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Review
. 2013 Sep;26(3):191-6.
doi: 10.1055/s-0033-1351138.

Postoperative pain control

Veerabhadram Garimella  1 , Christina Cellini  1
Affiliations
Review

Postoperative pain control

Veerabhadram Garimella et al. Clin Colon Rectal Surg. 2013 Sep.

Abstract

The effective relief of pain is of the utmost importance to anyone treating patients undergoing surgery. Pain relief has significant physiological benefits; hence, monitoring of pain relief is increasingly becoming an important postoperative quality measure. The goal for postoperative pain management is to reduce or eliminate pain and discomfort with a minimum of side effects. Various agents (opioid vs. nonopioid), routes (oral, intravenous, neuraxial, regional) and modes (patient controlled vs. "as needed") for the treatment of postoperative pain exist. Although traditionally the mainstay of postoperative analgesia is opioid based, increasingly more evidence exists to support a multimodal approach with the intent to reduce opioid side effects (such as nausea and ileus) and improve pain scores. Enhanced recovery protocols to reduce length of stay in colorectal surgery are becoming more prevalent and include multimodal opioid sparing regimens as a critical component. Familiarity with the efficacy of available agents and routes of administration is important to tailor the postoperative regimen to the needs of the individual patient.

Keywords: analgesia; nonsteroidal; opioids; postoperative; transversus abdominis.

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References

    1. American Society of Anesthesiologists Task Force on Acute Pain Management. Practice guidelines for acute pain management in the perioperative setting: an updated report by the American Society of Anesthesiologists Task Force on Acute Pain Management Anesthesiology 20121162248–273. - PubMed
    1. Brennan F, Carr D B, Cousins M. Pain management: a fundamental human right. Anesth Analg. 2007;105(1):205–221. - PubMed
    1. Kehlet H, Holte K. Effect of postoperative analgesia on surgical outcome. Br J Anaesth. 2001;87(1):62–72. - PubMed
    1. Kehlet H, Jensen T S, Woolf C J. Persistent postsurgical pain: risk factors and prevention. Lancet. 2006;367(9522):1618–1625. - PubMed
    1. Kalkman C J, Visser K, Moen J, Bonsel G J, Grobbee D E, Moons K G. Preoperative prediction of severe postoperative pain. Pain. 2003;105(3):415–423. - PubMed