Page 3 Acute Pain Management
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© Australian and New Zealand College of Anaesthetists 2010
ISBN Print: 978‐0‐977517‐4‐4‐2 Online: 978‐0‐9775174‐5‐9
This work is copyright. Apart from any use as permitted under the Copyright Act 1968, no part may be
reproduced by any process without prior written permission from ANZCA. Requests and enquiries
concerning reproduction and rights should be addressed to the Chief Executive Officer, Australian and
New Zealand College of Anaesthetists, 630 St Kilda Road, Melbourne, Victoria 3004, Australia. Website:
www.anzca.edu.au Email: ceoanzca@anzca.edu.au
This document should be cited as:
Macintyre PE, Schug SA, Scott DA, Visser EJ, Walker SM; APM:SE Working Group of the Australian and
New Zealand College of Anaesthetists and Faculty of Pain Medicine (2010), Acute Pain Management:
Scientific Evidence (3rd edition), ANZCA & FPM, Melbourne.
Copyright information for Tables 11.1 and 11.2
The material presented in Table 11.1 and Table 11.2 of this document has been reproduced by
permission but does not purport to be the official or authorised version. The Commonwealth does not
warrant that the information is accurate, comprehensive or up‐to‐date and you should make
independent inquiries, and obtain appropriate advice, before relying on the information in any important
matter. Enquiries on the content of the material should be directed to the Therapeutic Goods
Administration (www.tga.gov.au).
Acknowledgements
The production of a document such as this requires a considerable amount of time over a long period.
Although institutional support in terms of time and resources came from a number of centres, in
particular the editors would like to thank the Department of Anaesthesia, Hyperbaric Medicine and Pain
Medicine at the Royal Adelaide Hospital for its generous support and assistance during the development
of this edition. They also wish to acknowledge the support of the Department of Anaesthesia and Pain
Medicine at the Royal Perth Hospital, the Department of Anaesthesia, St Vincent’s Hospital, Melbourne
and The Portex Unit: Pain Research UCL Institute of Child Health and Great Ormond St Hospital, London.
Special thanks are also extended to Professor Paul Myles for his assistance in relation to assessment of
the meta‐analyses that could have been affected by retracted articles (see Introduction and Appendix B
for details), to Dr Dan Carr for his guidance in this matter, to Dr Rowan Thomas for his significant
contribution to the web site development which underpinned the review process, and to Professor
Michael Cousins for his advice and assistance throughout the development process.
NHMRC approval
These guidelines were approved by the NHMRC on 4 February 2010, under section 14A of the National
Health and Medical Research Council Act 1992. Approval for the guidelines by NHMRC is granted for a
period not exceeding five years, at which date the approval expires. The NHMRC expects that all
guidelines will be reviewed no less than once every five years. Readers should check with the Australian
and New Zealand College of Anaesthetists for any reviews or updates of these guidelines.
Disclaimer
This document aims to combine a review of the best available evidence for acute pain management with
current clinical and expert practice, rather than to formulate specific clinical practice recommendations.
It is designed to provide information based on the best evidence available at the time of publication to
assist in decision‐making. The information provided is not intended to over‐ride the clinical expertise of
health care professionals and its use is subject to the clinician’s judgement and the patient’s preference
in each individual case. There is no substitute for the skilled assessment of each individual patient’s
health status, circumstances and perspectives, which health care practitioners will then use to select the
treatments that are relevant and appropriate to that person.
This document can be downloaded from the ANZCA website:
http://www.anzca.edu.au/resources/books‐and‐publications/. Copies of the document can be ordered
through the Australian and New Zealand College of Anaesthetists on +61 3 9150 6299.
