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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:
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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