Effectiveness of acute postoperative pain management: I. Evidence from published data
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Abstract
References (192)
The visual analogue pain intensity scale: what is moderate pain in millimetres?
1997 • 1,473 citations
Effects of Perioperative Analgesic Technique on the Surgical Outcome and Duration of Rehabilitation after Major Knee Surgery
1999 • 1,079 citations
Systematic Review: Why sources of heterogeneity in meta-analysis should be investigated
1994 • 947 citations
Postsurgical pain relief: Patientsʼ status and nursesʼ medication choices
1980 • 509 citations
Development of an Anesthesiology-based Postoperative Pain Management Service
1988 • 454 citations
Comparison of intramuscular and epidural morphine for postoperative analgesia in the grossly obese: influence on postoperative ambulation and pulmonary function.
1984 • 271 citations
Policy for controlling pain after surgery: effect of sequential changes in management.
1992 • 268 citations
Patient-controlled Analgesia Following Cesarean Section
1988 • 246 citations
Patient-controlled Epidural Analgesia with Bupivacaine and Fentanyl on Hospital Wards
1998 • 235 citations
A Randomized Double-blind Comparison of Epidural versus Intravenous Fentanyl Infusion for Analgesia after Thoracotomy
1991 • 226 citations
Postoperative Pulmonary Complications Epidural Analgesia Using Bupivacaine and Opioids Versus Parenteral Opioids
1993 • 224 citations
Epidural Narcotic and Patient-controlled Analgesia for Post-cesarean Section Pain Relief
1988 • 223 citations
Pain after thoracic surgery
1992 • 223 citations
Multiple intramuscular injections: A major source of variability in analgesic response to meperidine
1980 • 220 citations
Epidural Morphine for Postoperative Pain: Experience with 1085 Patients
1985 • 219 citations
Postoperative Analgesia Using Epidural Infusions of Fentanyl with Bupivacaine
1995 • 216 citations
Postoperative Epidural Morphine Is Safe on Surgical Wards
1991 • 215 citations
Epidural and Intravenous Fentanyl Infusions Are Clinically Equivalent After Knee Surgery
1990 • 204 citations
Postoperative Patient-Controlled Analgesia with Tramadol: Analgesic Efficacy and Minimum Effective Concentrations
1990 • 203 citations
Postoperative pain therapy: a survey of patients' expectations and their experiences
1990 • 202 citations
Patient-controlled analgesia. Does a concurrent opioid infusion improve pain management after surgery?
1991 • 197 citations
THE FIRST YEAR'S EXPERIENCE OF AN ACUTE PAIN SERVICE
1991 • 193 citations
Perceptions of pain relief after surgery.
1990 • 192 citations
Combination of ondansetron and dexamethasone in the prophylaxis of postoperative nausea and vomiting
1996 • 170 citations
Postoperative Epidural Bupivacaine-Morphine Therapy Experience with 4,227 Surgical Cancer Patients
1994 • 167 citations
Continuous Thoracic Epidural Analgesia for Postoperative Pain Relief Following Thoracotomy
1987 • 160 citations
Patient Attitudes to Postoperative Pain Relief
1983 • 156 citations
INFLUENCE OF TIMING ON THE EFFECT OF CONTINUOUS EXTRADURAL ANALGESIA WITH BUPIVACAINE AND MORPHINE AFTER MAJOR ABDOMINAL SURGERY
1992 • 154 citations
Patient-Controlled Analgesia
1982 • 154 citations
Variables of patient‐controlled analgesia 1. bolus size
1989 • 144 citations
The effect of bupivacaine and morphine on pain and bowel function after colonic surgery
1987 • 143 citations
The Effect of Continuous Epidural Analgesia on Postoperative Pain, Rehabilitation, and Duration of Hospitalization in Total Knee Arthroplasty
1990 • 142 citations
A Controlled Study on the Effect of Epidural Analgesia with Local Anaesthetics and Morphine on Morbidity after Abdominal Surgery
1985 • 142 citations
A Randomized, Double-blind Comparison of Lumbar Epidural and Intravenous Fentanyl Infusions for Postthoracotomy Pain Relief
1992 • 140 citations
The Effect of Epidural Versus General Anesthesia on Postoperative Pain and Analgesic Requirements in Patients Undergoing Radical Prostatectomy
1994 • 135 citations
Patient‐Controlled Analgesic Therapy: Clinical Experience
1982 • 134 citations
The safety and utilization of patient-controlled analgesia
1997 • 129 citations
Continuous epidural infusion for analgesia after major abdominal operations: a randomized, prospective, double-blind study.
