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Acute pain management: scientific evidence, fourth edition, 2015

Stephan A Schug, Greta M Palmer, David A Scott, Richard Halliwell and Jane Trinca
Med J Aust 2016; 204 (8): 315-317. || doi: 10.5694/mja16.00133

Summary

  • This guideline summary describes the fourth edition of Acute pain management: scientific evidence, which was published by the Australian and New Zealand College of Anaesthetists (ANZCA) and its Faculty of Pain Medicine (FPMANZCA) in December 2015.
  • The fourth edition summarises the best available evidence on acute pain management, following methods established over the preceding three editions.
  • It provides additional information by scoring the quality of and reporting further details on randomised controlled trials and meta-analyses.
  • The information is condensed into key messages that provide:
    • concise statements on each topic, showing the highest level of evidence; and
    • clinical practice points based on clinical experience or expert opinion.

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  • Stephan A Schug1
  • Greta M Palmer2,3
  • David A Scott4
  • Richard Halliwell5
  • Jane Trinca4

  • 1 University of Western Australia, Perth, WA
  • 2 Royal Children's Hospital, Melbourne, VIC
  • 3 Royal Melbourne Hospital, Melbourne, VIC
  • 4 St Vincent's Hospital Melbourne, Melbourne, VIC
  • 5 Westmead Hospital, Sydney, NSW

Correspondence: stephan.schug@uwa.edu.au

Competing interests:

The Anaesthesiology Unit of the University of Western Australia, chaired by Stephan Schug, but not he privately, has received research and travel funding and speaking and consulting honoraria from bioCSL, Bionomics, Eli Lilly, Gruenenthal, Janssen Pharmaceuticals, Mundipharma, Pfizer, Phosphagenics and iX Biopharma within the past 5 years.

  • 1. National Health and Medical Research Council. Acute pain management: scientific evidence. Canberra: NHMRC, 1999.
  • 2. Macintyre PE, Power I, Schug SA, et al. Acute pain management: scientific evidence. 2nd ed. Melbourne: Australian and New Zealand College of Anaesthetists and Faculty of Pain Management, 2005.
  • 3. Macintyre PE, Schug SA, Scott DA, et al. Acute pain management: scientific evidence. 3rd ed. Melbourne: Australian and New Zealand College of Anaesthetists and Faculty of Pain Management, 2010.
  • 4. Schug SA, Palmer GM, Scott DA, et al. Acute pain management: scientific evidence. 4th ed. Melbourne: Australian and New Zealand College of Anaesthetists and Faculty of Pain Management, 2015.
  • 5. National Health and Medical Research Council. A guide to the development, evaluation and implementation of clinical practice guidelines. Canberra: NHMRC, 1999. https://www.nhmrc.gov.au/guidelines-publications/cp30 (accessed Aug 2015).
  • 6. Joshi GP, Schug SA, Kehlet H. Procedure-specific pain management and outcome strategies. Best Pract Res Clin Anaesthesiol 2014; 28: 191-201.
  • 7. Kehlet H, Wilkinson RC, Fischer HB, Camu F. PROSPECT: evidence-based, procedure-specific postoperative pain management. Best Pract Res Clin Anaesthesiol 2007; 21: 149-159.

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