Postoperative Functional Pain Management

  • F. Nicosia
Conference paper
Part of the Topics in Anaesthesia and Critical Care book series (TIACC)


Despite all the improvements in anaesthesia and surgery, patients still have problems after the operations. Many of them have injured, induced organ dysfunction (surgical stress syndrome). All patients have pain and many experience nausea and vomiting, which may limit oral feeding; fatigue and inability to work are very common. A few patients suffer major postoperative complications al though the operation was technically successful. Pulmonary, thrombo-embolic and cardiac complications are among the most common life-threatening consequences of surgery.


Radical Prostatectomy Regional Anaesthesia Fast Track Major Postoperative Complication Thoracic Epidural Analgesia 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Rudkin GE (1997) Patient recovery and discharge. In: Millar JM, Rudkin GE, Hitchcock M (eds) Practical anaesthesia and analgesia for day surgery. Bios Scientific, pp 218–222Google Scholar
  2. 2.
    Coveney E, Weltz CR, Greengrass R et al (1998) Use of paravertebral block anaesthesia in the surgical treatment of breast cancer. Ann Surg 222: 496–501CrossRefGoogle Scholar
  3. 3.
    Bonnema J, Van Wresch AM, van Geel AN et al (1998) Medical and psychosocial effects of early discharge after surgery for breast cancer: randomised trial. BMJ 316: 1267–1271Google Scholar
  4. 4.
    Callensen T, Beck K, Kehlet H et al (1998) The feasibility, safety and cost of infiltration anaesthesia fir hernia repair. Anaesthesia 53: 31–35CrossRefGoogle Scholar
  5. 5.
    Tovar EA, Roethe RA, Weissig MD et al (1998) One day admission for lung lobectomy: an initial result of a clinical pathway. Ann Thorac Surg 65: 803–806PubMedCrossRefGoogle Scholar
  6. 6.
    Kehlet H, Mogensen T (1999) Two days hospital stay after open sigmoidectomy. Br J Surg 86: 227–230PubMedCrossRefGoogle Scholar
  7. 7.
    Worwag E, Chodak GW (1998) Overnight hospitalisation after radical prostatectomy. Anesth Analg 87: 62–67PubMedGoogle Scholar
  8. 8.
    Kehlet H (1997) Multimodal approach to control postoperative pathophysiology and rehabilitation. Br J Anaesth 78: 606–617PubMedGoogle Scholar
  9. 9.
    Carpenter R (1996) Gastrointestinal benefits of regional anesthesia/analgesia. Reg Anesth 21 [Suppl 6]: 13–17PubMedGoogle Scholar
  10. 10.
    Thorn SE, Watturl M, Kallander A et al (1994) Effect of epidural morphine and epidural bupivacaine on gastrointestinal motility during the fasted state and after food intake. Acta Anaesthsiol Scand 38: 57–62CrossRefGoogle Scholar
  11. 11.
    Crawford ME, Moiniche S, Orback J et al (1996) Orthostatic hypotention during postoperative continuous thoracic epidural bupivacaine-morphine in patients undergoing abdominal surgery. Anesth Analg 83: 1028–1032PubMedGoogle Scholar
  12. 12.
    Greif R, Akca O, Horn EP et al (2000) Supplemental perioperative oxygen to reduce the incidence of surgical wound infection. New Engl J Med 342: 161–167PubMedCrossRefGoogle Scholar
  13. 13.
    Benoist S, Panis Y, Denet C et al (1999) Optimal duration of urinary drainage after rectal resection: A randomised controlled trial. Surgery 125: 135–141CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia, Milano 2001

Authors and Affiliations

  • F. Nicosia

There are no affiliations available

Personalised recommendations