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Postoperative pain management

J D Tobias1

  • 1Department of Child Health, University of Missouri, Columbia 65212, USA.

Pediatric Annals
|August 1, 1997
PubMed
Summary

Effective postoperative pain management involves a three-step approach using nonsteroidal anti-inflammatory drugs (NSAIDs) and opioids. Route and mode of administration are key to optimizing pain relief efficacy.

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Area of Science:

  • Pain Management
  • Pharmacology

Background:

  • Postoperative pain has significant negative physiological effects.
  • Effective pain relief (analgesia) yields beneficial outcomes.
  • Current pain management strategies require careful consideration of drug choice and administration.

Purpose of the Study:

  • To outline a recommended three-step approach for postoperative pain management.
  • To highlight the importance of drug selection, route, and mode of administration in analgesia.
  • To discuss the role of NSAIDs and opioids in managing pain severity.

Main Methods:

  • A three-step approach based on pain severity is recommended.
  • Utilizes a combination of nonsteroidal anti-inflammatory drugs (NSAIDs) and opioids.
  • Considers opioid selection, route of administration, and mode of administration.

Main Results:

  • The chosen approach significantly impacts analgesia efficacy.
  • Intravenous opioids are currently primary for moderate to severe hospital pain.
  • Non-parenteral routes show potential for future use.

Conclusions:

  • A stepwise approach tailored to pain severity is crucial for effective postoperative analgesia.
  • Optimizing opioid selection and administration methods enhances pain management.
  • Future developments may expand the use of non-intravenous opioid administration routes.

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