1985 • 128 citations
Continuous Intravenous Administration of Ketorolac Reduces Pain and Morphine Consumption After Total Hip or Knee Arthroplasty
1995 • 116 citations
Epidural Ropivacaine Infusion for Postoperative Analgesia After Major Lower Abdominal Surgery--A Dose Finding Study
1995 • 113 citations
Epidural Analgesia: Prospective Audit of 1062 Patients
1998 • 110 citations
COMPARISON OF I.M. KETOROLAC TROMETAMOL AND MORPHINE SULPHATE FOR PAIN RELIEF AFTER CHOLECYSTECTOMY
1990 • 109 citations
Influence of Naloxone Infusion on Analgesia and Respiratory Depression Following Epidural Morphine
1986 • 108 citations
Introducing patient‐controlled analgesia for postoperative pain control into a district general hospital
1990 • 104 citations
Epidural Morphine Improves Pain Relief and Maintains Sensory Analgesia during Continuous Epidural Bupivacaine after Abdominal Surgery
1986 • 100 citations
Morphine and Hydromorphone Epidural Analgesia
1992 • 98 citations
Thoracic epidural infusion for postoperative pain relief following abdominal aortic surgery: bupivacaine, fentanyl or a mixture of both?
1992 • 92 citations
Intraarticular, epidural, and intravenous analgesia after total knee arthroplasty
1999 • 91 citations
Postoperative Pain Relief by Epidural Morphine
1982 • 90 citations
Epidural bupivacaine, sufentanil or the combination for post‐thoracotomy pain
1992 • 89 citations
Combination of Ondansetron and Droperidol in the Prophylaxis of Postoperative Nausea and Vomiting
1996 • 88 citations
Self‐administered nalbuphine, morphine and pethidine
1985 • 87 citations
Comparison of Continuous Epidural Infusion of a Local Anesthetic and Administration of Systemic Narcotics in the Management of Pain after Total Knee Replacement Surgery
1987 • 86 citations
Dose requirements, efficacy and side effects of morphine and pethidine delivered by patient-controlled analgesia after gynaecological surgery
1996 • 85 citations
Continuous thoracic epidural fentanyl for post‐thoracotomy pain relief: with or without bupivacaine?
1991 • 84 citations
Efficacy of patient-controlled versus conventional analgesia for postoperative pain.
1985 • 84 citations
Patient Controlled Analgesic Therapy in the Early Postoperative Period
1979 • 83 citations
PSYCHOMETRY AND POSTOPERATIVE COMPLAINTS IN SURGICAL PATIENTS
1973 • 81 citations
Can pre‐emptive lumbar epidural blockade reduce postoperative pain following lower abdominal surgery?
1993 • 78 citations
Postoperative patient‐controlled analgesia with sufentanil: analgesic efficacy and minimum effective concentrations
1991 • 77 citations
PATIENT-CONTROLLED ANALGESIA WITH A MIXTURE OF MORPHINE AND DROPERIDOL
1993 • 76 citations
Low-Dose Bupivacaine Does Not Improve Postoperative Epidural Fentanyl Analgesia in Orthopedic Patients
1991 • 75 citations
Comparison of intramuscular ketorolac and morphine in pain control after laparotomy
1990 • 72 citations
Patient‐controlled analgesia (PCA) with codeine for postoperative pain relief in ten extensive metabolisers and one poor metaboliser of dextromethorphan.
