Principles & Practice of Pain Medicine > Part V. Pain Syndromes > B. Acute and Perioperative Pain >

Chapter 42. Acute Pain Management in Adults

Christine G. Peeters-Asdourian and Vimal K. Akhouri

Systemic Analgesics

Topics Discussed:

acetaminophen; acute pain; adjuvant analgesic; analgesics, non-narcotic; anti-inflammatory agents, non-steroidal; dextromethorphan; ketamine; opioid analgesics; pain control management, acute; pain management; pain, postoperative; patient-controlled analgesia.

Sections:

Opioids, Non-Opioid Analgesics, Nonsteroidal Anti-Inflammatory Drugs, Analgesic Adjuvants

Excerpt:

"Opioids remain the mainstay of postoperative analgesia and have demonstrated their efficacy in the management of severe pain. The main concerns about the use of opioids remain their side effects: nausea, vomiting, ileus, biliary spasms, respiratory depression, and the potential for abuse, although in the immediate postoperative period this is rarely an issue. Opioids can be administered intramuscularly, subcutaneously, or intravenously...."

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