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Opioid-Sparing Perioperative Analgesia Within Enhanced Recovery Programs.

Matthew D McEvoy1, Britany L Raymond1, Anton Krige2

  • 1Department of Anesthesiology, Vanderbilt University School of Medicine, 1301 Medical Center Drive, TVC 4619, Nashville, TN 37221, USA; Perioperative Medicine Fellowship, Hi-RiSE Perioperative Optimization Clinic, Perioperative Consult Service, VUMC ERAS Executive Steering Committee, Vanderbilt University Medical Center, 1301 Medical Center Drive, TVC 4648, Nashville, TN 37232, USA.

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Summary

Opioid minimization strategies enhance perioperative pain management by reducing side effects. Nonopioid multimodal analgesia offers effective pain control and faster recovery for specific surgical procedures.

Keywords:
AnalgesiaIntravenousMultimodalNonopioidOpioidOpioid-sparingRecoverySide effects

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Area of Science:

  • Anesthesiology
  • Pain Management
  • Surgical Recovery

Background:

  • Opioid analgesia effectively controls perioperative pain but carries risks of side effects and harm.
  • Optimal analgesia aims for rapid functional recovery with adequate pain control and minimal adverse effects.

Purpose of the Study:

  • To review evidence and practical strategies for opioid minimization in perioperative pain management.
  • To highlight the efficacy of nonopioid multimodal analgesia options.

Main Methods:

  • Literature review of existing evidence on nonopioid multimodal analgesia.
  • Analysis of specific nonopioid modalities beneficial for particular surgical contexts.

Main Results:

  • Nonopioid multimodal analgesia provides efficacious pain control.
  • Certain nonopioid approaches are more beneficial for specific surgical procedures.
  • Opioid minimization is key to achieving optimal analgesia.

Conclusions:

  • Opioid minimization is crucial for safe and effective perioperative pain management.
  • Nonopioid multimodal analgesia offers a viable alternative to reduce opioid-related harm.
  • Tailoring nonopioid strategies to surgical type can optimize patient outcomes.