Contemporary Approaches to Postoperative Pain Management

Plast Reconstr Surg. 2019 Dec;144(6):1080e-1094e. doi: 10.1097/PRS.0000000000006268.

Abstract

Learning objectives: After reading this article, the participant should be able to: 1. Describe the fundamental concepts of multimodal analgesia techniques and how they target pain pathophysiology. 2. Effectively educate patients on postoperative pain and safe opioid use. 3. Develop and implement a multimodal postoperative analgesia regimen.

Summary: For many years, opioids were the cornerstone of postoperative pain control, contributing to what has become a significant public health concern. This article discusses contemporary approaches to multimodal, opioid-sparing postoperative pain management in the plastic surgical patient.

Publication types

  • Video-Audio Media

MeSH terms

  • Acetaminophen / therapeutic use
  • Adrenergic alpha-2 Receptor Agonists / therapeutic use
  • Analgesics, Opioid / therapeutic use
  • Anesthesia, Conduction / methods
  • Anesthesia, Local / methods
  • Anesthetics, Combined
  • Anesthetics, Local / pharmacokinetics
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Antidepressive Agents / therapeutic use
  • Brachial Plexus Block / methods
  • Counseling
  • Enhanced Recovery After Surgery*
  • Gabapentin / therapeutic use
  • Humans
  • Pain, Postoperative / prevention & control*
  • Patient Education as Topic
  • Physical Therapy Modalities
  • Practice Guidelines as Topic
  • Preoperative Care
  • Receptors, N-Methyl-D-Aspartate / antagonists & inhibitors

Substances

  • Adrenergic alpha-2 Receptor Agonists
  • Analgesics, Opioid
  • Anesthetics, Combined
  • Anesthetics, Local
  • Anti-Inflammatory Agents, Non-Steroidal
  • Antidepressive Agents
  • Receptors, N-Methyl-D-Aspartate
  • Acetaminophen
  • Gabapentin