Korean J Anesthesiol.
2020 Oct;73(5):363-371. 10.4097/kja.20323.
The role of regional analgesia in personalized postoperative pain management
- Affiliations
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- 1Department of Anesthesiology and Perioperative Care, University of British Columbia, Vancouver General Hospital, BC, Canada
- 2Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA
- 3Anesthesiology and Perioperative Care Service, Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA
- KMID: 2506865
- DOI: http://doi.org/10.4097/kja.20323
Abstract
- Pain management plays a fundamental role in enhanced recovery after surgery pathways. The concept of multimodal analgesia in providing a balanced and effective approach to perioperative pain management is widely accepted and practiced, with regional anesthesia playing a pivotal role. Nerve block techniques can be utilized to achieve the goals of enhanced recovery, whether it be the resolution of ileus or time to mobilization. However, the recent expansion in the number and types of nerve block approaches can be daunting for general anesthesiologists. Which is the most appropriate regional technique to choose, and what skills and infrastructure are required for its implementation? A multidisciplinary team-based approach for defining the goals is essential, based on each patient's needs, and incorporating patient, surgical, and social factors. This review provides a framework for a personalized approach to postoperative pain management with an emphasis on regional anesthesia techniques.
Keyword
Cited by 1 articles
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Multimodal analgesia or balanced analgesia: the better choice?
Jae Hang Shim
Korean J Anesthesiol. 2020;73(5):361-362. doi: 10.4097/kja.20505.
