Pain Management Nursing
Volume 9, Issue 1, Supplement , Pages 33-41, March 2008

Emerging Trends and New Approaches to Acute Pain Management

  • Rosemary C. Polomano, PhD, RN, FAAN

      Affiliations

    • University of Pennsylvania School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania
    • Corresponding Author InformationAddress correspondence to Rosemary C. Polomano, PhD, RN, FAAN, Associate Professor of Pain Practice, University of Pennsylvania School of Nursing, Associate Professor of Anesthesiology and Critical Care (Secondary), University of Pennsylvania, Claire M. Fagin Hall, 418 Curie Blvd., Philadelphia, PA 19104-6096.
    • ,
  • James P. Rathmell, MD

      Affiliations

    • MGH Pain Center, Department of Anesthesia & Critical Care, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
    • ,
  • Dina A. Krenzischek, MAS, RN, CPAN

      Affiliations

    • Same-Day Prep/Post-Anesthesia Care Unit, Department of Anesthesia & Critical Care, Department of Surgical Nursing, Johns Hopkins Hospital, Baltimore, Maryland
    • ,
  • Colleen J. Dunwoody, MS, RN-BC

      Affiliations

    • UPMC Presbyterian, Pittsburgh, Pennsylvania.

Abstract 

New approaches to the management of acute perioperative pain have focused on ways to improve the risk/benefit profile of various analgesics, enhance the consistency of pain control, address interpatient differences in responses to pain and treatments, and avoid periods of ineffective pain relief (analgesic gaps). Although intravenous patient-controlled analgesia has been the “gold standard” for acute pain management, there are now more analgesic options and compelling data to support combinations of analgesics or multimodal therapy, timing of analgesic interventions, and the use of newer drug delivery systems. Maximizing pain control with preemptive analgesia and multimodal therapy and the availability of transdermal fentanyl by iontophoresis and of extended-release epidural morphine have expanded the armamentarium of effective options for perioperative pain control. This article explores emerging trends in acute pain therapy and discusses their implications for improving patient care.

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 STATEMENT OF CONFLICT OF INTEREST: These authors report the following conflicts of interest with the sponsor of this supplement article or products discussed in this article. Rosemary Polomano, PhD, RN, FAAN, is on the speaker’s bureau or a consultant for Janssen, L.P., Merck & Co., Inc., and Ortho-McNeil, Inc. James Rathmell, MD, received a grant/research support from PriCara, a Unit of Ortho-McNeil, Inc. Dina Krenzischek, MAS, RN, CPAN, is on the speaker’s bureau for Merck & Co., Inc., and Ortho-McNeil, Inc. Colleen Dunwoody, MS, RN-C, is on the speaker’s bureau and a consultant for Ortho-McNeil, Inc. and Hospira Inc.

PII: S1524-9042(07)00183-X

doi:10.1016/j.pmn.2007.11.005

Pain Management Nursing
Volume 9, Issue 1, Supplement , Pages 33-41, March 2008

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