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Anesthesiol Clin. 2018 Jun;36(2):295-307. doi: 10.1016/j.anclin.2018.01.007. Epub 2018 Apr 7.

Comprehensive Acute Pain Management in the Perioperative Surgical Home.

Author information

1
Department of Anesthesiology and Pain Medicine, University of Kansas Medical Center, 3901 Rainbow Boulevard, MS 1034, Kansas City, KS 66160, USA.
2
Department of Anesthesiology and Pain Medicine, University of Kansas Medical Center, 3901 Rainbow Boulevard, MS 1034, Kansas City, KS 66160, USA. Electronic address: tkhan@kumc.edu.

Abstract

The careful coordination of care throughout the perioperative continuum offered by the perioperative surgical home (PSH) is important in the treatment of postoperative pain. Physician anesthesiologists have expertise in acute pain management, pharmacology, and regional and neuraxial anesthetic techniques, making them ideal leaders for managing perioperative analgesia within the PSH. Severe postoperative pain is one of many patient- and surgery-specific factors in the development of chronic postsurgical pain. Delivering adequate perioperative analgesia is important to avoid this development, to decrease perioperative morbidity, and to improve patient satisfaction.

KEYWORDS:

Chronic postsurgical pain; Multimodal analgesia; Neuraxial opioids; Opioid epidemic; Perioperative pain service; Perioperative surgical home; Preventative analgesia

PMID:
29759289
DOI:
10.1016/j.anclin.2018.01.007
[Indexed for MEDLINE]

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