Guidelines for Complications of Cancer Treatment Vol VIII Part B

Inadequate: The available studies cannot be used toassess the relationship between an intervention and anoutcome. These studies either do not meet the criteriafor content as defined in the “Focus” of these Guidelines,or they do not permit a clear causal interpretation offindings because of methodologic concerns.Institutional Policies and Procedures for ProvidingPerioperative Pain ManagementAnesthesiologists offering perioperative analgesia servicesshouldProvide ( where appropriate with other healthcareprofessionals) ongoing education and training to ensurethat hospital personnel are knowledgeable and skilledwith regard to the effective and safe use of the availabletreatment options within the institution.Use standardized, validated instruments to facilitate theregular evaluation and documentation of pain intensity,the effects of pain therapy, and side effects caused bythe therapyBe available at all times to consult with ward nurses,surgeons, or other involved physicians, and should assistin evaluating patients who are experiencing problemswith any aspect of perioperative pain relief.Do so within the framework of an Acute Pain Service,and participate in developing standardized institutionalpolicies and procedures.Preoperative Evaluation of the PatientA directed pain history, physical examination, and a paincontrol plan should be included in the anesthetic preoperativeevaluation.57