Guidelines on acute postoperative pain management
In high-technology countries, the level of care in intensive care units or recovery units is high, whereas on many general wards the standards of acute pain therapy are low. “Standards” are derived from the sources that legitimately set the standards of knowledge and practice in the dominant medical care system. Standards are intended to be applied rigidly and in virtually all cases. Violation should trigger thoughts of malpractice. “Practice guidelines” aim at decreasing inappropriate variations in practice and reducing excessive expenses. They are appropriate for the majority of patients and should be followed in most cases. Guidelines are not intended to function as standards or absolute requirements.
KeywordsPostoperative Pain Pain Management Respiratory Depression Epidural Analgesia Epidural Abscess
Unable to display preview. Download preview PDF.
- 2.Miaskowski C (1994) Pain management: quality assurance and changing practice. Proceedings of the 7th World Congress on Pain. IASP Press, Seattle, pp 75–96Google Scholar
- 4.BDA & BDC (1992) Agreement on the organization of postoperative pain management. Association of German Anaesthesiologists and of German Surgeons (in German) Chirurg 31. 222–236Google Scholar
- 6.Carpenter RL, Abram SE, Bromage PR, Rauck RL (1996) Consensus statement on acute pain management Reg Anaesth 21 (Suppl 6): 152–156Google Scholar
- 7.FISM (Federazione delle Società Medico-Scientifiche Italiane) (1996) Raccomandazioni per la produzione, disseminazione ed implementazione di linee-guida di comportamento pratico. Milano, pp 1–24Google Scholar
- 10.DuBose RA, Berde CB (1997) Respiratory effects of oproids. IASP Newsletter. IASP Press, Seattle, pp 3–5Google Scholar
- 12.Aguilar JL, Benhamou D, Bonnet F, Dahl J, Rawal N, Rubin A (1997) ESRA guidelines for the use of epidural opioids. Int Monitor 9 (2): 3–8Google Scholar
- 13.Wedel DJ, Horlocker TT (1996) Risks of regional anaesthesia — infectious, septic. Reg Anaesth 21: 57–61Google Scholar
- 15.Gruppo di studi SIAARTI per la terapia del dolore. Raccomandazioni per il trattamento del dolore postoperatorio Minerva Anestesiol 64(6):26–29Google Scholar