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Pain Management 2018
Internal Medicine 2018
International Journal of Anesthesiology & Pain Medicine
ISSN: 2471-982X
Page 77
March 26-28, 2018
Vienna, Austria
JOINT EVENT
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E d i t i o n o f I n t e r n a t i o n a l C o n f e r e n c e o n
Internal Medicine and Patient Care
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E d i t i o n o f I n t e r n a t i o n a l C o n f e r e n c e o n
Pain Management
Volume 4
T
he idea of organizing an acute pain service in every hospital
is not new. It started in the USA in 1988 and very soon it
became an important task for a lot of hospitals in both North
American and Europe continents. Today we know that the
creation of an acute pain service in every hospital would have
a large series of advantages. It would improve patient comfort,
would reduce the duration of hospitalization, decrease the rate of
pulmonary and other complications, such as nausea and vomits,
as well as incidence of urinary retention. The ideology behind
the creation of an APS (American Pain Society) includes: 1. a
goal: to provide optimal analgesia to each and single patient in
acute pain. 2. a way: creation of a team of dedicated individuals
which would fulfill the above goal. 3. a continuous education
plan, for each nurse and physician, in every single department of
each hospital. There are seven recommended steps in the way
of creating an APS: Step 1: recognition of the APS importance
by all factors. Step 2: the respect of the 24-hrs a day principle.
Step 3: create the multidisciplinary team (the APS committee).
Step 4: finding the necessary financial resources. Step 5: defining
the maximum acceptable pain score. Step 6: accepting the
principle of continuous treatment and refusing the idea of “saw”
management. Step 7: creating an education systemfor personnel.
The main obstacles in the way of creating an APS are those
related to logistics, education and cost. But joined efforts from all
the interested persons and departments could overcome these
difficulties. Some evident lessons are to be taken home which
are as follows: pain is dangerous also because its psychological
and physiological negative effects; cooperation is too important
to be underestimated; clinical and instrumental monitoring is the
key for success; patient satisfaction is important for the medical
institution name and fame and a well built up APS could solve
most of the problems and avoid most of the dangers.
guman@bgu.ac.ilAcute pain service in a hospital environment: a real need or a
real luxury?!
Gabriel M Gurman
The National Institute for Biotechnology, Israel
Int J Anesth Pain Med 2018, Volume 4
DOI: 10.21767/2471-982X-C1-003