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Modern anesthesia has advanced to a point at which all patients can be guaranteed a pain-free intra-operative period. Unfortunately, we often fall short when it comes to providing post-operative pain relief. It is not surprising; therefore, that what patients often fear most about a surgical procedure is the pain they will experience afterward. Most people suffer from post-operative pain of varying intensity who under go operation. Inadequate treatment of pain causes needless suffering and may develop complications. John J. Postoperative pain relief must reflect the needs of each patient and this can be achieved only if many factors are taken into account.
As with all pain. Assessment presents a major challenge.
In practical terms. When analgesic drugs are given they may not be absorbed as well or metabolized as efficiently. Pain relief in the elderly1 The elderly also present special problems in the provision of analgesia. A major problem in treating pain in children is associated with the difficulty in assessment. But there is no evidence to support the idea that pain is less intense in neonates and young children due to their developing nervous system.
Rawal and 14 Klein report a trend towards discharging patients with indwelling nerve block catheters. This will result in improved postoperative analgesia. Children tend to receive less analgesia than adults and the drugs are often discontinued sooner.
The elderly are more likely to be receiving more than one drug for underlying medical conditions and the possibility of drug interaction is greater.
These initiatives along with improved management of postoperative pain in hospitals may address the high rates of moderate to severe pain being reported by patients after Post-operative pain management Pain relief in children1 Management of pain in children is often inadequate and ignored previously with misconception of low intensity of pain.
Pulse Volume 5 1 Many patients are anxious. These efforts will provide health care professionals with comprehensive feedback so they may strive for both clinical excellence and professional fulfillment. Conclusion Acute pain management services APMS evolved in response to the desire for improved management of postoperative pain. Assessment of pain may be carried out by normal methods and conventional numerical or graphical methods work well.
Christofer L. McArdle CS. Canadian Nurse World Federation of Societies of Anaesthesiologists. Miller 6 edition Ritchie E.
Peripheral mechanisms of somatic pain. Good M. Acute post-operative pain.
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The future looks bright with all these new techniques and drugs. Chong MS. Salter MW. Acute postoperative pain. Raja SN. Klein SM. Postoperative pain in ambulatory surgery Can J Anesth. Douglas Justins. Systematic relaxation to relieve postoperative pain. Allvin R.
Blackwell Publishing. Managing post-operative pain at home. As John Dryden Says. Beyond the hospital: David H. Brown R.
Chung F. Issue 7. Warltier DC. Baker CJ. Acute pain management services have progressed. Pagel PS. Home plexus catheters after major limb surgery. MacDonald V. Meyer RA. Kersten JR. Katz J. The management of postoperative pain. Ed Ronald D. Roykulcharoen V. Continuous and patient controlled analgesic infusions. Approaches to prevention of perioperative myocardial ischemia.
Contribution of central neuroplasticity to pathological pain: Kenny S. A20 abstract. Anesth Analg. Controlled comparison between bupivacaine and ropivacaine brachial plexus analgesia. October Campbell JN. Erratum Pre-emptive analgesia: Vaccarino AL. Ed Carlton. Elizabeth G. Coderre TJ. Axelsson K.
But again established facts are more safe and beneficial for the patients than anything that is yet to be established. Update in Anaesthesia. Patient-controlled regional analgesia PCRA at home.
Rennie W. Collins M. Melzack R. David James. Rawal N. Journal of Advanced Nursing. Neuronal plasticity: Flag for inappropriate content. Related titles. Pain control for Paediatric casualties in Snowdonia.
Jump to Page. Search inside document. However, any operation involving a body cavity, Patient-related factors large joint surfaces or deep tissues should be Although it may be possible to predict, to a Senior Consultant ,Department of Anaesthesia, ICU and Pain MedicineApollo Hospitals, Dhaka 30 Pulse Volume 5 1 and depression and encourages accepting surgical procedures which are necessary have more attention by new generation.
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