Next Article in Journal
The Patello-Femoral Joint Degeneration and the Shape of the Patella in the Population Needing an Arthroscopic Procedure
Previous Article in Journal
Diagnostic Yield of Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration Cytological Smears and Cell Blocks: A Single-Institution Experience
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
Medicina
Volume 54
Issue 2
10.3390/medicina54020020
medicina-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite question_answer Discuss in SciProfiles
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Review

Role of Multimodal Analgesia in the Evolving Enhanced Recovery after Surgery Pathways

by
David Gelman
1,
Arūnas Gelmanas
2,*,
Dalia Urbanaitė
2,
Ramūnas Tamošiūnas
2,
Saulius Sadauskas
3,
Diana Bilskienė
2,
Albinas Naudžiūnas
3,
Edmundas Širvinskas
1,
Rimantas Benetis
1 and
Andrius Macas
2
1
Department of Cardiac, Thoracic and Vascular Surgery, Medical Academy Lithuanian University of Health Sciences, Kaunas 50009, Lithuania
2
Department of Anaesthesiology, Medical Academy, Lithuanian University of Health Sciences, Kaunas 50009, Lithuania
3
Department of Internal Diseases, Medical Academy, Lithuanian University of Health Sciences, Kaunas 50009, Lithuania
*
Author to whom correspondence should be addressed.
Medicina 2018, 54(2), 20; https://doi.org/10.3390/medicina54020020
Submission received: 21 February 2018 / Revised: 10 April 2018 / Accepted: 18 April 2018 / Published: 23 April 2018
Versions Notes

Abstract

Enhanced recovery after surgery (ERAS) are specially designed multimodal perioperative care pathways which are intended to attain and improve rapid recovery after surgical interventions by supporting preoperative organ function and attenuating the stress response caused by surgical trauma, allowing patients to get back to normal activities as soon as possible. Evidence-based protocols are prepared and published to implement the conception of ERAS. Although they vary amongst health care institutions, the main three elements (preoperative, perioperative, and postoperative components) remain the cornerstones. Postoperative pain influences the quality and length of the postoperative recovery period, and later, the quality of life. Therefore, the optimal postoperative pain management (PPM) applying multimodal analgesia (MA) is one of the most important components of ERAS. The main purpose of this article is to discuss the concept of MA in PPM, particularly reviewing the use of opioid-sparing measures such as paracetamol, nonsteroid anti-inflammatory drugs (NSAIDs), other adjuvants, and regional techniques.
Keywords: enhanced recovery after surgery; multimodal analgesia; postoperative pain; NSAIDs enhanced recovery after surgery; multimodal analgesia; postoperative pain; NSAIDs

Share and Cite

MDPI and ACS Style

Gelman, D.; Gelmanas, A.; Urbanaitė, D.; Tamošiūnas, R.; Sadauskas, S.; Bilskienė, D.; Naudžiūnas, A.; Širvinskas, E.; Benetis, R.; Macas, A. Role of Multimodal Analgesia in the Evolving Enhanced Recovery after Surgery Pathways. Medicina 2018, 54, 20. https://doi.org/10.3390/medicina54020020

AMA Style

Gelman D, Gelmanas A, Urbanaitė D, Tamošiūnas R, Sadauskas S, Bilskienė D, Naudžiūnas A, Širvinskas E, Benetis R, Macas A. Role of Multimodal Analgesia in the Evolving Enhanced Recovery after Surgery Pathways. Medicina. 2018; 54(2):20. https://doi.org/10.3390/medicina54020020

Chicago/Turabian Style

Gelman, David, Arūnas Gelmanas, Dalia Urbanaitė, Ramūnas Tamošiūnas, Saulius Sadauskas, Diana Bilskienė, Albinas Naudžiūnas, Edmundas Širvinskas, Rimantas Benetis, and Andrius Macas. 2018. "Role of Multimodal Analgesia in the Evolving Enhanced Recovery after Surgery Pathways" Medicina 54, no. 2: 20. https://doi.org/10.3390/medicina54020020

APA Style

Gelman, D., Gelmanas, A., Urbanaitė, D., Tamošiūnas, R., Sadauskas, S., Bilskienė, D., Naudžiūnas, A., Širvinskas, E., Benetis, R., & Macas, A. (2018). Role of Multimodal Analgesia in the Evolving Enhanced Recovery after Surgery Pathways. Medicina, 54(2), 20. https://doi.org/10.3390/medicina54020020

Article Metrics

Back to TopTop