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.

References 

  1. American Society of Anesthesiologists Task Force on Acute Pain Management. Practice guidelines for acute pain management in the perioperative setting: an updated report by the American Society of Anesthesiologists Task Force on Acute Pain Management. Anesthesiology. 2004;100:1573–1581
  2. AORN. AORN Guidance Statement: postoperative patient care in the ambulatory surgery setting. AORN Journal. 2005;81:881–888
  3. Ballantyne JC, Carr DB, Chalmers TC, et al. Postoperative patient-controlled analgesia: meta-analyses of initial randomized control trials. Journal of Clinical Anesthesia. 1993;5:182–193
  4. Camu F, Van Aken H, Bovill JG. Postoperative analgesic effects of three demand-dose sizes of fentanyl administered by patient-controlled analgesia. Anesthesia and Analgesia. 1998;87:890–895
  5. Carr DB, Reines HD, Schaffer J, et al. The impact of technology on the analgesic gap and quality of acute pain management. Regional Anesthesia and Pain Medicine. 2005;30:286–291
  6. Carvalho B, Riley E, Cohen SE, et al. Single-dose, sustained-release epidural morphine in the management of postoperative pain after elective cesarean delivery: results of a multicenter randomized controlled study. Anesthesia and Analgesia. 2005;100:1150–1158
  7. Cohen MR, Smetzer J. Patient-controlled analgesia safety issues. Journal of Pain & Palliative Care Pharmacotherapy. 2005;19(1):45–50
  8. Elia N, Lysakowski C, Tramer MR. Does multimodal analgesia with acetaminophen, nonsteroidal antiinflammatory drugs, or selective cyclooxygenase-2 inhibitors and patient-controlled analgesia morphine offer advantages over morphine alone? (Meta-analyses of randomized trials). Anesthesiology. 2005;103:1296–1304
  9. Evans C, Schein J, Nelson W, et al. Improving patient and nurse outcomes: a comparison of nurse tasks and time associated with two patient-controlled analgesia modalities using delphi panels. Pain Management Nursing. 2007;8(2):86–95
  10. Evans H, Steele SM, Nielsen KC, et al. Peripheral nerve blocks and continuous catheter techniques. Anesthesiology Clinics of North America. 2005;23:141–162
  11. Forst J, Wolff S, Thamm P, Forst R. Pain therapy following joint replacement (A randomized study of patient-controlled analgesia versus conventional pain therapy). Archives of Orthopaedic and Trauma Surgery. 1999;119:267–270
  12. Gambling D, Hughes T, Martin G, et al. A comparison of Depodur, a novel, single-dose extended-release epidural morphine, with standard epidural morphine for pain relief after lower abdominal surgery. Anesthesia and Analgesia. 2005;100:1065–1074
  13. Gittell JH, Fairfield KM, Bierbaum B, et al. Impact of relational coordination on quality of care, postoperative pain and functioning, and length of stay: a nine-hospital study of surgical patients. Medical Care. 2000;38:807–819
  14. Gonzalez-Darder JM, Barbera J, Abellan MJ. Effects of prior anaesthesia on autotomy following sciatic transection in rats. Pain. 1986;24(1):87–91
  15. Gottschalk A, Smith DS. New concepts in acute pain therapy: preemptive analgesia. American Family Physician. 2001;63:1979–1984
  16. Grape S, Tramèr M. R. Do we need preemptive analgesia for the treatment of postoperative pain?. Best Practice & Research. Clinical Anaesthesiology. 2007;21(1):51–63
  17. Grond S, Hall J, Spacek A, Hoppenbrouwers M, et al. Iontophoretic transdermal system using fentanyl compared with patient-controlled intravenous analgesia using morphine for postoperative pain management. British Journal of Anaesthesia. 2007;98:806–815
  18. Hagle ME, Lehr VT, Brubakken K, Shippee A. Respiratory depression in adult patients with intravenous patient-controlled analgesia. Orthopaedic Nursing. 2004;23(1):18–27
