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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.
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.
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.
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