physiotherapists for whom effective analgesia without immobility can play a major role in facilitating recovery and mobilization. An example of the complex system that should be in place to manage complex techniques can be found in the Royal College of Anaesthetists booklet 'Good practice in the management of continuous epidural analgesia in the hospital setting 4 where analgesic regimens are initiated or modified whilst the patient is hospitalized, it is important to communicate with general practitioners if the patient is to be discharged on that regimen. The reason for the treatment should be explained and a plan for its continuation or discontinuation should be given.
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