Acute Pain Service

Acute Pain Service

1 Block


Dr. Claudia Gomez (Civic) & Dr. Steven Tremblay (General)

Welcome Message

Welcome to the Acute Pain Module. This module comprises one rotation in Core I in which you will gain knowledge about the principles of acute pain management in the perioperative setting, including management of complex patients. This will be achieved, in part, through the daily management of patients in the Acute Pain Service (APS) at The Ottawa Hospital. Throughout your residency you will have many opportunities to maintain your competence in acute pain management. As a resident, you are first line in the management of patients’ acute pain and any undue complications while on-call.

EPAs & Milestones

  • Management of perioperative pain
    • Demonstrates understanding in basic principles of pathophysiology and pharmacology of pain.
    • Demonstrates understanding in principles of acute perioperative pain management.
    • Demonstrates understanding in principles of acute-on-chronic perioperative pain management.
    • Demonstrates management of acute perioperative pain.

Academic Curriculum

Learning Cases

Core 1

  • Acute Pain Management in the Patient with Concurrent Hepatic or Renal Disease
  • Managing Pain in the Morbidly Obese Patient with Obstructive Sleep Apnea
  • Managing Perioperative Pain in the Opioid-Dependent Patient
  • Acute Pain in the Elderly Patient
  • Postoperative Analgesia with Ketamine

Assessment Tools

  • Submitted the required number of CCATs (12)
  • Achieved a satisfactory score on MCQ exam
  • Compliant with Resident Logbook
  • Presented at APS rounds
  • Completed 5 Core 1 Acute Pain learning cases
  • Demonstrated evidence of self-learning


  • Macintyre PE, Scott DA, Schug SA, Visser EJ, Walker SM (Eds). Acute Pain Management: Scientific Evidence (3rd ed). Melbourne: Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine, 2010.
  • John Penning’s Resident Handbook (2nd ed). The Acute Pain Service.
  • Chapter 17: Acute Pain Management. In: Sullivan PJ (Ed). Ottawa anesthesia primer. Toronto: Echo Book Publishing, 2012.
  • Chapter 98: Acute Postoperative Pain. In: Miller’s Anesthesia (8th ed). Saunders/Elsevier, 2015.
  • Stoelting RK, Hillier S. (Eds.). Pharmacology & physiology in anesthetic practice (4th ed). 2006. Chapters 3, 6, 7 and 11.
  • Chapter 48: Perioperative Pain Management and Enhanced Outcomes. In: Morgan & Mikhail’s Clinical Anesthesiology (5th ed). McGraw-Hill Companies, 2013.
  • Archived pain presentations and lectures
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