1995 • 72 citations
Postoperative epidural infusion of morphine and bupivacaine is safe on surgical wards
1997 • 72 citations
POSTOPERATIVE ANALGESIA BY CONTINUOUS EXTRADURAL INFUSION OF BUPIVACAINE AND DIAMORPHINE
1988 • 71 citations
Continuous regional analgesia in comparison with intravenous opioid administration for routine postoperative pain control
1994 • 71 citations
Patient-Controlled Epidural Analgesia After Thoracotomy
1996 • 71 citations
Postoperative Schmerztherapie auf Allgemeinen Krankenpflegestationen
1994 • 71 citations
Continuous epidural infusion of fentanyl for postoperative analgesia
1980 • 70 citations
Continuous epidural infusion of morphine for pain relief after cardiac operations
1987 • 70 citations
Epidural morphine after anterior cruciate ligament repair: a comparison with patient-controlled intravenous morphine.
1989 • 69 citations
POSTOPERATIVE EXTRADURAL ANALGESIA FOLLOWING THORACIC SURGERY: A FEASIBILITY STUDY
1975 • 68 citations
Comparison of Repeat Doses of Intramuscular Ketorolac Tromethamine and Morphine Sulfate for Analgesia after Major Surgery
1990 • 68 citations
The Analgesic Efficacy and Adverse Effects of Continuous Epidural Sufentanil and Bupivacaine Infusion After Thoracotomy
1996 • 67 citations
FENTANYL BY CONSTANT RATE I.V. INFUSION FOR POSTOPERATIVE ANALGESIA
1985 • 65 citations
Bupivacaine 0.1% does not improve postoperative epidural fentanyl analgesia after abdominal or thoracic surgery
1992 • 65 citations
Epidural analgesia following thoracic surgery
1983 • 64 citations
Postoperative Epidural Infusion
1997 • 64 citations
PATIENT-CONTROLLED ANALGESIA WITH EXTRADURAL MORPHINE OR PETHIDINE
1988 • 63 citations
Postoperative analgesia: a comparison of intravenous on-demand fentanyl with epidural bupivacaine.
1979 • 63 citations
Audit of postoperative pain control Influence of a dedicated acute pain nurse
1996 • 63 citations
Comparison of Intramuscular Analgesia, Intercostal Block, Epidural Morphine and On‐Demand‐i.v.‐Fentanyl in the Control of Pain after Upper Abdominal Surgery
1984 • 63 citations
Epidural and intrathecal opioids for postoperative pain management in Europe — a 17‐nation questionnaire study of selected hospitals
1996 • 62 citations
The Efficacy, Applicability and Side-Effects of Postoperative Intravenous Patient-Controlled Morphine Analgesia: An Audit of 1233 Chinese Patients
1996 • 62 citations
Postoperative pain prevention by continuous epidural infusion
1980 • 61 citations
Comparison of different methods of postoperative analgesia after thoracotomy
1986 • 60 citations
Single-Dose Prophylaxis for Postoperative Nausea and Vomiting after Major Abdominal Surgery: Ondansetron versus Droperidol
1995 • 59 citations
Comparison of Lumbar and Thoracic Epidural Morphine for Relief of Postthoracotomy Pain
1985 • 58 citations
COMPARISON OF CONTEMPORANEOUS AND RETROSPECTIVE ASSESSMENT OF POSTOPERATIVE PAIN USING THE VISUAL ANALOGUE SCALE
1991 • 58 citations
Patient-controlled analgesia versus intermittent analgesia dosing.
1988 • 57 citations
Postoperative myocardial ischemia: epidural versus intravenous patient-controlled analgesia. A pilot project.
