In the second of our series on anaesthesia Jo Fitz-Henry and Nina Ruth Lewis explain the management of perioperative pain and analgesia
Pain is a big problem, yet it is often poorly understood and badly managed. Everyone is taught the dangerous side effects of pain killers, but few are taught the equally dangerous side effects of pain.
The haemodynamic responses to acute pain are tachycardia and hypertension, which increase myocardial oxygen consumption. The coronary ischaemia that often follows is implicated in the development of myocardial infarction.