Concepts for perioperative pain therapy. A critical stocktaking

摘要: Despite numerous publications, new guidelines for the treatment of acute pain and efforts from a number initiatives, there is still tremendous need improvement in postoperative therapy. One reasons shortcomings care patients with lack applicability daily clinical practice. Therefore, simple but effective easy to implement concepts be developed. In following review, different that have been developed over recent years are presented evaluated their effectiveness. these notion balanced analgesia, currently probably one most widely used perioperative therapy concepts. The idea this concept reduce doses analgesics, e.g. opioids, through combinations classes thereby reducing side effects. However, studies essential meta-analyses indicate pitfalls using concept. pros cons will discussed ideas on how deal analgesia practice given. Another "procedure-specific therapy", an appealing international initiative surgeons anaesthesiologists part German S3 released last year. Critical evaluation available recommendations procedure-specific together presentation relatively evidence-based algorithms specific procedures may help routine.