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An acute pain management service with regional anesthesia: How to make it work

Acute pain management has made the transition from treatment primarily with opioids to an array of regional anesthesia techniques. Epidural analgesia, with a combination of local anesthetics and opioids, has become a standard of care for many painful surgical procedures. Peripheral nerve blocks are being applied more broadly for postoperative pain control (either as primary anesthetics or in combination with general anesthesia) and employing catheter techniques will prolong their action for as long as the analgesia is required. Regional analgesia techniques work best in combination with other analgesics to maximize pain relief while minimizing side effects. Outcome may thus be improved. As such, acute pain management with aggressive regional anesthesia techniques requires an organized service beyond the operating room, with dedicated trained personnel and extensive protocols. A nurse-based approach fulfills these requirements. Copyright 2002, Elsevier Science (USA). All rights reserved. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Techniques in Regional Anesthesia and Pain Management Elsevier
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