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Techniques to Optimize Multimodal Analgesia in Ambulatory Surgery.

Abstract Ambulatory surgery has grown in popularity in recent decades due to the advancement in both surgical and anesthetic techniques resulting in quicker recovery times, fewer complications, higher patient satisfaction, and reduced costs of care. We review common approaches to multimodal analgesia.
PMID
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Authors

Mayor MeshTerms
Keywords

Ambulatory

Analgesia

Anesthesia

Multimodal

NSAIDs

Opioid

Pain management

Journal Title current pain and headache reports
Publication Year Start




PMID- 28283811
OWN - NLM
STAT- MEDLINE
DA  - 20170311
DCOM- 20170317
LR  - 20170317
IS  - 1534-3081 (Electronic)
IS  - 1534-3081 (Linking)
VI  - 21
IP  - 5
DP  - 2017 May
TI  - Techniques to Optimize Multimodal Analgesia in Ambulatory Surgery.
PG  - 24
LID - 10.1007/s11916-017-0622-z [doi]
AB  - PURPOSE OF REVIEW: Ambulatory surgery has grown in popularity in recent decades
      due to the advancement in both surgical and anesthetic techniques resulting in
      quicker recovery times, fewer complications, higher patient satisfaction, and
      reduced costs of care. We review common approaches to multimodal analgesia.
      RECENT FINDINGS: A multimodal approach can help reduce perioperative opioid
      requirements and improve patient recovery. Analgesic options may include NSAIDs, 
      acetaminophen, gabapentinoids, corticosteroids, alpha-2 agonists, local
      anesthetics, and the use of regional anesthesia. We highlight important aspects
      related to pain management in the ambulatory surgery setting. A coordinated
      approach is required by the entire healthcare team to help expedite patient
      recovery and facilitate a resumption of normal activity following surgery.
      Implementation and development of standardized analgesic protocols will further
      improve patient care and outcomes.
FAU - Prabhakar, Amit
AU  - Prabhakar A
AD  - Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins
      Hospital, Baltimore, MD, USA.
FAU - Cefalu, John N
AU  - Cefalu JN
AD  - Department of Anesthesiology, Louisiana State University Health Sciences Center, 
      New Orleans, LA, USA.
FAU - Rowe, Josef S
AU  - Rowe JS
AD  - Department of Anesthesiology, Louisiana State University Health Sciences Center, 
      New Orleans, LA, USA.
FAU - Kaye, Alan D
AU  - Kaye AD
AD  - Department of Anesthesiology, Louisiana State University Health Sciences Center, 
      New Orleans, LA, USA.
FAU - Urman, Richard D
AU  - Urman RD
AD  - Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and
      Women's Hospital, Boston, MA, 02115, USA. rurman@partners.org.
LA  - eng
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Curr Pain Headache Rep
JT  - Current pain and headache reports
JID - 100970666
RN  - 0 (Analgesics)
RN  - 0 (Anesthetics, Local)
SB  - IM
MH  - Ambulatory Surgical Procedures/adverse effects
MH  - Analgesics/therapeutic use
MH  - Anesthetics, Local/therapeutic use
MH  - Humans
MH  - Pain Management/*methods
MH  - Pain, Postoperative/*drug therapy
OTO - NOTNLM
OT  - Ambulatory
OT  - Analgesia
OT  - Anesthesia
OT  - Multimodal
OT  - NSAIDs
OT  - Opioid
OT  - Pain management
EDAT- 2017/03/12 06:00
MHDA- 2017/03/18 06:00
CRDT- 2017/03/12 06:00
AID - 10.1007/s11916-017-0622-z [doi]
AID - 10.1007/s11916-017-0622-z [pii]
PST - ppublish
SO  - Curr Pain Headache Rep. 2017 May;21(5):24. doi: 10.1007/s11916-017-0622-z.

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