Tawfic Qutaiba Amir, Faris Ali S
Department of Anesthesia & Perioperative Medicine, London Health Science Centre, Western University, London Ontario, Canada.
Pain Manag. 2015;5(1):47-58. doi: 10.2217/pmt.14.48.
Post surgical pain is a continuing major medical challenge despite all the advances in understanding acute pain and the development of new modalities of pain management. Since 1985 when the first acute pain service (APS) was started, many organizations initiated APS protocols and guidelines and it became mandatory to have an APS in all major acute care centers. This review focuses on the stages of development of APS and the challenges of postoperative pain management to provide optimal analgesia. Further clinical studies are required to determine best medication regimen for post-operative pain management.
尽管在理解急性疼痛和开发新的疼痛管理模式方面取得了所有进展，但术后疼痛仍然是一个持续的重大医学挑战。自1985年首个急性疼痛服务（APS）启动以来，许多组织制定了APS方案和指南，并且在所有主要的急性护理中心配备APS已成为强制性要求。本综述重点关注APS的发展阶段以及术后疼痛管理的挑战，以提供最佳镇痛效果。需要进一步的临床研究来确定术后疼痛管理的最佳药物治疗方案。
