Control of acute pain in postoperative and post-traumatic situations and the role of the acute pain service

摘要: Abstract There has been considerable investment in services that promote the effective management of acute pain. Despite pain teams being normal practice UK hospitals and an increasing volume guidance, there are still a substantial number patients who suffer moderate or severe Acute improve analgesia, reduce side effects safety on basis comparative studies. Simple scales for assessing effective. Assessment may be more difficult certain patient groups such as babies, infants children, elderly non-English speakers. symptoms signs neuropathic is important when nerve injury suspected. Effective obtunds adverse response risk chronic postsurgical Preventive analgesia terms reducing postoperative and/or analgesic use associated with local anaesthetics, opioids N-methyl-d-aspartate antagonists. Paracetamol lowers needed to treat other analgesics. The non-steroidal anti-inflammatory drugs limited by effects. Tramadol non-opioid mechanisms widen its scope. In future will greater focus those areas where current control approaches benefit.