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Acute pain services in India: a glimpse of the current scenario

In Journal of Anaesthesiology, Clinical Pharmacology
By: Jain PN [Corresponding author].
Contributor(s): Bakshi SG | Thota RS.
Material type: materialTypeLabelArticlePublisher: Delhi : Research Society of Anaesthesiology Clinical Pharmacology 2015Description: .Subject(s): Acute pain service | Pain in India | Post-operative pain | Questionnaire surveyOnline resources: PDF In: Journal of Anaesthesiology, Clinical Pharmacology Vol.31, no.4, p.554-7Summary: Background and Aims: Acute postoperative pain is still a neglected and unresolved issue in day to day practice. Acute pain services were conceived three decades ago to form a dedicated team to monitor pain assessment and treatment as per laid down pain protocols and guidelines. The concept of acute pain service (APS) is slowly evolving in India. Material and Methods: This nationwide questionnaire survey was conducted to identify the status of postoperative pain, the prevalent treatment practices, and the prevalence of acute pain services in India. An electronic communication was sent to 4000 Indian Society of Anesthesiologists life members. Results: We received only 146 responses mainly from faculties/consultants from few corporate hospitals or medical colleges. About 68 APSs were functioning, however, 20 APS do not have any training programs and 34 have no written protocols. Anesthesiologists were involved in postoperative pain management only when epidural analgesia was employed. Conclusion: This survey found that majority of anesthesiologists agree to establish an APS, however administrative issues seem to be a major barrier.
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Address for Correspondence: pnj5@hotmail.com

Background and Aims: Acute postoperative pain is still a neglected and unresolved issue in day to day practice. Acute pain
services were conceived three decades ago to form a dedicated team to monitor pain assessment and treatment as per laid down
pain protocols and guidelines. The concept of acute pain service (APS) is slowly evolving in India.
Material and Methods: This nationwide questionnaire survey was conducted to identify the status of postoperative pain,
the prevalent treatment practices, and the prevalence of acute pain services in India. An electronic communication was sent to
4000 Indian Society of Anesthesiologists life members.
Results: We received only 146 responses mainly from faculties/consultants from few corporate hospitals or medical colleges.
About 68 APSs were functioning, however, 20 APS do not have any training programs and 34 have no written protocols.
Anesthesiologists were involved in postoperative pain management only when epidural analgesia was employed.
Conclusion: This survey found that majority of anesthesiologists agree to establish an APS, however administrative issues
seem to be a major barrier.

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