Postoperative Pain Management in Enhanced Recovery Pathways

Cheung, Christopher K.; Adeola, Janet O.; Beutler, Sascha S.; Urman, Richard D.

doi:10.2147/jpr.s231774

Cited by 26 publications

(21 citation statements)

References 167 publications

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“…The implementation of local anaesthetics and multimodal pain control strategies, among other developments, has substantially enhanced patient comfort. Furthermore, approaches that result in improved aesthetic outcomes, such as closure techniques requiring minimal invasiveness, positively influence patient satisfaction and general welfare 56,57 …”

Section: Impact On Enhanced Recoverymentioning

confidence: 99%

A review on wound management strategies in enhanced recovery after craniotomy: An in‐depth analysis of their influence on patient recovery and surgical outcomes

Wu,

2024

International Wound Journal

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Craniotomy, an essential neurosurgical operation, poses distinct difficulties in the realm of post‐operative care, specifically with regard to the management of wounds. Efficient wound management is critical in order to optimize the surgical outcomes, reduce complications and facilitate a speedier recovery. The purpose of this comprehensive review was to assess contemporary wound management approaches as they pertain to improved recovery following craniotomy. This was achieved by contrasting conventional methods with more recent and innovative techniques and analysing the effects of these approaches on patient recovery and surgical results. An exhaustive literature search was undertaken, comprising narrative reviews, clinical studies, peer‐reviewed articles and expert opinions. The emphasis was on the evolution of wound management strategies and techniques utilized after cranial section, as well as their contributions to patient recovery. The analysis reveals that while conventional wound management methods, including suturing and antiseptics, continue to be essential, innovative strategies such as negative pressure wound therapy, skin adhesives and advanced pain management protocols are becoming increasingly recognized. It has been demonstrated that these novel approaches improve recovery by decreasing the incidence of infections, enhancing patient comfort and producing superior cosmetic results. Nevertheless, obstacles continue to endure, including patient‐specific variables, technological and financial considerations and the enduring consequences of recovery. Thus the treatment of wounds during craniotomy recuperation necessitates an integrated strategy that incorporates conventional techniques alongside contemporary advancements. Progress in this domain necessitates the customization of approaches to suit the unique requirements of each patient, the resolution of identified obstacles and an emphasis on ongoing investigation and interdisciplinary cooperation. The ever‐changing terrain of wound management approaches underscores the ever‐changing character of neurosurgical treatment and the continuous endeavour to enhance patient results following cranial resection.

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Section: Impact On Enhanced Recoverymentioning

confidence: 99%

A review on wound management strategies in enhanced recovery after craniotomy: An in‐depth analysis of their influence on patient recovery and surgical outcomes

Wu,

2024

International Wound Journal

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“…This cannot be accepted for successful use of the enhanced recovery after surgery (ERAS) protocols, which recommend that analgesics should be universally titrated to achieve patient comfort with a NRS score of ≤3. 3 It was unclear why designed target of postoperative analgesia with NRS ≥4 was not achieved in sham patients. We believe that this issue would have resulted in an underestimated opioid sparing with the ITM for postoperative pain control.…”

Section: To the Editormentioning

confidence: 99%

Opioid-Sparing Effect of Intrathecal Morphine for Postoperative Pain Control

Xue,

Li,

Tian

2023

Anesthesia &Amp; Analgesia

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“…82 As a result, enhanced recovery pathways (ERPs) normally use opioid drugs sparingly, only when other therapies have failed, and only in conjunction with non-opioid analgesic treatments (Table 1). 83 Patients with chronic pain who are taking opioids before surgery are more likely to encounter significant postoperative pain, poor postoperative pain control, and opioid-related adverse effects. Hence, non-opioid analgesic modalities are especially important for this patient population.…”

Section: Non-opioidsmentioning

confidence: 99%

Pharmacotherapeutic pain management in patients undergoing laparoscopic cholecystectomy: A review

Jiang¹,

Ye²

2022

Adv Clin Exp Med

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Laparoscopic cholecystectomy is widely performed because it results in a relatively easier pain management and shorter hospital stay. Although postoperative pain following laparoscopic cholecystectomy tends to be less intense compared to that following open cholecystectomy, early discomfort from operation after laparoscopy can be similar or even more intense than after open surgery. Consequently, it remains a source of apparent pain and surgical stress. Thus, proactive pain control is a priority for both patients and doctors. A considerable amount of new research about pain and pain management has been documented in the literature over the last 2 decades. In addition, novel medications and technologies for acute pain control after laparoscopic cholecystectomy have been investigated for patient care. Nevertheless, a significant proportion of patients still have excessively high pain levels after laparoscopic surgery. Acute pain after laparoscopic cholecystectomy is complicated in nature and has multiple causes; therefore, a single treatment modality is rarely sufficient. A combined approach to pain management is often the best option. In this review, the wide range of pharmacotherapeutic agents that have been used to control pain after laparoscopic surgery are critically assessed. The article also focuses on new techniques and medications that have been investigated in recent years to manage pain after laparoscopic surgery as quickly and safely as possible.

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Postoperative Pain Management in Enhanced Recovery Pathways

Cited by 26 publications

References 167 publications

A review on wound management strategies in enhanced recovery after craniotomy: An in‐depth analysis of their influence on patient recovery and surgical outcomes

A review on wound management strategies in enhanced recovery after craniotomy: An in‐depth analysis of their influence on patient recovery and surgical outcomes

Opioid-Sparing Effect of Intrathecal Morphine for Postoperative Pain Control

Pharmacotherapeutic pain management in patients undergoing laparoscopic cholecystectomy: A review

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