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Clinical Aspects of Acute Post-operative Pain Management & Its Assessment

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Date 2012 Jan 17
PMID 22247838
Citations 40
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Abstract

Management of postoperative pain relieve suffering and leads to earlier mobilization, shortened hospital stay, reduced hospital costs, and increased patient satisfaction. An effective postoperative management is not a standardized regime rather is tailored to the needs of the individual patient, taking into account medical, psychological, and physical condition; age; level of fear or anxiety; surgical procedure; personal preference; and response to therapeutic agents given. The major goal in the management of postoperative pain is to minimize the dose of medications to lessen side effects & provide adequate analgesia. Postoperative pain is still under managed due to obstacles in implementation of Acute Pain Services due to insufficient education, fear of complications associated with available analgesic drugs, poor pain assessment and inadequate staff. This review reflects the clinical aspects of postoperative pain & its assessment & management with an emphasis on research for new analgesic molecules & delivery system.

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References
1.
Simon L, Grierson L, Naseer Z, Bookman A, Shainhouse Z . Efficacy and safety of topical diclofenac containing dimethyl sulfoxide (DMSO) compared with those of topical placebo, DMSO vehicle and oral diclofenac for knee osteoarthritis. Pain. 2009; 143(3):238-245. DOI: 10.1016/j.pain.2009.03.008. View

2.
Sharrock N, Cazan M, Hargett M, WILSON Jr P . Changes in mortality after total hip and knee arthroplasty over a ten-year period. Anesth Analg. 1995; 80(2):242-8. DOI: 10.1097/00000539-199502000-00008. View

3.
PARBROOK G, Steel D, Dalrymple D . Factors predisposing to postoperative pain and pulmonary complications. A study of male patients undergoing elective gastric surgery. Br J Anaesth. 1973; 45(1):21-33. DOI: 10.1093/bja/45.1.21. View

4.
. Pain terms: a list with definitions and notes on usage. Recommended by the IASP Subcommittee on Taxonomy. Pain. 1979; 6(3):249. View

5.
Harris N, Wenzel R, Thomas S . High altitude headache: efficacy of acetaminophen vs. ibuprofen in a randomized, controlled trial. J Emerg Med. 2003; 24(4):383-7. DOI: 10.1016/s0736-4679(03)00034-9. View