1995 • 56 citations
Variation in Postoperative Analgesic Requirements in the Morbidly Obese Following Gastric Bypass Surgery
1982 • 55 citations
Postoperative Analgesia for Oesophageal Surgery: A Comparison of Three Analgesic Regimens
1991 • 55 citations
Thoracic epidural analgesia compared with patient controlled intravenous morphine after upper abdominal surgery
1994 • 55 citations
Postoperative Analgesia with Continuous Epidural Sufentanil and Bupivacaine
1996 • 55 citations
Continuous-plus-on-demand Epidural Infusion of Morphine for Postoperative Pain Relief by Means of a Small, Externally Worn Infusion Device
1985 • 54 citations
Continuous epidural infusion of ropivacaine for postoperative analgesia after major abdominal surgery: comparative study with i.v. PCA morphine
1998 • 54 citations
Epidural buprenorphine for pain relief after major abdominal surgery
1983 • 54 citations
Hydromorphone patient-controlled analgesia (PCA) after coronary artery bypass surgery
1994 • 53 citations
Equivalence of Postoperative Analgesia with Patient-Controlled Intravenous or Epidural Alfentanil
1993 • 52 citations
Epidural patient-controlled analgesia (PCA): an alternative to continuous epidural infusions
1989 • 52 citations
Effects of Ketorolac Versus Bupivacaine Coadministration During Patient-Controlled Hydromorphone Epidural Analgesia After Thoracotomy Procedures
1997 • 51 citations
Comparative Analgesic Efficacy of Patient-Controlled Analgesia with Ketorolac Versus Morphine After Elective Intraabdominal Operations
1995 • 50 citations
Balanced analgesia with intravenous ketorolac and patient-controlled morphine following lower abdominal surgery
1995 • 50 citations
Patient-controlled analgesia vs. Conventional intramuscular analgesia following colon surgery
1988 • 49 citations
Epidural morphine prophylaxis of postoperative pain: report of a double-blind multicentre study
1985 • 48 citations
Ventilatory effects of continuous epidural infusion of fentanyl.
1988 • 47 citations
Post‐operative analgesia by high thoracic epidural versus intramuscular nicomorphine after thoracotomy. Part III
1987 • 47 citations
Postthoracotomy pain management using continuous epidural analgesia in 1,324 patients
1994 • 46 citations
Epidural Clonidine or Bupivacaine as the Sole Analgesic Agent during and after Abdominal Surgery
1999 • 45 citations
Continuous thoracic epidural analgesia versus combined spinal/thoracic epidural analgesia on pain, pulmonary function and the metabolic response following colonic resection
1996 • 44 citations
Extradural infusion analgesia for postoperative pain relief
1994 • 43 citations
Electronic and disposable patient‐controlled analgesia systems
1992 • 42 citations
Epinephrine Decreases Postoperative Requirements for Continuous Thoracic Epidural Fentanyl Infusions
1996 • 42 citations
An investigation of the potential morphine sparing effect of midazolam
1996 • 41 citations
Epidural sufentanil for intra– and postoperative analgesia in thoracic surgery: a comparative study with intravenous sufentanil
1988 • 41 citations
Post‐operative Analgesia by Epidural Versus Intramuscular Nicomorphine after Thoracotomy. Part I
1985 • 39 citations
Epidural opioids during laminectomy surgery for postoperative pain
1992 • 38 citations
Continuous subcutaneous infusion of morphine for postoperative pain relief
1985 • 38 citations
Patient‐controlled analgesia: a controlled trial
1987 • 38 citations
Comparison of thoracic and lumbar epidural infusions of bupivacaine and fentanyl for post-thoracotomy analgesia
1993 • 37 citations
Continuous Epidural Analgesia Using Fentanyl and Bupivacaine After Total Knee Arthroplasty
1994 • 37 citations
Clinical Experience with Epidural Morphine
1981 • 37 citations
The Efficacy of Adding a Continuous Intravenous Morphine Infusion to Patient-Controlled Analgesia (PCA) in Abdominal Surgery
1995 • 36 citations
Comparison of Two Methods of Intravenous Administration of Morphine for Postoperative Pain Relief
1990 • 36 citations
High Thoracic Epidural Sufentanil with Bupivacaine
1994 • 36 citations
Epidural morphine provides greater pain relief than patient-controlled intravenous morphine following cholecystectomy.
