How to Set Up Acute Pain Services

  • N. Rawal
  • R. Allvin
  • C. Zetterberg
Conference paper

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 recognized.

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References

  1. 1.
    Breivik H. Högström H, Niemi G et al (1995) Safe and effective post-operative pain relief: introduction and continuous quality improvement of comprehensive post-operative pain management programmes. Ballieres Clin Anaesth 9: 423–460CrossRefGoogle Scholar
  2. 2.
    Cartwright PD, Helfinger RG, Howell JJ, Siepmann KK (1991) Introducing an acute pain service. Anaesthesia 46: 188–191PubMedCrossRefGoogle Scholar
  3. 3.
    Gould TH, Crosby DL, Harmer M et al (1992) Policy for controlling pain after surgery: effect of sequential changes in management. Br Med J 305: 1187–1193CrossRefGoogle Scholar
  4. 4.
    Maier C, Kibbel K, Mercher S, Wulf H (1994) Postoperative Schmerztherapie auf Allgemeinen Krankenflegestationen - Analyse der achtjährigen Tätigkeit eines Anästhesiologischen, Akut-Schmerzdienstes (Postoperative pain therapy on normal wards. Eight years experience with an Acute Pain Service ). Anästhesist 43: 385–397Google Scholar
  5. 5.
    Rawal N (1995) Acute Pain Services in Europe - A 17-nation survey. Reg Anaesth 20: 585Google Scholar
  6. 6.
    Rawal N (1994) Organization of Acute Pain Services–a low-cost model. Pain 57: 117–123PubMedCrossRefGoogle Scholar
  7. 7.
    Ready LB, Oden Rollin Chadwick HS, Benedetti C et al (1988) Development of an anesthesiology-based postoperative pain management service. Anesthesiology 68: 100–106PubMedCrossRefGoogle Scholar
  8. 8.
    Semple P, Jackson IJB (1991) Postoperative pain control. A survey of current practice. Anaesthesia 46: 1074–1076Google Scholar
  9. 9.
    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
  10. 10.
    Zimmermann DL, Stewart J (1993) Postoperative pain mangement and Acute Pain Services activity in Canada. Can J Anaesth 40: 568–575PubMedCrossRefGoogle Scholar
  11. 11.
    Coleman SA, Booker-Milburn J (1996) Audit of postoperative pain control. Influence of a dedicated pain nurse. Anaesthesia 51: 1093–1096Google Scholar

Copyright information

© Springer-Verlag Italia 2000

Authors and Affiliations

  • N. Rawal
  • R. Allvin
  • C. Zetterberg

There are no affiliations available

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