  19. Hankin C, Zhang M. Problems associated with intravenous patient-controlled analgesia (IV PCA) infusion pumps: an analysis of the Manufacturer snd User Facility Device Experience (MAUDE). Presented at: ISPOR 10th Annual Meeting, May 16-18, 2005, Washington, DC 2005;
  20. Harding G, Vallow S, Leidy NK, et al. Ease of care with patient controlled analgesia systems: questionnaire development and validation. Journal of Advanced Nursing. 2007;59(5):530–541
  21. Hartrick CT, Bourne MH, Gargiulo K, et al. Fentanyl iontophoretic transdermal system for acute-pain management after orthopedic surgery: a comparative study with morphine intravenous patient-controlled analgesia. Regional Anesthesia and Pain Medicine. 2006;31:546–554
  22. Hartrick CT, Martin G, Kantor G, et al. Evaluation of a single-dose, extended-release epidural morphine formulation for pain after knee arthroplasty. The Journal of Bone and Joint Surgery. American. 2006;88:273–281
  23. Hudcova J, McNicol E, Quah C. Patient controlled opioid analgesia versus conventional opioid analgesia for postoperative pain. Cochrane Database of Systematic Reviews. 2006;CD003348
  24. Ilfeld BM, Enneking FK. Continuous peripheral nerve blocks at home: a review. Anesthesia and Analgesia. 2005;100:1822–1833
  25. Keck S, Glennon C, Ginsberg B. DepoDur extended-release epidural morphine: Reshaping postoperative care (What perioperative nurses need to know). Orthopaedic Nursing. 2007;26(2):86–95
  26. Kehlet H, Dahl JB. The value of “multimodal” or “balanced analgesia” in postoperative pain treatment. Anesthesia and Analgesia. 1993;77:1048–1056
  27. Kranke P, Morin AM, Roewer N, Eberhart LH. Patients’ global evaluation of analgesia and safety of injected parecoxib for postoperative pain: a quantitative systematic review. Anesthesia and Analgesia. 2004;99:797–806
  28. Macintyre PE. Intravenous patient-controlled analgesia: one size does not fit all. Anesthesiology Clinics of North America. 2005;23(1):109–123
  29. Marret E, Remy C, Bonnet F Postoperative Pain Forum Group. Meta-analysis of epidural analgesia versus parenteral opioid analgesia after colorectal surgery. The British Journal of Surgery. 2007;94(6):665–673
  30. Mathiesen O, Moiniche S, Dahl JB. Gabapentin and postoperative pain; a qualitative and quantitative systematic review, with focus on procedure. BMC Anesthesiology. 2007;7(1):6
  31. Mayes S, Ferrone M. Fentanyl HCl patient-controlled iontophoretic transdermal system for the management of acute postoperative pain. The Annals of Pharmacotherapy. 2006;40:2178–2186
  32. Miaskowski C. Patient-controlled modalities for acute postoperative pain management. Journal of Perianesthesia Nursing. 2005;20:255–267
  33. Mordin M, Gordon DB, Anastassopoulos KP, et al. Multicenter, prospective, observational study of intravenous patient-controlled analgesia (IV PCA) resource utilization (RU) in acute postoperative pain management. Paper presented at: Summer Meeting of the American Society of Health-System Pharmacists; June 11-15, Boston, MA 2005;
  34. Murphy DF, Graziotti P, Chalkiadis G, McKenna M. Patient-controlled analgesia: a comparison with nurse-controlled intravenous opioid infusions. Anaesthia and Intensive Care. 1994;22:589–592
  35. Myles PS, Buckland MR, Cannon GB, et al. Comparison of patient-controlled analgesia and nurse-controlled infusion analgesia after cardiac surgery. Anaesthia and Intensive Care. 1994;22:672–678
  36. Panchal SJ, Damaraju CV, Nelson WW, et al. System-related events and analgesic gaps during postoperative pain management with the fentanyl iontophoretic transdermal system and morphine intravenous patient-controlled analgesia. Anesthesia and Analgesia. 2007;105:1437–1441
