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Why is Acute Pain a Problem ?. Thromboembolic events. Mobilisation. Postoperative confusional states. Well being/sleep/anxiety. Stress response/catabolism. Ileus. Cardiovasc. stress. Pulmonary function. Acute Pain. Analgesia and Enhanced Recovery. Ideal Analgesia. Safe and acceptable to patients (and surgeons!)No/low failure rateNear complete dynamic pain reliefNo gastrointestinal side effectsNo limitation of movement (side effects or equipment)Absence of other problem side effectsMay 9442

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