{"title":"Postoperative analgesia","authors":"Katharine C Ireland, Abdul G Lalkhen","doi":"10.1016/j.mpaic.2024.09.005","DOIUrl":null,"url":null,"abstract":"<div><div>Pain is a complex experience consisting of sensory, affective, behavioural and physiological components. The management of pain is therefore best achieved with an approach which acknowledges that the experience of pain is produced through the interaction of biological, psychological and sociocultural factors. Effective pain management requires preoperative patient engagement and education to manage expectations regarding pain relief and an inpatient pain service to coordinate the implementation of evidence-based postoperative pain management protocols and facilitate continuous staff education. Multimodal postoperative analgesia, built on an opioid-sparing ethos, is an essential component of perioperative pain management. Effective pain management enhances recovery after surgery by facilitating early patient mobilization, a reduction in respiratory and cardiac complications and amelioration of the stress response to surgery with consequent improved wound healing. Inadequate pain control can contribute to prolonged hospitalization and the development of chronic postsurgical pain.</div></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"25 12","pages":"Pages 823-830"},"PeriodicalIF":0.3000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Anaesthesia and Intensive Care Medicine","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1472029924001966","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Pain is a complex experience consisting of sensory, affective, behavioural and physiological components. The management of pain is therefore best achieved with an approach which acknowledges that the experience of pain is produced through the interaction of biological, psychological and sociocultural factors. Effective pain management requires preoperative patient engagement and education to manage expectations regarding pain relief and an inpatient pain service to coordinate the implementation of evidence-based postoperative pain management protocols and facilitate continuous staff education. Multimodal postoperative analgesia, built on an opioid-sparing ethos, is an essential component of perioperative pain management. Effective pain management enhances recovery after surgery by facilitating early patient mobilization, a reduction in respiratory and cardiac complications and amelioration of the stress response to surgery with consequent improved wound healing. Inadequate pain control can contribute to prolonged hospitalization and the development of chronic postsurgical pain.
期刊介绍：
Anaesthesia and Intensive Care Medicine, an invaluable source of up-to-date information, with the curriculum of both the Primary and Final FRCA examinations covered over a three-year cycle. Published monthly this ever-updating text book will be an invaluable source for both trainee and experienced anaesthetists. The enthusiastic editorial board, under the guidance of two eminent and experienced series editors, ensures Anaesthesia and Intensive Care Medicine covers all the key topics in a comprehensive and authoritative manner. Articles now include learning objectives and eash issue features MCQs, facilitating self-directed learning and enabling readers at all levels to test their knowledge. Each issue is divided between basic scientific and clinical sections. The basic science articles include anatomy, physiology, pharmacology, physics and clinical measurement, while the clinical sections cover anaesthetic agents and techniques, assessment and perioperative management. Further sections cover audit, trials, statistics, ethical and legal medicine, and the management of acute and chronic pain.
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