1989 • 35 citations
Postoperative Pain Treatment after Upper Abdominal Surgery with Epidural Morphine at Thoracic or Lumbar Level
1985 • 35 citations
Patient-Controlled Analgesia
2013 • 35 citations
Intraspinal Narcotic Analgesia
1989 • 35 citations
Postoperative epidural infusion of a mixture of bupivacaine 0.2% with fentanyl for upper abdominal surgery A comparison of thoracic and lumbar routes
1995 • 35 citations
Postoperative patient-controlled analgesia with alfentanil: Analgesic efficacy and minimum effective concentrations
1990 • 34 citations
A Comparison of the Analgesic and Respiratory Effects of Epidural Nalbuphine or Morphine in Postthoracotomy Patients
1991 • 34 citations
Evaluation of patient-controlled analgesia (PCA) versus PCA plus continuous infusion in postoperative cancer patients
1991 • 34 citations
The Efficacy of Patient-Controlled Analgesia in Patients Recovering From Flank Incisions
1984 • 34 citations
Postoperative pain relief with high‐dose epidural buprenorphine: a double‐blind study
1986 • 33 citations
Combined epidural-spinal opioid-free anaesthesia and analgesia for hysterectomy
1999 • 33 citations
The effect of fentanyl administered epidurally by patient‐controlled analgesia, continuous infusion, or a combined technique of oxyhaemoglobin saturation after abdominal surgery
1993 • 32 citations
Background Infusion with Patient-Controlled Analgesia: Effect on Postoperative Oxyhaemoglobin Saturation and Pain Control
1993 • 32 citations
Forum
1981 • 32 citations
Effect of varying intravenous patient-controlled analgesia dose and lockout interval while maintaining a constant hourly maximum dose
1996 • 31 citations
Patient-controlled analgesia versus intramuscular analgesic therapy
1994 • 31 citations
Computer-Controlled Infusion of Alfentanil Versus Patient-Controlled Administration of Morphine for Postoperative Analgesia
1995 • 30 citations
Comparison of patient-assisted epidural analgesia with continuous-infusion epidural analgesia for postoperative patients.
1994 • 30 citations
Continuous epidural hydromorphone for postthoracotomy pain relief
1990 • 30 citations
Thoracic epidural bupivacaine plus sufentanil: high concentration/low volume versus low concentration/high volume.
1993 • 30 citations
Patient-Controlled Analgesia versus Patient-Controlled Analgesia plus Continuous Infusion after Hip Replacement Surgery
1996 • 29 citations
Peri-operative thoracic epidural analgesia for thoracotomy
1997 • 28 citations
Thoracic versus lumbar epidural fentanyl for postthoracotomy pain
1993 • 27 citations
Patient and nurse evaluation of paient-controlled analgesia delivery systems for postoperative pian management
1992 • 27 citations
Clinical Aspects of Continuous Epidural Blockade for Postoperative Pain Relief
1972 • 26 citations
Thoracic versus lumbar administration of epidural morphine for postoperative analgesia after thoracotomy.
1993 • 25 citations
Introducing epidural fentanyl for on‐ward pain relief after major surgery
1996 • 25 citations
Comparison of continuous and intermittent administration of extradural bupivacaine for analgesia after lower abdominal surgery
1998 • 24 citations
Epidural Infusion of Bupivacaine 0.0625% plus Fentanyl 3.3 μg/ml Provides Better Postoperative Analgesia than Patient-Controlled Analgesia with Intravenous Morphine after Gynaecological Laparotomy
1997 • 24 citations
Comparison of Oral Controlled Release Morphine and Epidural Morphine in the Management of Postoperative Pain
1986 • 23 citations
A clinical audit for postoperative pain control on 1443 surgical patients.
