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Pain Management in Enhanced Recovery after Surgery (ERAS) Protocols
J Creswell Simpson1, Xiaodong Bao1, Aalok Agarwala1
1Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts.
Clinics in Colon and Rectal Surgery
|March 6, 2019
Summary
Enhanced Recovery after Surgery (ERAS) protocols for colorectal surgery improve pain control and recovery by reducing opioid use. Multimodal analgesia, including non-opioid therapies and regional techniques, is key to minimizing side effects and enhancing patient outcomes.
Area of Science:
- Anesthesiology
- Surgical Recovery
- Pain Management
Background:
- Pain control is crucial for Enhanced Recovery after Surgery (ERAS) protocols in colorectal surgery.
- Opioid therapy, while standard for postsurgical pain, causes adverse effects like delayed bowel function and respiratory depression.
- Non-opioid therapies and regional techniques offer alternatives to reduce opioid reliance.
Purpose of the Study:
- To review multimodal therapies for postoperative pain management in colorectal surgery.
- To evaluate the impact of these therapies on opioid consumption and patient recovery.
- To highlight the role of multimodal analgesia within ERAS protocols.
Main Methods:
- Review of current literature on multimodal analgesia in colorectal surgery.
- Examination of non-opioid systemic therapies.
- Analysis of regional and neuraxial pain management techniques.
Main Results:
- Multimodal analgesia enhances postoperative pain control.
- It significantly reduces the need for opioid medications.
- Facilitates early patient mobility and bowel function recovery, decreasing morbidity.
Conclusions:
- Multimodal and preemptive analgesia are integral to successful ERAS protocols for colorectal surgery.
- These approaches improve patient recovery by minimizing opioid-related side effects.
- Optimizing pain management strategies leads to better surgical outcomes.
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