Encyclopedia of Pain

2007 Edition

Acute Pain

  • Ross MacPherson
  • Michael J. Cousins
Reference work entry
DOI: https://doi.org/10.1007/978-3-540-29805-2_68

Why Should We Aim to Optimise the Management of Acute Pain?

Post-operative pain is a major marker of peri-operative morbidity and mortality and its effective treatment should be a goal in every hospital and institution. We should all aim to control pain, not only for humanitarian reasons, but also to attenuate the psychological and physiological stress with which it is associated following trauma or surgery. While it is now recognised that adequate pain control alone is not sufficient to reduce surgical morbidity, it remains an important variable and one that is perhaps more readily controlled (Kehlet and Holte 2001).

Adequate management of post-operative pain is vital to attenuate the stress response to surgery and the accompanying pathophysiological changes in metabolism, respiratory, cardiac, sympathetic nervous system and neuro-endocrine functions. These effects (summarised in Neuroendocrine and metabolic responses to surgery after NH&MRC 1999) are wide ranging and have significant...

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Copyright information

© Springer-Verlag Berlin Heidelberg 2007

Authors and Affiliations

  • Ross MacPherson
    • 1
  • Michael J. Cousins
    • 1
  1. 1.Department of Anesthesia and Pain ManagementRoyal North Shore HospitalUniversity of SydneyNSW, Australia