- 作者：Roger Chou&lowast ; ; chour@ohsu.edu" class="auth_mail" title="E-mail the corresponding author ; Debra B. Gordon&dagger ; ; Oscar A. de Leon-Casasola&Dagger ; ; Jack M. Rosenberg§ ; ; Stephen Bickler¶ ; ; Tim Brennan‖ ; Todd Carter&lowast ; &lowast ; ; Carla L. Cassidy&dagger ; &dagger ; ; Eva Hall Chittenden&Dagger ; &Dagger ; ; Ernest Degenhardt§ ; § ; ; Scott Griffith¶ ; ¶ ; ; Renee Manworren‖‖ ; Bill McCarberg&lowast ; &lowast ; &lowast ; ; Robert Montgomery&dagger ; &dagger ; &dagger ; ; Jamie Murphy&Dagger ; &Dagger ; &Dagger ; ; Melissa F. Perkal§ ; § ; § ; ; Santhanam Suresh¶ ; ¶ ; ¶ ; ; Kathleen Sluka‖‖‖ ; Scott Strassels&lowast ; &lowast ; &lowast ; &lowast ; ; Richard Thirlby&dagger ; &dagger ; &dagger ; &dagger ; ; Eugene Viscusi&Dagger ; &Dagger ; &Dagger ; &Dagger ; ; Gary A. Walco§ ; § ; § ; § ; ; Lisa Warner¶ ; ¶ ; ¶ ; ¶ ; ; Steven J. Weisman‖‖‖‖ ; Christopher L. Wu&Dagger ; &Dagger ; &Dagger ;
- 关键词：Postoperative pain management ; clinical practice guidelines ; analgesia ; education ; multimodal therapy ; patient assessment ; regional analgesia ; neuraxial analgesia
- 刊名：The Journal of Pain
- 出版年：2016
- 出版时间：February 2016
- 年：2016
- 卷：17
- 期：2
- 页码：131-157
- 全文大小：689 K
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This guideline, developed based on a systematic review of the evidence, provides recommendations developed by a multidisciplinary expert panel on management of postoperative pain.
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The panel concluded that optimal postoperative pain management begins in the preoperative period and is made on the basis of an assessment of the patient and development of a plan of care tailored to the individual and the surgical procedure involved, with follow-up assessments and adjustments as needed.
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The panel recommended multimodal regimens in many situations, although the exact components will vary depending on the patient, setting, and surgical procedure.
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The panel identified a number of key research gaps, including the optimal methods for managing patients receiving opioids before surgery, the effectiveness of opioid-sparing multimodal regimens, and in a number of areas related to management of perioperative pain in infants and children.