Abstract
Ambulatory surgery requires special conditions for postoperative pain management. Due to the lack of continuous surveillance of the patient after dismissal, pain therapy needs to be efficient and low of risks as well. Pre-emptive balanced analgesia has proved to be the method of choice to achieve a sufficient pain reduction in combination with a low rate of side-effects. The results of a prospective study based on this concept confirm the theory that adequate pain management starts with the endeavour to prevent a central engram of pain and is continued with a combination of analgesics and nerve blockade to reduce single drug dosage and side-effects. An algorithm for postoperative pain therapy is presented.
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