Jiménez M, Català E, Casas J I, Aliaga L, Villar-Landeira J M
Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital de la Santa Creu i Sant Pau, Barcelona.
Rev Esp Anestesiol Reanim. 1995 Apr;42(4):125-31.
Although the role of outpatient surgery has become increasingly important in the campaign to reduce waiting lists and health care costs, careful control and treatment of postoperative pain too often receives slight attention. Pain control after surgery must produce high quality analgesia without lengthening the hospital stay or increasing the risk of complications. The risk of side effects must be low, the safety margin wide and administration simple. Anesthesiologists must therefore take preventive measures as well as apply techniques during and after surgery that diminish the intensity of pain and the incidence of nausea or vomiting. Drugs that act in the short term and have few side effects, regional anesthesia (depending on type of operation), non-opioid analgesics and balanced analgesia seem to give good quality control of pain after outpatient surgery.
尽管门诊手术在减少等候名单和降低医疗成本的行动中作用日益重要，但术后疼痛的精心控制和治疗却常常受到忽视。手术后的疼痛控制必须在不延长住院时间或增加并发症风险的情况下实现高质量镇痛。副作用风险必须较低，安全范围较宽且给药方式简单。因此，麻醉医生必须采取预防措施，并在手术期间及术后应用一些技术，以减轻疼痛强度以及恶心或呕吐的发生率。作用于短期且副作用少的药物、区域麻醉（取决于手术类型）、非阿片类镇痛药以及平衡镇痛法，似乎能在门诊手术后实现良好的疼痛质量控制。
