Management of Postoperative Pain: A Clinical Practice Guideline From the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists' Committee on Regional Anesthesia, Executive Committee, and Administrative Council

摘要: Abstract Most patients who undergo surgical procedures experience acute postoperative pain, but evidence suggests that less than half report adequate pain relief. Many preoperative, intraoperative, and interventions management strategies are available for reducing managing pain. The American Pain Society, with input from the Society of Anesthesiologists, commissioned an interdisciplinary expert panel to develop a clinical practice guideline promote evidence-based, effective, safer in children adults. was subsequently approved by Regional Anesthesia. As part development process, systematic review on various aspects related After evidence, formulated recommendations addressed management, including preoperative education, perioperative planning, use different pharmacological nonpharmacological modalities, organizational policies, transition outpatient care. based underlying premise optimal begins period assessment patient plan care tailored individual procedure involved. found supports multimodal regimens many situations, although exact components effective will vary depending patient, setting, procedure. Although these guidelines identified numerous research gaps. Of 32 recommendations, 4 were assessed as being supported high-quality 11 (in areas education assessment, structures transitioning care) made basis low-quality evidence. Perspective This guideline, provides developed multidisciplinary panel. Safe should be involved, recommended situations.