Management of acute postoperative pain: Conditions to guarantee the safety and effectiveness of analgesic treatments

N. Esteve-Pérez , M.A. Perez-Herrero , A. Montes-Perez , S. López-Alvarez , Grupo de Trabajo de Dolor Agudo SEDAR
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Abstract

The evidence on postoperative pain management is of low or insufficient quality. The SEDAR Acute Pain Working Group has prepared this guideline-document to apply the best available scientific evidence to clinical practice, individualizing it based on factors specific to the patient and the procedure, and encompassing different organizational options, attempting to individualize it based on specific factors of the patient and the procedure, and encompassing the different organizational options for pain control.

The document updates concepts and minimum requirements necessary for optimal postoperative analgesia, a multidisciplinary approach and the management of Acute Postoperative Pain. Strategic lines and different management models are defined. A general perioperative action plan is established based on collaboration with the surgical departments involved, on the joint review of the evidence and on preparation of protocols by the procedure. Finally, a follow-up plan and a series of minimum indicators necessary for quality control of postoperative pain are presented.

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术后急性疼痛的处理:保证镇痛治疗安全有效的条件。
有关术后疼痛治疗的证据质量较低或不足。SEDAR 急性疼痛工作组编写了这份指南文件,旨在将现有的最佳科学证据应用于临床实践,根据患者和手术的具体因素进行个性化处理,并包含不同的组织方案,试图根据患者和手术的具体因素进行个性化处理,并包含不同的疼痛控制组织方案。该文件更新了最佳术后镇痛、多学科方法和急性术后疼痛管理所需的概念和最低要求。确定了战略方针和不同的管理模式。根据与相关外科部门的合作、对证据的联合审查以及按程序制定的规程,制定了围手术期总体行动计划。最后,介绍了术后疼痛质量控制所需的后续计划和一系列最低指标。
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