Postoperative Analgesia in Ambulatory Surgery

  • N. Rawal
Conference paper


Recent advances in anaesthetic and surgical techniques along with escalating health costs have resulted in an ever increasing number of surgical procedures being performed on a day-case basis word-wide. The cost-effectiveness of day-case surgery is well recognized. Day-case surgery constitutes 60–70% of all surgery performed in North America in the 1990’ s [1], in other parts of the world the numbers are lower. However, as outcome data become available confirming the safety of day-case surgery, it is anticipated that even more procedures will be performed on a day-case basis.


Postoperative Pain Hernia Repair Regional Anaesthesia Postoperative Analgesia Ambulatory Surgery 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Chung F, Ritchie E, Su J (1997) Postoperative pain in ambulatory surgery. Anesth Analg; 85: 808–816PubMedGoogle Scholar
  2. 2.
    Beauregaard L, Pomp A, Choinière M (1998) Severity and impact of pain after day-surgery. Can J Anaesth; 45: 304–311CrossRefGoogle Scholar
  3. 3.
    Rawal N, Hylander J, Nydahl P-A et al (1997) Survey of postoperative analgesia following ambulatory surgery. Acta Anaesthesiol Scand; 41: 1017–1022PubMedCrossRefGoogle Scholar
  4. 4.
    Jin FL, Chung F (1998) Postoperative pain — a challenge for anaesthetists in ambulatory surgery (Editorial). Can J Anaesth; 45: 293–296PubMedCrossRefGoogle Scholar
  5. 5.
    Wolf AR (Editorial) (1999) Tears at bedtime: a pitfall of extending paediatric day-case surgery without extending analgesia. Br J Anaesth; 82: 319–320Google Scholar
  6. 6.
    Callesen T, Bech K, Kehlet H (1999) Prospective study of chronic pain after groin hernia repair. Br. J. Surg 86: 1528–1Google Scholar
  7. 7.
    Kotiniemi LH, Ryhänen PT, Moilanen IK (1997) Behavioral changes in children following day-case surgery: a 4-week follow-up of 551 children. Anaesthesia:52: 970–976PubMedCrossRefGoogle Scholar
  8. 8.
    Marquardt HM, Razis PA (1996) Prepacked take-home analgesia for day case surgery. Br J Nurs; 5: 1114–1118PubMedGoogle Scholar
  9. 9.
    Rawal N (1999) 10 years of acute pain services—achievements and challenges. Reg Anesth Pain Med; 24: 68–73PubMedGoogle Scholar
  10. 10.
    Rudkin GE (1997) Pain management in the adult day surgery patient. In: Practical anaesthesia and analgesia for day surgery. Bios Scientific Publishers Oxford, UK; Pp 207–210Google Scholar
  11. 11.
    Chambers CT, Reid GJ, McGrath PJ et al (1996) Development and preliminary validation of a postoperative pain measure for parents. Pain; 68: 307–313PubMedCrossRefGoogle Scholar
  12. 12.
    Rawal N, Axelsson K, Hylander J et al (1998) Postoperative patient-controlled local anesthetic administration at home. Anest Analg; 86: 86–89Google Scholar
  13. 13.
    Rawal N, Allvin R, Hallén J et al (2000) Ropivacaine versus bupivacaine for axillary plexus analgesia at home — a controlled trial of PCRA. Int Monitor Reg Anaesth; 12: 199 (Abs).Google Scholar

Copyright information

© Springer-Verlag Italia 2002

Authors and Affiliations

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

Personalised recommendations