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Acute Pain Management


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  • What does Acute Pain Management mean?
      Everyone understands that having surgery can be quite painful. Unfortunately, many patients think that they "just have to suffer through it". In the past, postoperative pain medication involved giving the patient a series of intramuscular injections. This method of pain management sets the following cycle into motion:

      Pain Management Cycle

      Obviously, with this form of analgesia, the patient experiences constant "peaks and valleys of pain" and may even be more drowsy than desired. When pain is not adequately controlled, patients may not be able to perform the activities needed to get better, such as walking, eating, and doing deep breathing exercises. Thus, pain can interfere with patients' ability to get out of the hospital on a timely basis. However, adequate pain control may help avoid some problems, such as pneumonia and blood clots

      In the last several years, there have been a great number of changes occurring in the field of postoperative pain management. It is now widely accepted that patients seem to do better if their pain is under reasonable control. Methods, such as Intravenous Patient Controlled Analgesia (IV PCA), Epidural Analgesia and various regional nerve blocks allow the patient to have some control over the pain, rather than having to wait for the nurse to bring the injection.

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    What is a PCA?
      This stands for Patient Controlled Analgesia. This is a mechanism recently developed to allow patients to deliver their own pain medicine. If your surgeon and anesthesiologist feel this would work well for you, you will be given a "button" connected to a small IV pump which will deliver a small dose of pain medicine when you push the button. Delet the continuous infusion sentence. You may actually find that overall you need less pain medicine but experience less post-operative discomfort by using a PCA.

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    Will I Receive an Epidural for post-op Pain Control?
      For certain procedures an epidural catheter can be placed to deliver medication directly to the nerves in your back to control post-operative pain. This type of pain control is particularly well suited to major lower extremity procedures like a total hip or knee replacement, certain abdominal or pelvic surgeries and is especially useful after chest surgery. Regional blocks may be utilized for analgesia and sympathectomy after knee, foot, shoulder, arm, and hand surgeries.

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  • Pre-op Considerations
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