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Perioperative Pain Management in Hand and Upper Extremity Surgery.

Evyn L Neumeister1, Austin M Beason2, Jacob A Thayer1

  • 1Department of Surgery, Institute for Plastic Surgery, Southern Illinois University School of Medicine, 747 North Rutledge Street, Springfield, IL 62794-9653, USA.

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Summary

Effective perioperative pain management for hand and upper extremity surgery requires a personalized, multimodal strategy. This approach integrates presurgical, intraoperative, and postoperative interventions for optimal patient outcomes.

Keywords:
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Area of Science:

  • Orthopedic Surgery
  • Pain Management
  • Anesthesiology

Background:

  • Perioperative pain control is crucial for hand and upper extremity surgeries.
  • A tailored, multimodal approach is essential for effective pain management.
  • Pain management strategies must encompass presurgical, intraoperative, and postoperative phases.

Purpose of the Study:

  • To outline a comprehensive strategy for perioperative pain management in hand and upper extremity surgery.
  • To emphasize the importance of patient-specific pain management plans.
  • To highlight the integration of various therapeutic modalities.

Main Methods:

  • Implementing a multimodal pain management plan tailored to individual patient needs.
  • Incorporating presurgical patient education, expectation setting, and psychological interventions.
  • Utilizing diverse intraoperative anesthesia techniques.
  • Employing postoperative therapies including cryotherapy, TENS, acupuncture, massage, heat, and pharmacologic agents.

Main Results:

  • Multimodal strategies, including non-pharmacologic methods, effectively manage postoperative pain.
  • Patient-centered care and addressing risk factors improve pain management success.
  • A combination of systemic, local, and presurgical interventions optimizes recovery.

Conclusions:

  • Successful pain management in upper extremity surgery necessitates a proactive and individualized multimodal approach.
  • Integrating pharmacologic and non-pharmacologic therapies throughout the perioperative period is key.
  • Patient education and psychological support are vital components of effective pain control.