skip to main content
Language:
Search Limited to: Search Limited to: Resource type Show Results with: Show Results with: Search type Index

SP36 Opioid sparing anesthesia

Regional anesthesia and pain medicine, 2022, Vol.47 (Suppl 1), p.A42-A43 [Peer Reviewed Journal]

American Society of Regional Anesthesia & Pain Medicine 2022. No commercial re-use. See rights and permissions. Published by BMJ. ;ISSN: 1098-7339 ;EISSN: 1532-8651 ;DOI: 10.1136/rapm-2022-ESRA.41

Full text available

Citations Cited by
  • Title:
    SP36 Opioid sparing anesthesia
  • Author: Lirk, P
  • Subjects: Invited speakers
  • Is Part Of: Regional anesthesia and pain medicine, 2022, Vol.47 (Suppl 1), p.A42-A43
  • Description: University of Nebraska Medical Center, USAInadequate perioperative pain control delays postoperative mobilization, and may lead to development of chronic postoperative pain, amplified cardiac and pulmonary complications, and increased morbidity and mortality.1 Even though opioids are still widely used,2 more information on their misuse, limitations and side-effects is becoming available, including risk of dependence and opioid-induced hyperalgesia (OIH).3 Multimodal analgesia has been defined as the use of two or more analgesics or techniques that target different mechanisms or pathways in the nociceptive system.4 As drugs are combined, lower doses of each class can be given, thereby lowering the side effects of each individual drug, but increasing overall efficacy.5,6 Drugs commonly used in this framework include acetaminophen, non-steroidal anti-inflammatory drugs (NSAID) or cyclo-oxygenase-2 inhibitors, dexamethasone, gabapentin, clonidine, dexmedetomidine, intravenous lidocaine, magnesium and ketamine. When timed correctly, however, regional anesthesia remains the best and most powerful opioid-sparing technique for many indications.ReferencesGerbershagen HJ, Aduckathil S, van Wijck AJ, et al. Pain intensity on the first day after surgery: a prospective cohort study comparing 179 surgical procedures. Anesthesiology 2013;118:934–44.Ladha KS, Patorno E, Huybrechts KF, et al. Variations in the Use of Perioperative Multimodal Analgesic Therapy. Anesthesiology 2016;124:837–45.Wu CL, Raja SN. Treatment of acute postoperative pain. Lancet 2011;377:2215–25.Manworren RC. Multimodal pain management and the future of a personalized medicine approach to pain. AORN J 2015;101:308–14; quiz 15–8.Kehlet H, Dahl JB. The value of ‘multimodal’ or ‘balanced analgesia’ in postoperative pain treatment. Anesth Analg 1993;77:1048–56.Buvanendran A, Kroin JS. Multimodal analgesia for controlling acute postoperative pain. Curr Opin Anaesthesiol 2009;22:588–93.
  • Publisher: BMJ Publishing Group Ltd
  • Language: English
  • Identifier: ISSN: 1098-7339
    EISSN: 1532-8651
    DOI: 10.1136/rapm-2022-ESRA.41
  • Source: ProQuest Central
Back to results list
INSPIRE LIBRARY - TON DUC THANG UNIVERSITY (84-028) 37 755 057 Feedback
19 Nguyen Huu Tho St. Dist.7, HCM thuvien@tdtu.edu.vn

Copyright © 2017 INSPIRE LIBRARY - TON DUC THANG UNIVERSITY

Searching Remote Databases, Please Wait