Recent advances in postoperative pain therapy.

@article{Power2005RecentAI,
  title={Recent advances in postoperative pain therapy.},
  author={Ian Power},
  journal={British journal of anaesthesia},
  year={2005},
  volume={95 1},
  pages={
          43-51
        }
}
  • I. Power
  • Published 1 July 2005
  • Medicine
  • British journal of anaesthesia
Despite many advances in the provision of pain services, acute pain after surgery remains a serious cause of severe suffering that is often undermanaged despite our best efforts. 34 37 Acute pain teams have been introduced in many hospitals, but recent evidence from a UK national postal questionnaire suggests that they are struggling with the problem of alleviating acute pain successfully. In a review of published data of pooled pain scores from nearly 20 000 surgical patients having… 

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References

SHOWING 1-10 OF 122 REFERENCES
Effectiveness of acute postoperative pain management: I. Evidence from published data.
TLDR
The results suggest that the UK Audit Commission (1997) proposed standards of care might be unachievable using current analgesic techniques, and the data may be useful in setting Standards of care for Acute Pain Services.
Respiratory and haemodynamic effects of acute postoperative pain management: evidence from published data.
TLDR
Assuming a mixture of analgesic techniques, Acute Pain Services should expect an incidence of respiratory depression, as defined by a low ventilatory frequency, of less than 1%, and an incidenceof hypotension related to analgesic technique of more than 5%.
Chronic Pain as an Outcome of Surgery: A Review of Predictive Factors
TLDR
Five groups of surgeries were selected because the incidence of pain is known to be high, thus improving the probability of detecting predictive factors and the natural history of patients with and without persistent pain after surgery provides an opportunity to improve the understanding of the physiology and psychology of chronic pain.
1996 Labat Lecture: Pain—A Persistent Problem
TLDR
The widespread introduction of acute pain teams since 1988 with the use of patient-controlled analgesia and epidural infusions of local anesthetic/opioid mixtures on surgical wards, represent major advances in improving patient well being compared with previous decades.
A Review of Chronic Pain After Inguinal Herniorrhaphy
TLDR
The frequency of chronic pain after inguinal hernia repair was found to be as high as 54%, much more than previously reported, and quality of life of patients is affected.
Chronic pain after surgery.
  • W. Macrae
  • Medicine, Psychology
    British journal of anaesthesia
  • 2001
TLDR
Predictive factors are reviewed and core risk factor and outcome domains for inclusion in future epidemiological studies investigating chronic pain after surgery are proposed to advance the field of CPSP research by striving for consensus among pain experts.
Propacetamol as Adjunctive Treatment for Postoperative Pain After Cardiac Surgery
TLDR
Propacetamol did not enhance opioid-based analgesia in coronary artery bypass grafting patients, nor did it decrease cumulative opioid consumption or reduce adverse effects within 3 days after surgery, however, post hoc analysis showed that oxycodone requirement was reduced within the first 24 h in the prop acetamol group.
[Role of paracetamol in the acute pain management].
TLDR
Paracetamol has a favourable efficacy-tolerability profile and is therefore recommended as a basic, first-line analgesic in acute pain states and as a valuable component in multimodal analgesia.
Neuropathic pain after femoropopliteal bypass surgery.
Ketorolac. A reappraisal of its pharmacodynamic and pharmacokinetic properties and therapeutic use in pain management.
TLDR
Ketorolac is a strong analgesic with a tolerability profile which resembles that of other NSAIDs when used in accordance with current dosage guidelines, this drug provides a useful alternative, or adjuvant, to opioids in patients with moderate to severe pain.
...
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