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Revista Mexicana de Anestesiología

ISSN 3061-8142 (Electronic)
ISSN 0484-7903 (Print)
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2019, Number 3

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Rev Mex Anest 2019; 42 (3)

Acute pain service in a private hospital, experiences and recommendations

Calderón-Vidal M, Castorena-Arellano GA
Full text How to cite this article

Language: Spanish
References: 7
Page: 170-172
PDF size: 102.16 Kb.


Key words:

Acute pain, acute pain clinic, PAIN-OUT initiative, gestion system, private hospital.

ABSTRACT

Surgical medicine must be established within the framework of perioperative care where the anesthesiologist is a fundamental piece for decision-making from admission to discharge and rehabilitation; so the acute pain management should be taken as an extension of the care of this specialty. This paper describes the effort in developing an acute pain unit in a private hospital, where human resources and organization are constrained. The model of this private acute pain service is a mix of various models written in the literature where the residents of anesthesia are the main actors (low cost), and the standards used are based under the PAIN-OUT initiative. Many areas of opportunity were found along with different solutions, however at the end making authorities sensible about this topic is the hardest step.


REFERENCES

  1. Vas L. How to set up a pain clinic and practice as a pain management specialist. Indian J Anaesth. 2006;50:408-414.

  2. Teodore T, Weinberg R, Witkin L, Giambore G, et al. Acute pain management/regional anesthesia. Anesthesiology Clin. 2015;33:739-751.

  3. Bäckström R, Rawal N. Acute pain service-what it is, why it is and what is next. European Journal of Pain. 2008;Suppl 2:40-43.

  4. D’Arcy Y. Meeting the challenges of acute pain management. [Acceso el 26 de enero del 2019] Disponible en: www.medscape.org/viewarticle/570145_print

  5. Levy N, Sturgess J, Mills P. “Pain as the fifth vital sign” and dependence on the “numerical pain scale” is being abandoned in the US: why? Br J Anaesth. 2018;120:435-438.

  6. Nasir D, Howard JE, Joshi GP, Hill GE. A survey of acute pain service structure and function in United States hospitals. Pain Res Treat. 2011;2011:934932.

  7. Pozek JP, De Ruyter M, Khan T. Comprehensive acute pain management in the perioperative surgical home. Anesthesiology Clin. 2018;36:295-307.




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Rev Mex Anest. 2019;42