Macintyre’s Acute Pain Management

Dr Pamela E. Macintyre after starting her anaesthetic training in England and completing it in Adelaide, Australia, spent two years working in Seattle, Washington, leaving just as Dr. Brian Ready (the coauthor of this book for the first two editions) was starting his pioneering anaesthesiology-based postoperative pain management service. After returning to Adelaide, she was given the chance to set up the first formal acute pain service (APS) in Australasia.Dr Macintyre was the director of the APS at the Royal Adelaide Hospital in Adelaide, South Australia, from the time it was established at the beginning of 1989 until her retirement from clinical practice in July 2020. Since that time, she has continued to write, teach medical students and doctors who are training in anaesthesia and pain medicine, and contribute to projects with the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine as well as to national prescribing guidelines.Dr Jane Quinlan trained in anaesthesia in London before moving to Oxford as a consultant. She led the Inpatient Pain Service in Oxford for 15 years and has developed an app to guide ward staff on acute pain prescribing. She is past secretary of the Acute Pain Special Interest Group (APSIG) for the International Association for the Study of Pain and past chair of APSIG of the British Pain Society.Dr Quinlan sits on the editorial board of the British Journal of Pain, is on the organising committee of the National Acute Pain Symposium, and is an expert advisor to the Beyond Pills All-Party Parliamentary Group (APPG).Dr Jennifer A Stevens is a practicing anaesthetist and director of the APS at St Vincent’s Hospital in Sydney, Australia. She has made contributions to research across both fields and has academic appointments at the University of New South Wales and the University of Notre Dame in Sydney. She has helped to improve access to acute pain knowledge and tools for lower resourced hospitals through the ‘Resources for Opioid Stewardship’ freely available through the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine website.

• 1. Analgesic Stewardship2. Education3. Assessment and Monitoring4. Pharmacology of Opioids 5. Pharmacology of Local Anaesthetics6. Nonopioid and Adjuvant Analgesic Agents 7. Systemic Routes of Opioid Administration 8. Patient-Controlled Analgesia 9. Epidural and Intrathecal Analgesia 10. Other Regional and Local Analgesia 11. Nonpharmacological Therapies 12. Acute Neuropathic Pain 13. Chronic Postacute Pain 14. Nonsurgical Acute Pain 15. More Complex Patients 16. Opioid Analgesia after Discharge from Hospital 17. Self-Assessment Questions