Abstract
This article reviews the current evidence for multimodal analgesic options for common surgical procedures. As perioperative physicians, we have come a long way from using only opioids for postoperative pain to combinations of acetaminophen, nonsteroidal anti-inflammatory drugs (NSAIDs), selective Cyclo-oxygenase (COX-2) inhibitors, local anesthetics, N-methyl-d-aspartate (NMDA) receptor antagonists, and regional anesthetics. As discussed in this article, many of these agents have decreased narcotic requirements, improved patient satisfaction, and decreased postanesthesia care unit (PACU) times, as well as morbidity in the perioperative period.
Original language | English (US) |
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Pages (from-to) | 59-79 |
Number of pages | 21 |
Journal | Best Practice and Research: Clinical Anaesthesiology |
Volume | 28 |
Issue number | 1 |
DOIs | |
State | Published - Mar 1 2014 |
Keywords
- acute pain
- adjuvant medication
- balanced anesthesia
- chronic postoperative pain
- multimodal perioperative analgesia
- persistent postoperative pain
- postoperative pain
- regional anesthesia
ASJC Scopus subject areas
- General Medicine