  37. Pasero C, McCaffery M. Extended-release epidural morphine (Depodur). Journal of Perianesthesia Nursing. 2005;20(5):345–350
  38. Pasero C, Portenoy RK, McCaffery M. Opioid analgesics. In:  McCaffery M editors. Pain: clinical manual. (2nd ed.). St. Louis: Mosby; 1999;p. 161–299
  39. Rathmell JP, Wu CL, Sinatra RS, et al. Acute post-surgical pain management: a critical appraisal of current practice. Regional Anesthesia and Pain Medicine. 2006;31(Suppl):1–42
  40. Rawal N. Postoperative pain treatment for ambulatory surgery. Best Practice & Research (Clinical Anaesthesiology). 2007;21:129–148
  41. Redmond M, Florence B, Glass PS. Effective analgesic modalities for ambulatory patients. Anesthesiology Clinics of North America. 2003;21:329–346
  42. Reuben SS, Buvanendran A. Preventing the development of chronic pain after orthopaedic surgery with preventive multimodal analgesic techniques. The Journal of Bone and Joint Surgery. American. 2007;89(6):1343–1358
  43. Sathyan G, Zomorodi K, Gidwani S, Gupta S. The effect of dosing frequency on the pharmacokinetics of a fentanyl HCl patient-controlled transdermal system (PCTS). Clinical Pharmacokinetics. 2005;44(Suppl):17–24
  44. Sinatra R. The fentanyl HCl patient-controlled transdermal system (PCTS): an alternative to intravenous patient-controlled analgesia in the postoperative setting. Clinical Pharmacokinetics. 2005;44(Suppl):1–6
  45. Straube S, Derry S, McQuay HJ, Moore RA. Effect of preoperative COX-II–selective NSAIDs (coxibs) on postoperative outcomes: a systematic review of randomized studies. Acta Anaesthesiologica Scandinavica. 2005;49:601–613
  46. Tiippana EM, Hamunen K, Kontinen VK, Kalso E. Do surgical patients benefit from perioperative gabapentin/pregabalin? (A systematic review of efficacy and safety). Anesthesia and Analgesia. 2007;104(6):1545–1556
  47. United States Pharmacopeia Center for the Advancement of Patient Safety (2004). Patient-controlled analgesia pumps. USP quality review, September 2004.
  48. Viscusi ER. Emerging techniques in the management of acute pain: epidural analgesia. Anesthesia and Analgesia. 2005;101(5 Suppl):23–29
  49. Viscusi ER, Martin G, Hartrick CT, et al. Forty-eight hours of postoperative pain relief after total hip arthroplasty with a novel, extended-release epidural morphine formulation. Anesthesiology. 2005;102:1014–1022
  50. Viscusi ER, Reynolds L, Chung F, et al. Patient-controlled transdermal fentanyl hydrochloride vs intravenous morphine pump for postoperative pain: a randomized controlled trial. JAMA: the Journal of the American Medical Association. 2004;291:1333–1341
  51. Viscusi ER, Reynolds L, Tait S, et al. An iontophoretic fentanyl patient-activated analgesic delivery system for postoperative pain: a double-blind, placebo-controlled trial. Anesthesia and Analgesia. 2006;102(1):188–194
  52. Walder B, Schafer M, Henzi I, Tramer MR. Efficacy and safety of patient-controlled opioid analgesia for acute postoperative pain (A quantitative systematic review). Acta Anaesthesiologica Scandinavica. 2001;45:795–804
  53. Woolf CJ, Chong MS. Preemptive analgesia—treating postoperative pain by preventing the establishment of central sensitization. Anesthesia and Analgesia. 1993;77(2):362–379
  54. Wuhrman E, Cooney MF, Dunwoody CJ, et al. American Society for Pain Management Nursing Authorized and unauthorized (“PCA by proxy”) dosing of analgesic infusion pumps: position statement with clinical practice recommendations. Pain Management Nursing. 2007;8(1):4–11

 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

Article Tools

* Image Usage & Resolution