Many studies have demonstrated that the management of pain after surge
ry was unsatisfactory. New pain management techniques have been develo
ped in recent years (patient-controlled analgesia, epidural analgesia)
. To extend the number of patients who may benefit from these recent t
echniques and/or to obtain the best efficacy from existing methods of
pain relief, re-organisation should take place on surgical wards. For
example, protocols describing pain management strategies should be wri
tten. Surveys and audits should be carried out regularly to check thei
r efficacy. Moreover, patients should be fully informed of the range o
f treatments available and their adverse effects. Finally, all staff i
nvolved in providing acute pain relief should undergo training. (C) 19
98 Elsevier, Paris.