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Polomano RC, Rathmell JP, Krenzischek DA, et al. Emerging trends and new approaches to acute pain management. Pain Manag Nurs. 2008;9(1):S33-41doi: 10.1016/j.pmn.2007.11.005.
Polomano, R. C., Rathmell, J. P., Krenzischek, D. A., & Dunwoody, C. J. (2008). Emerging trends and new approaches to acute pain management. Pain management nursing : official journal of the American Society of Pain Management Nurses, 9(1), S33-41. https://doi.org/10.1016/j.pmn.2007.11.005
Polomano, Rosemary C, et al. "Emerging trends and new approaches to acute pain management." Pain management nursing : official journal of the American Society of Pain Management Nurses vol. 9,1 (2008): S33-41. doi: https://doi.org/10.1016/j.pmn.2007.11.005
Polomano RC, Rathmell JP, Krenzischek DA, Dunwoody CJ. Emerging trends and new approaches to acute pain management. Pain Manag Nurs. 2008 Mar;9(1):S33-41. doi: 10.1016/j.pmn.2007.11.005. PMID: 18294592.
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Pain Manag Nurs. 2008 Mar;9(1):S33-41. doi: 10.1016/j.pmn.2007.11.005.

Emerging trends and new approaches to acute pain management.

Pain management nursing : official journal of the American Society of Pain Management Nurses

Rosemary C Polomano, James P Rathmell, Dina A Krenzischek, Colleen J Dunwoody

Affiliations

  1. University of Pennsylvania School of Nursing, University of Pennsylvania, Claire M. Fagin Hall, 418 Curie Blvd., Philadelphia, Pennsylvania, USA. [email protected]

PMID: 18294592 DOI: 10.1016/j.pmn.2007.11.005

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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