Acute pain.Title: Acute Pain Management: Scientific Evidence. Date of latest update: January 2005. Date of next update: 2010. Patient group: Adults or children with acute pain. Intended audience: Clinicians, including medical, allied health, nursing, and complementary medicine practitioners managing patients in acute pain. Additional versions: This second edition of the report updates the first edition published by the NHMRC in 1999. Expert working group: Seven anaesthetic or pain management consultants from Australia and the UK comprised the guideline development group. Funded by: Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine. Consultation with: Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine. Over 100 representatives provided input on consultant, contributor, and multidisciplinary committees, from a variety of backgrounds including medicine, allied health, nursing, research, complementary medicine clinicians, and consumers. Following acceptance of the draft by the above committees, it was available for public consultation. Approved by: The National Health and Medical Research Council. Endorsed by: Australasian Faculty of Rehabilitation Medicine, Royal Australasian College of Physicians The Royal Australasian College of Physicians, or RACP, is the organisation responsible for training, educating, and representing over 9,000 physicians (known as internists in the USA and some other locations) and paediatricians in Australia and New Zealand. , Royal Australasian College of Surgeons The Royal Australasian College of Surgeons (RACS) is the body responsible for training and examining surgeons in New Zealand and Australia. The head office of the College is in Melbourne, Australia. RACS was formed in 1927. , Royal Australian and New Zealand College of Psychiatrists, Australian Pain Society, International Association for the Study of Pain The International Association for the Study of Pain (IASP) is an international professional organisation for doctors and other health professionals involved in the diagnosis, treatment and scientific study of pain, as well as education and training in the field of pain medicine. , Royal College of Anaesthetists The Royal College of Anaesthetists is "the professional body responsible for the specialty of anaesthesia throughout the United Kingdom". It sets standards in anaesthesia, critical care, pain management, and for the training of anaesthetists, anaesthetic practitioners (non-doctor (UK). Location: http:// www.nhmrc.gov.au/publications/synopses/cp104syn.htm Description: This is a large (309 page) document. The guideline covers the physiology and psychology of acute pain, assessment and measurement of acute pain, and pain management in a variety of populations. The document complements and refers to the NHMRC guidelines for the Evidence-based Management of Acute Musculoskeletal Pain. It provides a comprehensive summary of evidence for the use of analgesic drugs administered systematically, regionally, and locally, and compares routes of systemic drug administration, and techniques of drug administration. Evidence for non-pharmacological techniques is also presented. Evidence for management of acute pain in specific clinical situations, such as back pain, headache, and pain associated with neurological disorders is presented separately. Pain management in several specific patient groups is then detailed, including paediatric, pregnant, and elderly patients. A useful summary of key messages and recommendations is presented in 30 pages following the table of contents, including the level of evidence available for each point. Sandra Brauer The University of Queensland The University of Queensland (UQ) is the longest-established university in the state of Queensland, Australia, a member of Australia's Group of Eight, and the Sandstone Universities. It is also a founding member of the international Universitas 21 organisation. |
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