Premium
Enhanced recovery after surgery: Pain management
Author(s) -
Nimmo Susan M.,
Foo Irwin T.H.,
Paterson Hugh M.
Publication year - 2017
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.24814
Subject(s) - medicine , limiting , pain management , anesthesia , opioid , postoperative pain , surgery , mechanical engineering , receptor , engineering
Effective pain management is fundamental to enhanced recovery after surgery. Selection of strategies should be tailored to patient and operation. As well as improving the quality of recovery, effective analgesia reduces the host stress response, facilitates mobilization and allows resumption of oral intake. Multi‐modal regimens combining paracetamol, non‐steroidal anti‐inflammatory agents where indicated, a potent opioid and a local anaesthetic technique achieve effective analgesia while limiting the dose and thereby side effects of any one agent.