An acute pain service in an Australian teaching hospital: the first year.

摘要: The Acute Pain Service began at the Royal Adelaide Hospital in April 1989. Funding, education programmes, policies, procedures, protocols, techniques (particularly patient-controlled analgesia, epidural opioid analgesia and subcutaneous morphine therapy) daily organisation of service are described this article, experience with 1053 patients referred to during first year operation is reported. occurrence major complications was small. Mild-to-moderate respiratory depression occurred four (0.5%) 747 who received none 177 opioids. Five receiving had persistent nausea/vomiting; 320 (35%) all or opioids suffered nausea/vomiting that required no treatment alleviated by an antiemetic. Around 13% reported mild-to-moderate itching. In our experience, combination appropriately trained nursing medical staff, standardised orders proper supervision can lead safe, more effective management acute pain.