Control of acute pain in postoperative and post-traumatic situations and the role of the acute pain service
Ewan S. Jack, Margaret Baggott
ANAESTHESIA AND INTENSIVE CARE MEDICINE 12:1
Abstract
Since the early 1980s the vast majority of hospitals in the UK have developed their own acute pain services (APS) to better manage acute pain. A well-run and locally tailored APS will lead to improved quality of patient care and satisfaction along with a reduced length of stay and complications. Historically the main analgesic interventions are oral medication, intravenous patient-controlled analgesic devices and epidural infusions. Increasingly newer analgesic techniques are being utilized to improve care, including wound catheter infusions, peripheral nerve blocks and subcutaneous infusions of ketamine.
Keywords: Acute pain service, epidural, ketamine, local anaesthetics, non-steroidal anti-inflammatory drugs, opiates, paracetamol, patient-controlled analgesia, patient-controlled epidural, transverse abdominal plane blocks
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