Chapter 4. Analgesia

  1. Adam Brooks FRCS (Gen Surg), DMCC Consultant Senior Lecturer2,3,
  2. Bryan A. Cotton MD, MPH Associate Professor4,
  3. Lt Col Nigel Tai MS, FRCS (Gen Surg), RAMC Consultant Senior Lecturer3,5 and
  4. Col Peter F. Mahoney OBE, TD, MSc, FRCA, RAMC Defence Professor6
  1. Jeff L. Tong Reader in Anaesthesia

Published Online: 10 MAR 2010

DOI: 10.1002/9781444315172.ch4

Emergency Surgery

Emergency Surgery

How to Cite

Tong, J. L. (2010) Analgesia, in Emergency Surgery (eds A. Brooks, B. A. Cotton, N. Tai and P. F. Mahoney), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444315172.ch4

Editor Information

  1. 2

    Major Trauma Pathway Lead, General Surgery Service Lead, Nottingham University Hospital NHS Trust, Nottingham, UK

  2. 3

    Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham, UK

  3. 4

    Department of Surgery and the Center for Translational Injury Research, The University of Texas Health Science Center, Houston, Texas, USA

  4. 5

    Defence Medical Services, Trauma Clinical Academic Unit, Royal London Hospital, Whitechapel, London, UK

  5. 6

    RCDM Birmingham Research, Park Vincent Drive, Birmingham, UK

Author Information

  1. Department of Military Anaesthesia and Critical Care, Royal Centre for Defence Medicine, Birmingham, UK

Publication History

  1. Published Online: 10 MAR 2010
  2. Published Print: 31 JAN 2010

ISBN Information

Print ISBN: 9781405170253

Online ISBN: 9781444315172



  • analgesia;
  • pain defined as unpleasant sensory and emotional experience - with actual or potential tissue damage;
  • non-steroidal anti-inflammatory drugs (NSAIDs);
  • assessment of pain;
  • numeric pain intensity scale;
  • patient-controlled analgesia (PCA) system - intermittent IV boluses of opioid demand activated by patient;
  • IV analgesia, preferred route of administration in emergency surgical patient;
  • narcotic analgesia and non-narcotic analgesia;
  • neuropathic pain, pain from disease or damage of peripheral nervous systems


This chapter contains sections titled:

  • Introduction

  • Why is analgesia needed?

  • Assessment of pain

  • Route and frequency

  • Patient-controlled analgesia

  • Narcotic analgesia

  • Ketamine

  • Non-narcotic analgesia

  • Analgesia or anaesthesia

  • Local anaesthetics

  • Neuropathic pain