal N (1995) Acute pain services in Europe: a 17-nation survey. Reg Anaesth 20•S85
Semple P, Jackson IJB (1991) Postoperative pain control. A survey of current practice. Anaesthesia 46: 1074–1076
Zimmermann DL, Stewart J (1993) Postoperative pain management and acute pain services activity in Canada. Can J Anaesth 40: 568–575
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1999 Springer Verlag Italia, Milano
About this chapter
Cite this chapter
Rawal, N. (1999). Organization of acute pain services. In: Tiengo, M., Paladini, V.A., Rawal, N. (eds) Regional Anaesthesia Analgesia and Pain Management. Topics in Anaesthesia and Critical Care. Springer, Milano. https://doi.org/10.1007/978-88-470-2240-9_21
Download citation
DOI: https://doi.org/10.1007/978-88-470-2240-9_21
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-0044-5
Online ISBN: 978-88-470-2240-9
eBook Packages: Springer Book Archive