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Acute postoperative pain management.

C Small1, H Laycock2

  • 1Warwick Clinical Trials Unit, University of Warwick, Coventry, UK.

The British Journal of Surgery
|January 7, 2020
PubMed
Summary
This summary is machine-generated.

Effective postoperative pain management remains a challenge, with severe pain affecting nearly 20% of patients within 24 hours. This review highlights key strategies for optimizing acute pain control after surgery.

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Area of Science:

  • Anesthesiology
  • Pain Medicine
  • Surgical Care

Background:

  • Acute postoperative pain significantly impacts patient recovery, affecting approximately 20% of individuals within the first 24 hours after surgery.
  • Pain management strategies have seen little improvement over the past three decades, indicating a persistent clinical challenge.

Purpose of the Study:

  • To review current strategies for managing acute postoperative pain.
  • To identify key considerations for optimizing pain management in the perioperative setting.

Main Methods:

  • A narrative review of existing literature on postoperative pain management.
  • Searches conducted across major databases including Cochrane Library, PubMed, and Google Scholar.
  • Keywords used: postoperative care, psychological factor, pain management, acute pain service, analgesia, acute pain, and pain assessment.

Main Results:

  • Information synthesized on service provision, preoperative planning, and pain assessment techniques.
  • Details provided on pharmacological and non-pharmacological interventions for adult postoperative pain.
  • Emphasis placed on integrating pain management within enhanced recovery after surgery (ERAS) pathways.

Conclusions:

  • Comprehensive perioperative pain management is crucial for optimal patient outcomes.
  • A holistic approach considering biological, psychological, and social aspects of pain is essential for effective postoperative pain control.