Anesthesiology FREE

Paul G. Barash, MD

JAMA. 1993;270(2):188-190. doi:10.1001/jama.1993.03510020052013

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ABSTRACT

ABSTRACT | REFERENCES

Despite a wealth of information, an abundance of safe, effective drugs, and a variety of delivery systems, medicine in the United States has failed to adequately manage pain. Thus, the protocol for treatment of acute pain, the focus of the first report by the Agency for Health Care Policy and Research, has four goals: (1) to reduce the incidence and severity of acute postoperative and posttraumatic pain, (2) to educate the patient as to the need to communicate unrelieved pain, (3) to enhance patient comfort and satisfaction, and (4) to reduce postoperative complications and reduce hospital stays after surgery.¹ The protocol also emphasizes that prevention is better than treatment.

McQuay² describes preemptive analgesia, an approach to pain management that emphasizes administration of analgesic agents prior to injury. Numerous laboratory studies have demonstrated that noxious stimuli alter neural function and preemptive analgesia prevents or reduces any memory of the

REFERENCES

ABSTRACT | REFERENCES

Acute Pain Management Guideline Panel. Acute Pain Management: Operative or Medical Procedures and Trauma . Rockville, Md: US Dept of Health and Human Services; February 1992;. Agency for Health Care Policy and Research, Public Health Service publication 92-0032.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal