Enhanced recovery after surgery: Pain management. Issue 5 (5th September 2017)

• Record Type: Journal Article
• Authors: Nimmo, Susan M.; Foo, Irwin T.H.; Paterson, Hugh M.
• Other Names: Schmidt Carl R. guestEditor.
• Is Part Of: Journal of surgical oncology. Volume 116:Issue 5(2017)
• Page Start: 583
• Page End: 591
• Publication Date: 2017-09-05
• Subjects: analgesia -- enhanced recovery -- epidural -- opioids -- surgery; Cancer -- Surgery -- Periodicals; Neoplasms -- Periodicals; 616
• DOI: 10.1002/jso.24814
• Languages: English
• ISSNs: 0022-4790

Abstract

Abstract : Effective pain management is fundamental to enhanced recovery after surgery. Selection of strategies should be tailored to patient and operation. As well as improving the quality of recovery, effective analgesia reduces the host stress response, facilitates mobilization and allows resumption of oral intake. Multi‐modal regimens combining paracetamol, non‐steroidal anti‐inflammatory agents where indicated, a potent opioid and a local anaesthetic technique achieve effective analgesia while limiting the dose and thereby side effects of any one agent.