Current ConceptsæAdequate Pain Management*
Young K. Choi, MD
The under-treatment of pain has been a major public health problem in the United
States. Inadequate management of pain has negative physiologic and psychological
consequences and optimal pain care may premise uneventful and safe post-operative
recovery.
Barriers to adequate pain management include inadequate pain assessment, reluctance
to report pain and reluctance to take opioids, reluctance to prescribe opioids, and
inadequate knowledge about opioids. Objective pain measurement is often difficult
because the pain is a product of psychological and physical elements. Sensory as
well as psychological assessment should be made appropriately to avoid underscoring
and mismanagement of pain.
It is crucial for the healthcare providers to incorporate pain management into daily
medical practice. It has been noted that new guidelines for the standards to assess
and manage the pain should be developed. Lately, JCAHO has announced the approval
of such standards to incorporate the basic principles of pain assessment and management. |
Abstracts
"Dome
Down" Laparoscopic Cholecystectomy
Glenn L. Sandler, MD
Endoscopic
Drainage of Pancreatic Pseudocyst
Gary C. Vitale, MD
Thoracoscopic
Splanchnicectomy for Pancreatic Pain
Henry L. Laws, MD
CT
Guided Percutaneous Drainage of Infected Acute Necrotizing Pancreatitis
Patrick C. Freeny, MD
Management
of Metastatic Carcinoma
T. S. Ravikumar, MD
Management
of Liver Trauma
Juan C. Asensio, MD
Management
of Benign Liver Tumors
Leslie H. Blumgart, MD, FRCS
Role
and Techniques of "Dome-Down" Laparoscopic Cholecystectomy
Glenn L. Sandler, MD
Thoracoscopic
Splanchnicectomy for Pancreatic Pain
Henry L. Laws, MD
Current
ConceptsæAdequate Pain Management
Young K. Choi, MD
Prevention
and Management of Infection Complicating Acute Pancreatitis
Henry L. Laws, MD
Indication
for and Timing of ERCP in Biliary Pancreatitis
John Baillie, MB, ChB, FRCP
Timing
of Laparoscopic Cholecystectomy After Biliary Pancreatitis
Gary C. Vitale
Magnetic
Resonance Angiography
Martin R. Prince, MD, PhD
Pancreatic
Imaging
Patrick C. Freeny, MD
Endoscopic
Ultrasonography
Charles Noyer, MD
Limited
Gastric Resection
Jo Buyske, MD
Current
ConceptsæManagement of Pancreatic Carcinoma
Henry A. Pitt, MD
Watchful
Waiting in the Management of Inguinal Hernia
Robert J. Fitzgibbons, MD
Treatment
of Incisional (Ventral) Hernias: Open Repair
Maximo Deysine, MD, FACP
Treatment
of Incisional (Ventral) Hernias: Laparoscopic Repair
Adrian E. Park, MD
Indications
for Converting to Open Operation
John G. Hunter, MD
Medicolegal
Implications of Common Bile Duct Injury During Laparoscopic Cholecystectomy
Kenneth A. Kern, MD, FACS
Role
and Technique of Pylorus Preserving Pacreatectomy
Henry A. Pitt, MD |
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