Postoperative pain control

Jessica Lovich-Sapola; Charles E Smith; Christopher P Brandt

doi:10.1016/j.suc.2014.10.002

Postoperative pain control

Surg Clin North Am. 2015 Apr;95(2):301-18. doi: 10.1016/j.suc.2014.10.002. Epub 2015 Jan 24.

Authors

Jessica Lovich-Sapola¹, Charles E Smith¹, Christopher P Brandt²

Affiliations

¹ Department of Anesthesiology, MetroHealth Medical Center, Case Western Reserve University, 10900 Euclid Ave, Cleveland, OH 44106, USA.
² Department of Surgery, MetroHealth Medical Center, Case Western Reserve University, 2500 MetroHealth Dr., Cleveland, OH 44109, USA. Electronic address: cbrandt@metrohealth.org.

PMID: 25814108
DOI: 10.1016/j.suc.2014.10.002

Abstract

Prevention and control of postoperative pain are essential. Inadequate treatment of postoperative pain continues to be a major problem after many surgeries and leads to worse outcomes, including chronic postsurgical pain. Optimal management of postoperative pain requires an understanding of the pathophysiology of pain, methods available to reduce pain, invasiveness of the procedure, and patient factors associated with increased pain, such as anxiety, depression, catastrophizing, and neuroticism. Use of a procedure-specific, multimodal perioperative pain management provides a rational basis for enhanced postoperative pain control, optimization of analgesia, decrease in adverse effects, and improved patient satisfaction.

Keywords: Local anesthetics; Multimodal analgesia; Nerve blocks; Opioids; Postoperative pain.

Publication types

Review

MeSH terms

Acute Pain / diagnosis
Acute Pain / etiology
Acute Pain / prevention & control*
Adult
Analgesics / therapeutic use
Anesthetics, Local / therapeutic use
Child
Chronic Pain / diagnosis
Chronic Pain / etiology
Chronic Pain / prevention & control*
Humans
Pain Management*
Pain, Postoperative / diagnosis
Pain, Postoperative / etiology
Pain, Postoperative / prevention & control*
Perioperative Care*

Substances

Analgesics
Anesthetics, Local