Postoperative Pain Management

Abhishek D. Parmar
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Abstract

The aim of this review is to provide practical clinical information on modern pain management options to guide the clinician on evidence-based practices, optimizing the treatment of pain and avoiding practices that may lead to potential abuse. Postoperative pain management is an essential component of any surgeon’s practice and has clear implications for surgical outcomes, patient satisfaction, and population health. Understanding options within a multimodal approach to pain management in the acute setting is a key determinant to improving outcomes for our patients. This review discusses multimodal analgesic options, including a variety of pain medications (opiates, antiinflammatory medications, and patient-controlled analgesia) and techniques (epidural catheter placement, regional nerve blocks) to be used in tandem. Lastly, best possible practices to avoid opiate abuse are discussed. This review contains 4 figures, 5 tables, 1 video and 96 references. Key words: antiinflammatories, epidural, narcotics, patient-controlled analgesia, postoperative pain, regional nerve block
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术后疼痛处理
本综述的目的是为现代疼痛管理方案提供实用的临床信息,以指导临床医生进行循证实践,优化疼痛治疗并避免可能导致潜在滥用的实践。术后疼痛管理是任何外科医生实践的重要组成部分,对手术结果、患者满意度和人群健康有着明确的影响。了解急性疼痛管理的多模式方法中的选择是改善患者预后的关键决定因素。这篇综述讨论了多种镇痛选择,包括多种疼痛药物(阿片类药物,抗炎药物和患者控制镇痛)和技术(硬膜外导管放置,区域神经阻滞)串联使用。最后,讨论了避免阿片类药物滥用的最佳可能做法。本综述包含图4张,表5张,视频1段,参考文献96篇。关键词:抗炎药,硬膜外麻醉,患者自控镇痛,术后疼痛,局部神经阻滞
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