Essential Elements of Multimodal Analgesia in Enhanced Recovery After Surgery (ERAS) Guidelines

Perioperative multimodal analgesia uses combinations of analgesic medications that act on different sites and pathways in an additive or synergistic manner to achieve pain relief with minimal or no opiate consumption. Although all medications have side effects, opiates have particularly concerning,...

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Bibliographic Details
Published in:Anesthesiology clinics Vol. 35; no. 2; p. e115
Main Authors: Beverly, Anair, Kaye, Alan D, Ljungqvist, Olle, Urman, Richard D
Format: Journal Article
Language:English
Published: United States 01.06.2017
Subjects:
Analgesia - methods
Analgesia - standards
Anesthesia Recovery Period
Anesthesia, Conduction - methods
Anesthesia, General - methods
Humans
Pain Management - methods
Pain, Postoperative - prevention & control
Practice Guidelines as Topic
Preoperative Care - methods
Societies, Medical
Stress, Physiological
Regional anesthesia
Enhanced recovery
Pain management
Pharmacology
Opiate-sparing analgesia
Multimodal analgesia
ERAS
Guidelines
ISSN:1932-2275
Online Access:Get more information
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Summary:Perioperative multimodal analgesia uses combinations of analgesic medications that act on different sites and pathways in an additive or synergistic manner to achieve pain relief with minimal or no opiate consumption. Although all medications have side effects, opiates have particularly concerning, multisystemic, long-term, and short-term side effects, which increase morbidity and prolong admissions. Enhanced recovery is a systematic process addressing each aspect affecting recovery. This article outlines the evidence base forming the current multimodal analgesia recommendations made by the Enhanced Recovery After Surgery Society (ERAS). We describe current evidence and important future directions for effective perioperative multimodal analgesia in enhanced recovery pathways.
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ISSN:1932-2275
DOI:10.1016/j.anclin.2017.01.018