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Acute Pain Service: A 10-Year Experience
Francesco Deni1, Massimiliano Greco2, Stefano Turi1
1Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Pain Practice : the Official Journal of World Institute of Pain
|February 22, 2019
Summary
Acute Pain Services (APS) safely and effectively manage postoperative pain using epidural analgesia and IV patient-controlled analgesia (PCA). This large study confirms APS improves patient outcomes with minimal complications.
Area of Science:
- Anesthesiology
- Pain Management
- Surgical Care
Background:
- Effective postoperative pain management is vital for reducing surgical complications.
- Acute Pain Services (APS) are multidisciplinary teams implementing standardized pain treatment protocols.
- Evaluating APS performance is key to optimizing patient care.
Purpose of the Study:
- To assess the safety and efficacy of Acute Pain Services (APS).
- To analyze complications associated with epidural analgesia and IV patient-controlled analgesia (PCA).
- To evaluate the 10-year performance of an APS in a large patient cohort.
Main Methods:
- Retrospective cohort study analyzing 10 years of APS data.
- Pain assessed via Visual Analog Scale (VAS) at rest (VASr) and movement (VASm).
- Systematic recording of side effects and complications related to pain management techniques.
Main Results:
- 17,913 adult patients were managed by APS.
- Epidural analgesia used in 43%, IV PCA in 52%.
- No cases of epidural hematoma, abscess, meningitis, or permanent neurological deficits were reported.
Conclusions:
- APS demonstrates a strong safety profile in managing postoperative pain.
- Both epidural analgesia and IV PCA are effective when managed by APS.
- The study confirms APS as a safe and effective strategy for acute pain management.
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