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Management Strategies in the Postoperative Course, with Particular Attention to Pain Treatment: Revision of the Most Recent Knowledge

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Abstract

The postoperative period is a crucial time for patients. Careful monitoring, integrated with a treatment plan that takes into account the basal pathologies and postoperative peculiarities of specific interventions (surgical site, blood losses, pain intensity, hospitalization duration), is able to reduce the complications and, thus, postoperative morbidity and hospital stay. Recent guidelines on perioperative treatment emphasize the role of simultaneous therapeutic measures, ensuring safe risk-management pathways such as prevention of surgical site infections, thromboembolic prophylaxis, strategies to reduce the incidence of perioperative stroke, and strategies to ensure enhanced techniques integrating postoperative analgesia, nausea and vomiting control, early mobilization, and enteral nutrition [1, 2]. The main integrated recommendations below are derived from the guidelines on the treatment of postoperative pain, characterized by levels of evidence A and B [3–7].

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References

  1. White P, Kehlet H (2010) Improving postoperative pain management: what are the unresolved issues? Anesthesiology 112(1):220–225

    Article  PubMed  Google Scholar 

  2. Kozek-Langenecker SA et al (2013) Guidelines from the European Society of Anaesthesiology. Management of severe perioperative bleeding. Eur J Anaesthesiol 30:270–382

    Article  PubMed  Google Scholar 

  3. Joeschke R, Jankowski M, Brozek J, Antonelli M (2009) How to develop guidelines for clinical practice. Minerva Anestesiol 75:504–508

    Google Scholar 

  4. Savoia G, Alampi D, Amantea B et al (2010) SIAARTI recommendations for the treatment of postoperative pain. Minerva Anestesiol 76(8):657–667

    CAS  PubMed  Google Scholar 

  5. An Updated Report by the American Society of Anesthesiologists Task Force on Acute Pain Management (2012) Practice guidelines for acute pain management in the perioperative setting. Anesthesiology 116(2):240–273

    Article  Google Scholar 

  6. Paul JE, Buckley N, McLean RF (2014) Hamilton acute pain service safety study. Anesthesiology 120(1):97–109

    Article  PubMed  Google Scholar 

  7. Kuwajerwala NK, Schwer WA. Perioperative medication management. Institute for Clinical Systems Improvement Perioperative Protocol. Fourth Edition/November 2012. www.icsi.org

  8. Kim DH, Lin Y, Goytizolo EA (2014) Adductor canal block versus femoral nerve block for total knee arthroplasty. Perioperative medicine. Anesthesiology 120(3):540–551

    Article  CAS  PubMed  Google Scholar 

  9. Turan A, Sessler I (2011) Steroids to ameliorate postoperative pain. Anesthesiology 115:457–459

    Article  PubMed  Google Scholar 

  10. Ilfeld BM, Madison SJ, Suresh PJ (2014) Treatment of postmastectomy pain with ambulatory continuous paravertebral nerve blocks. Reg Anesth Pain Med 39(2):89–96

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  11. Schmidt PC, Ruchelli G, Mackey SC (2013) Perioperative gabapentinoids. Anesthesiology 119(5):1215–1221

    Article  PubMed  Google Scholar 

  12. Memtsoudis SG, Rasul R, Suzuki S (2014) Does the impact of the type of anaesthesia on outcomes differ by patient age and comorbidity burden? Reg Anesth Pain Med 39(2):112–119

    Article  CAS  PubMed  Google Scholar 

  13. Kavanagh T, Buggy DJ (2012) Can anaesthetic technique effect postoperative outcome? Curr Opin Anaesthesiol 25(2):184–198

    Article  Google Scholar 

  14. Institute for Clinical Systems Improvement. Assessment and management of acute pain. Sixth Edition/March 2008. www.icsi.org

  15. Bartels K, Karhausen J, Clambey E, Grenz A, Eltzschig HK (2013) Perioperative organ injury. Anesthesiology 119:1474–1489

    Article  PubMed Central  PubMed  Google Scholar 

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Correspondence to Gennaro Savoia .

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Savoia, G., Loreto, M. (2015). Management Strategies in the Postoperative Course, with Particular Attention to Pain Treatment: Revision of the Most Recent Knowledge. In: Chiumello, D. (eds) Practical Issues Updates in Anesthesia and Intensive Care. Springer, Cham. https://doi.org/10.1007/978-3-319-18066-3_7

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  • DOI: https://doi.org/10.1007/978-3-319-18066-3_7

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-18065-6

  • Online ISBN: 978-3-319-18066-3

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