REVIEW ARTICLE
Year : 2013  |  Volume : 6  |  Issue : 2  |  Page : 107-119

Acute pain service ( an Egyptian model)


Department of Anaesthesia and Intensive Care, Faculty of Medicine, Zagazig University, Zagazig, Egypt

Correspondence Address:
M. Ezzat Moemen
Department of Anaesthesia and Intensive Care, Faculty of Medicine, Zagazig University, Zagazig
Egypt
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.7123/01.ASJA.0000428270.90727.f7

Rights and Permissions

It is becoming increasingly clear that the solution to the problem of postoperative pain management lies not so much in the development of new techniques as in the development of an organization to manipulate existing expertise based on team approach. Such acute pain service is part of a strategy to decrease perioperative morbidity and reduce healthcare costs. The American model of acute pain service is anaesthesiologist based in order to provide high-quality analgesia through expensive high-tech pain management. In contrast, the European model encourages a cheaper nurse-based anaesthesiologist-supervised approach. For over a decade I have been under the strong belief that efforts are needed in Egypt to design an appropriate service for acute pain for postoperative surgical patients on the basis of sound scientific foundation. The present review suggests an organization model that addresses the difficult equation in Egypt, being a developing or rather a poor country with limited financial resources, lacking a wide base of algologists and high-tech nursing staff and having hospitals that are mostly multispeciality in nature. Such an Egyptian organization model for acute pain service may open the door to other African and Mediterranean pain authorities, with similar difficult equations, to introduce their own organizational models. Guided by the International Association for the Study of Pain, the interaction of these models might push to light a Third World Acute Pain Service model side-by-side with the now-available American and European models.


[PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed978    
    Printed38    
    Emailed0    
    PDF Downloaded158    
    Comments [Add]    

Recommend this journal