Gandhi Kishor, Heitz James W, Viscusi Eugene R
Department of Anesthesiology, Jefferson Medical College, Thomas Jefferson University, 111 South 11th Street, Suite 8490, Philadelphia, PA 19107, USA.
Anesthesiol Clin. 2011 Jun;29(2):291-309. doi: 10.1016/j.anclin.2011.04.009.
The management of acute pain remains challenging, with many patients suffering inadequate pain control following surgery. Certain populations are at unique risk for unrelieved pain. Evidence-based approaches taking into account patients' specific needs and problems will likely substantially improve their perioperative experience. These patients must be identified in the preoperative process, and an anesthetic/analgesic plan discussed and formulated. A targeted multimodal approach to pain management should be considered the best clinical practice. The most challenging patients may benefit most from the surveillance of an acute pain service that is able to monitor and coordinate care into the postoperative period.
急性疼痛的管理仍然具有挑战性，许多患者在手术后疼痛控制不佳。某些人群面临疼痛无法缓解的独特风险。考虑到患者的具体需求和问题的循证方法可能会大幅改善他们的围手术期体验。这些患者必须在术前过程中被识别出来，并讨论和制定麻醉/镇痛计划。针对性的多模式疼痛管理方法应被视为最佳临床实践。最具挑战性的患者可能会从急性疼痛服务的监测中获益最多，该服务能够监测并协调术后护理。