1995 • 23 citations
UNPREDICTABILITY OF REGRESSION OF ANALGESIA DURING THE CONTINUOUS POSTOPERATIVE EXTRADURAL INFUSION OF BUPIVACAINE
1988 • 23 citations
Prepacked take-home analgesia for day case surgery
1996 • 22 citations
Epidural infusion of bupivacaine and diamorphine for postoperative analgesia
1992 • 21 citations
Lumbar epidural fentanyl analgesia after thoracic surgery
1989 • 21 citations
EXTRADURAL DIAMORPHINE FOR POSTOPERATIVE ANALGESIA: AUDIT OF A NURSE-ADMINISTERED SERVICE TO 800 PATIENTS IN A DISTRICT GENERAL HOSPITAL
1992 • 20 citations
The use of epidural morphine in patients undergoing total knee arthroplasty
1989 • 20 citations
Lumbar versus thoracic epidural buprenorphine for postoperative analgesia following coronary artery bypass graft surgery
1999 • 20 citations
A randomized comparison of patient-controlled versus standard analgesic requirements in patients undergoing cholecystectomy.
1992 • 20 citations
Comparison of ketorolac and meperidine in patients with postoperative pain--impact on health care utilization.
1993 • 19 citations
Focus on mobilisation after lower abdominal surgery. A double‐blind randomised comparison of epidural bupivacaine with morphine vs. lidocaine with morphine for postoperative analgesia
1999 • 18 citations
Ventilatory function and continuous high thoracic epidural administration of bupivacaine with sufentanil intravenously or epidurally: a double-blind comparison.
1991 • 18 citations
0.1% bupivacaine does not reduce the requirement for epidural fentanyl infusion after major abdominal surgery.
1995 • 18 citations
Postoperative pain management in gynecologic oncology patients utilizing epidural opiate analgesia and patient-controlled analgesia
1989 • 16 citations
Comparison of ondansetron and metoclopramide for the prevention of post-operative nausea and vomiting after major gynaecological surgery
1996 • 15 citations
Epidural Morphine for Postoperative Pain Relief in Anorectal Surgery
1986 • 15 citations
Side effects of morphine patient-controlled analgesia and meperidine patient-controlled analgesia: a follow-up of 500 patients.
1992 • 13 citations
A comparison of epidural infusions of fentanyl or pethidine with bupivacaine in the management of postoperative pain
1996 • 11 citations
Patient‐controlled epidural analgesia following post‐traumatic pelvic construction
1993 • 11 citations
A comparison of nalbuphine and meperidine in treatment of postoperative pain
1987 • 11 citations
Hypoxaemia after lower abdominal surgery: Comparison of tramadol and morphine
1998 • 10 citations
Buprenorphine versus morphine for patient-controlled analgesia after cholecystectomy.
1993 • 10 citations
Intermittent epidural morphine instillation for control of postoperative pain
1983 • 9 citations
A two-year experience of an acute pain service in Singapore.
1997 • 7 citations
Continuous postoperative epidural analgesia in management of postoperative surgical pain
1989 • 6 citations
Low dose fentanyl improves continuous bupivacaine epidural analgesia following orthopaedic, urological or general surgery
1997 • 5 citations
Subcutaneous morphine — a simple technique for postoperative analgesia
1997 • 5 citations
Evaluation of morphine for patient controlled analgesia with the Infusor system after opiate-free locoregional anesthesia for osteotomy of the foot.
1995 • 3 citations
Patient-controlled analgesia. Its South African debut in a provincial hospital.
1992 • 3 citations
Randomised, double-blind comparison of epidural and intravenous fentanyl for postoperative pain
1997 • 3 citations
Multicenter evaluation of a patient-controlled analgesia device for the treatment of postoperative pain.
1992 • 3 citations
PATIENTS WITH PAIN.
1965 • 2 citations
THE INTRODUCTION OF PATIENT‐CONTROLLED ANALGESIA INTO AN ISOLATED RURAL HOSPITAL
1995 • 2 citations
Intramuscular on Demand Analgesia
1983 • 1 citations
Deleted Work
1955 • 0 citations