Jain Parmanand N, Bakshi Sumitra G, Thota Raghu S
Department of Anesthesiology, Tata Memorial Hospital, Mumbai, Maharashtra, India.
Department of Critical Care and Pain, Tata Memorial Hospital, Mumbai, Maharashtra, India.
J Anaesthesiol Clin Pharmacol. 2015 Oct-Dec;31(4):554-7. doi: 10.4103/0970-9185.169088.
Acute postoperative pain is still a neglected and unresolved issue in day to day practice. Acute pain services were conceived three decades ago to form a dedicated team to monitor pain assessment and treatment as per laid down pain protocols and guidelines. The concept of acute pain service (APS) is slowly evolving in India.
This nationwide questionnaire survey was conducted to identify the status of postoperative pain, the prevalent treatment practices, and the prevalence of acute pain services in India. An electronic communication was sent to 4000 Indian Society of Anesthesiologists life members.
We received only 146 responses mainly from faculties/consultants from few corporate hospitals or medical colleges. About 68 APSs were functioning, however, 20 APS do not have any training programs and 34 have no written protocols. Anesthesiologists were involved in postoperative pain management only when epidural analgesia was employed.
This survey found that majority of anesthesiologists agree to establish an APS, however administrative issues seem to be a major barrier.
在日常医疗实践中，急性术后疼痛仍是一个被忽视且未得到解决的问题。急性疼痛服务机构于三十年前设立，旨在组建一个专业团队，依据既定的疼痛治疗方案和指南来监测疼痛评估与治疗情况。急性疼痛服务（APS）的概念在印度正逐渐发展。
开展此次全国性问卷调查，以确定印度术后疼痛的现状、普遍的治疗方法以及急性疼痛服务的普及情况。向4000名印度麻醉医师协会终身会员发送了电子调查问卷。
我们仅收到146份回复，主要来自少数几家私立医院或医学院的教职员工/顾问。约有68个急性疼痛服务机构在运作，然而，20个急性疼痛服务机构没有任何培训项目，34个没有书面协议。仅在采用硬膜外镇痛时，麻醉医师才参与术后疼痛管理。
本次调查发现，大多数麻醉医师同意设立急性疼痛服务机构，然而行政问题似乎是一个主要障碍。
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