The Challenge of Postoperative Analgesia

  • N. Rawal
Conference paper


Recent surveys show that a large proportion of patients still receive in adequate post-surgical analgesia, this problem is international in character. Analgesia techniques such as patient-controlled analgesia (PCA), spinal opioids alone or in combination with local anaesthetics and other regional analgesia techniques provide superior pain relief as compared to intermittent i.m. injection of opioids. However, these techniques have their own risks and therefore require special monitoring. The first line of defence against serious complications is an organization that provides appropriate education and policies which allow nurses and physicians to safely care for patients. It is increasingly clear that the solution to the problems of postoperative pain management lies not so much in the development of new techniques but in the development of an organization to exploit existing expertise.


Pain Management Postoperative Analgesia Visual Analogical Score Postoperative Pain Management Peripheral Nerve Block 
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Copyright information

© Springer-Verlag Italia 2002

Authors and Affiliations

  • N. Rawal
    • 1
  1. 1.Department of Anaesthesiology and Intensive CareÖrebro Medical Centre HospitalÖrebroSweden

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