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Postoperative Pain, Acute Pain Team

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Encyclopedia of Pain

Definition

An acute pain team(APT) is organized in a hospital to prevent and treat acute pain after surgery, trauma, acute pain caused by other medical conditions, and labor pain. APT can improve pain relief for patients at high risk of severe acute pain, e.g., after extensive surgery, in patients on chronic opioid-therapy, patients with medical co-morbidities that increase their risk of analgesia-related complications or side effects. Children and elderly patients often need special focus on effective and safe pain relief. An APT is based in a department of anesthesiology, the pain clinic of the hospital, or one of the clinical departments that has patients with acute pain problems. For optimal management of acute postoperative pain, an APT is necessary for continuously ongoing education of ward nurses, doctors, and patients for implementing advanced pain-relieving methods, for effective and safe pain relief in high risk, young and old patients, for audit, and for continuous quality...

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References

  • Breivik, H. (1993). Recommendations for foundation of a hospital-wide postoperative pain service – a European view. Pain Digest, 3, 27–30.

    Google Scholar 

  • Breivik, H. (1995). Benefits, risks and economics of post-operative pain management programmes. Bailliere’s Clinical Anaesthesiology, 9, 403–422.

    Google Scholar 

  • Breivik, H. (2000). High-tech versus low-tech approaches to postoperative pain management. In M. Devor, M. C. Robotham, & Z. Wiesenafeld-Hallin (Eds.), Proceedings of the 9th World Congress on pain. Progress in Pain Research and Management, 16,787–807.

    Google Scholar 

  • Breivik, H. (2008). Epidural analgesia. In H. Breivik, W. Campbell, & M. K. Nicholas (Eds.), Clinical pain management. Practice and procedures (pp. 311–321). London: Hodder Arnold.

    Google Scholar 

  • Breivik, H. (2012). Local anaesthetic blocks and epidurals. In S. B. McMahon, & M. Kolzenburg (Eds.), Wall and Melzack’s Textbook of Pain (6th ed.). London: Elsevier Churchill Livingstone, Chapter 38.

    Google Scholar 

  • 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. Bailliere’s Clinical Anaesthesiology, 9, 423–460.

    Google Scholar 

  • Breivik, H., Curatolo, M., Niemi, G., Haugtom, H., & Kvarstein, G. (2007). How to implement an acute pain service: An update. In H. Breivik & M. Shipley (Eds.), Pain best practice and research compendium (pp. 255–270). London: Elsevier.

    Google Scholar 

  • Breivik, H., Bang, U., Jalonen, J., Vigfússon, G., Alahuhta, S., & Lagerkranser, M. (2010). Nordic guidelines for neuraxial blocks in disturbed haemostasis from the Scandinavian society of anaesthesiology and intensive care medicine. Acta Anaesthesiologica Scandinavica, 54, 16–41.

    PubMed  CAS  Google Scholar 

  • Breivik, H., & Stubhaug, A. (2008). Management of acute postoperative pain: Still a long way to go! Pain, 137, 233–234.

    PubMed  Google Scholar 

  • Brodner, G., Mertes, N., Buerkle H., Marcus, M. A., & Van Aken, H. (2000). Acute pain management: Analysis, implications and consequences after prospective experience with 6349 surgical patients. European Journal of Anaesthesiology, 17, 566–575.

    PubMed  CAS  Google Scholar 

  • Counsell, D., Macintyre, P. E., & Breivik, H. (2008). Organization and role of acute pain services. In H. Breivik, W. Campbell, & M. K. Nicholas (Eds.), Clinical pain management. Practice and procedures (pp. 579–603). London: Hodder Arnold.

    Google Scholar 

  • Fagenholz, P. J., Bowler, G. M. R., Carnochan, F.M., & Walker, W. S. (2012). Case report: Systemic local anaesthetic toxicity from continuous thoracic paravertebral block. British Journal of Anaesthesia, 109, 260–262.

    PubMed  CAS  Google Scholar 

  • Macintyre, P. E., & Scott, D. A. (2009). Acute pain management and acute pain services. In M. J. Cousins, D. B. Carr, T. T. Horlocker, & P. O. Bridenbaugh (Eds.), Cousins’ and Bridenbaugh’s neural blockade in clinical anaesthesia and pain medicine (4th ed., pp. 1036–1062). Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins.

    Google Scholar 

  • Norum, H., & Breivik, H. A. (2010). Systematic review of comparative studies indicates that paravertebral block is neither superior nor safer than epidural analgesia for pain after thoracotomy. Scandinavian Jounal of Pain, 1, 12–23.

    Google Scholar 

  • Powel, A. E., Davis, H. T. O., Bannister, J., & Macrae, W. A. (2008). Acute pain services and organizational change. In H. Breivik, W. Campbell, & M. K. Nicholas (Eds.), Clinical pain management. Practice and procedures (pp. 604–618). London: Hodder Arnold.

    Google Scholar 

  • Rawal, N. (1999). 10 Years of acute pain services – achievements and challenges. Regional Anesthesia and Pain Medicine, 24, 68–73.

    PubMed  CAS  Google Scholar 

  • Rawal, N., & Berggren, L. (1994). Organization of acute pain service: A Low-cost model. Pain, 57, 117–123.

    PubMed  CAS  Google Scholar 

  • Ready, L. B., Oden, R., Chadwick, H. S., et al. (1988). Development of an anaesthesiology-based postoperative pain management service. Anesthesiology, 68, 100–106.

    PubMed  CAS  Google Scholar 

  • Stenseth, R., Sellevold, O., & Breivik, H. (1985). Epidural morphine for postoperative pain: Experience with 1085 patients. Acta Anaesthesiologica Scandinavica, 29, 146–156.

    Google Scholar 

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Correspondence to Harald Breivik .

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Breivik, H., Sørensen, K., Stubhaug, A. (2013). Postoperative Pain, Acute Pain Team. In: Gebhart, G.F., Schmidt, R.F. (eds) Encyclopedia of Pain. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-28753-4_3424

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