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Pain Management in Plastic Surgery.
Anna R Schoenbrunner1, Jeffrey E Janis2
1Department of Plastic and Reconstructive Surgery, The Ohio State University, 915 Olentangy River Road, Columbus, OH 43212, USA. Electronic address: https://twitter.com/aschoenbrunner.
Clinics in Plastic Surgery
|March 3, 2020
Summary
Plastic surgeons can optimize postoperative pain and reduce narcotic use through multimodal analgesia. This approach, guided by Enhanced Recovery After Surgery (ERAS) protocols, incorporates various medications and techniques for better patient outcomes.
Area of Science:
- Plastic Surgery
- Pain Management
- Anesthesiology
Background:
- Poorly controlled postoperative pain negatively impacts patient recovery and experience.
- Surgeons are pivotal in managing post-surgical pain and reducing opioid dependency.
Purpose of the Study:
- To review current pain management strategies for plastic surgeons.
- To provide a framework for multimodal analgesia based on Enhanced Recovery After Surgery (ERAS) protocols.
Main Methods:
- Review of therapeutic classes of analgesics including opioids, acetaminophen, NSAIDs, COX-2 inhibitors, gabapentin, muscle relaxants, steroids, and local anesthetics.
- Discussion of regional anesthesia techniques such as tumescent analgesia, nerve blocks, and epidurals.
- Integration of pharmacologic and non-pharmacologic methods within an ERAS framework.
Main Results:
- A comprehensive overview of available pharmacologic and anesthetic pain management options.
- A structured approach to multimodal analgesia tailored for plastic surgery patients.
- Emphasis on minimizing opioid consumption while ensuring effective pain control.
Conclusions:
- Multimodal analgesia is essential for optimizing postoperative pain control in plastic surgery.
- Implementing ERAS protocols and a diverse range of analgesic strategies can improve patient outcomes and satisfaction.
- Strategic use of non-opioid analgesics and regional techniques is key to reducing narcotic use.
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