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Curr Pain Headache Rep. 2017 May;21(5):24. doi: 10.1007/s11916-017-0622-z.

Techniques to Optimize Multimodal Analgesia in Ambulatory Surgery.

Author information

1
Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins Hospital, Baltimore, MD, USA.
2
Department of Anesthesiology, Louisiana State University Health Sciences Center, New Orleans, LA, USA.
3
Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, MA, 02115, USA. rurman@partners.org.

Abstract

PURPOSE OF REVIEW:

Ambulatory surgery has grown in popularity in recent decades due to the advancement in both surgical and anesthetic techniques resulting in quicker recovery times, fewer complications, higher patient satisfaction, and reduced costs of care. We review common approaches to multimodal analgesia.

RECENT FINDINGS:

A multimodal approach can help reduce perioperative opioid requirements and improve patient recovery. Analgesic options may include NSAIDs, acetaminophen, gabapentinoids, corticosteroids, alpha-2 agonists, local anesthetics, and the use of regional anesthesia. We highlight important aspects related to pain management in the ambulatory surgery setting. A coordinated approach is required by the entire healthcare team to help expedite patient recovery and facilitate a resumption of normal activity following surgery. Implementation and development of standardized analgesic protocols will further improve patient care and outcomes.

KEYWORDS:

Ambulatory; Analgesia; Anesthesia; Multimodal; NSAIDs; Opioid; Pain management

PMID:
28283811
DOI:
10.1007/s11916-017-0622-z
[Indexed for MEDLINE]

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