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Update on perioperative pain management

F X Riegler1

  • 1School of Medicine, University of Pennsylvania, Philadelphia.

Clinical Orthopaedics and Related Research
|August 1, 1994
PubMed
Summary

State-of-the-art techniques for perioperative pain management in orthopaedic surgery have advanced through interdisciplinary approaches. Research priorities include patient outcomes and healthcare costs.

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Area of Science:

  • Orthopaedic Surgery
  • Pain Management
  • Anesthesiology

Background:

  • Perioperative pain management in orthopaedic surgery has evolved significantly.
  • Advances in basic sciences, technology, psychology, and clinical practices drive these improvements.
  • Understanding pain physiology and pharmacology informs intervention strategies.

Purpose of the Study:

  • To review current state-of-the-art techniques for perioperative pain management in orthopaedic surgery.
  • To highlight the evolution of pain management strategies and interdisciplinary teams.
  • To identify research priorities in the context of healthcare reform.

Main Methods:

  • Review of cumulative advances in basic sciences, technology, and psychology.
  • Description of core perioperative pain management techniques.
  • Discussion of the evolution of interdisciplinary Acute Pain Treatment Services.

Main Results:

  • Core techniques include intravenous patient-controlled analgesia, spinal analgesia, nerve blocks, and adjuvant analgesics.
  • Interdisciplinary pain management teams (Acute Pain Treatment Services) have become more common.
  • Increased demand for these services has paralleled their evolution.

Conclusions:

  • Perioperative pain management in orthopaedics is a multidisciplinary effort.
  • Future research should focus on patient outcomes and healthcare costs.
  • Continued advancements are expected with ongoing research and practice changes.

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