scholarly journals Postoperative Pain Management in Enhanced Recovery Pathways

2022 ◽  
Vol Volume 15 ◽  
pp. 123-135
Author(s):  
Christopher K Cheung ◽  
Janet O Adeola ◽  
Sascha S Beutler ◽  
Richard D Urman
Keyword(s):  
Pain Management ◽  
Postoperative Pain ◽  
Enhanced Recovery ◽  
Postoperative Pain Management ◽  
Enhanced Recovery Pathways ◽  
Recovery Pathways

Countering a Dogma: Using Enhanced Recovery Pathways to Eliminate Opioids from Pain Management after Surgery

2020 ◽  
Vol 231 (4) ◽  
pp. e124
Author(s):  
Clara Blevins ◽  
Miriam Moghtader ◽  
Alex Johnson Addo ◽  
Philip George ◽  
Igor Belyansky ◽  
...  
Keyword(s):  
Pain Management ◽  
Enhanced Recovery ◽  
Enhanced Recovery Pathways ◽  
Recovery Pathways

scholarly journals SP1.1.14Future Insights on Virtual Reality Potential Uses as a Care Package for Colorectal Patients

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
A Gendia ◽  
H Rottenburg ◽  
M Hutton ◽  
A Cota ◽  
J Clark
Keyword(s):  
Virtual Reality ◽  
Pain Management ◽  
Postoperative Pain ◽  
Enhanced Recovery ◽  
Postoperative Pain Management ◽  
Immersive Virtual Reality ◽  
Educational Tool ◽  
Care Package ◽  
Three Stages ◽  
Areas Of Interest

Abstract Aim To provide an insight on current applications of immersive virtual reality (VR) on patients undergoing surgery and to project the potential uses of these applications on colorectal population. Methods A non-systematic literature search of PubMed using key subject “Virtual Reality and Surgery” to identify relative articles. On reviewing applications of VR in surgery we identified four main areas of interest: preoperative education, perioperative support, postoperative pain management and rehabilitation. Results VR technology showed promising results in all three stages of patient’s journey ; In pre-surgery, VR was used as a powerful educational tool for vascular patients. Intraoperatively, it showed promising results as a distraction method to relief stress and discomfort in patients undergoing colonoscopy and gynaecology procedures. Postoperatively, VR was utilized in pain management in orthopaedics, cardiothoracic populations with acceptable results. Moreover, physical rehabilitation showed a strong outlet of the technology due to its engaging properties. Conclusion VR has been showing applicable benefits in different stages of patient’s care undergoing surgery. With proper future development of Its applications, VR potentials in colorectal population could be numerous; education on stoma and type of surgery with help of 3D environment, distraction tool for colonoscopy screening and postoperative pain. In addition, VR could help with enhanced recovery inform of physical and mental rehabilitation. Future uses of VR in colorectal population could be a key in improving outcomes and overall satisfactions. However, formulated studies and validated applications should be tackled to apply the technology safely in the standard care of colorectal patients.

scholarly journals The role of regional analgesia in personalized postoperative pain management

2020 ◽  
Vol 73 (5) ◽  
pp. 363-371 ◽  
Author(s):  
Shruti S. Chitnis ◽  
Raymond Tang ◽  
Edward R. Mariano
Keyword(s):  
Pain Management ◽  
Postoperative Pain ◽  
Regional Anesthesia ◽  
Nerve Block ◽  
Enhanced Recovery ◽  
Postoperative Pain Management ◽  
Multimodal Analgesia ◽  
Regional Analgesia ◽  
Perioperative Pain Management ◽  
Personalized Approach

Pain management plays a fundamental role in enhanced recovery after surgery pathways. The concept of multimodal analgesia in providing a balanced and effective approach to perioperative pain management is widely accepted and practiced, with regional anesthesia playing a pivotal role. Nerve block techniques can be utilized to achieve the goals of enhanced recovery, whether it be the resolution of ileus or time to mobilization. However, the recent expansion in the number and types of nerve block approaches can be daunting for general anesthesiologists. Which is the most appropriate regional technique to choose, and what skills and infrastructure are required for its implementation? A multidisciplinary team-based approach for defining the goals is essential, based on each patient's needs, and incorporating patient, surgical, and social factors. This review provides a framework for a personalized approach to postoperative pain management with an emphasis on regional anesthesia techniques.

Postoperative Pain Management after Radical Cystectomy: Comparing Traditional versus Enhanced Recovery Protocol Pathway

2015 ◽  
Vol 194 (5) ◽  
pp. 1209-1213 ◽  
Author(s):  
Weichen Xu ◽  
Siamak Daneshmand ◽  
Soroush T. Bazargani ◽  
Jie Cai ◽  
Gus Miranda ◽  
...  
Keyword(s):  
Pain Management ◽  
Postoperative Pain ◽  
Radical Cystectomy ◽  
Enhanced Recovery ◽  
Postoperative Pain Management ◽  
Enhanced Recovery Protocol

scholarly journals Perioperative Pain Management and Opioid Stewardship: A Practical Guide

Healthcare ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 333
Author(s):  
Sara J. Hyland ◽  
Kara K. Brockhaus ◽  
William R. Vincent ◽  
Nicole Z. Spence ◽  
Michelle M. Lucki ◽  
...  
Keyword(s):  
Pain Management ◽  
Postoperative Pain ◽  
Perioperative Care ◽  
Enhanced Recovery ◽  
Interprofessional Collaboration ◽  
Care Transitions ◽  
Postoperative Pain Management ◽  
Anesthetic Techniques ◽  
Opioid Use ◽  
Institutional Adoption

Surgical procedures are key drivers of pain development and opioid utilization globally. Various organizations have generated guidance on postoperative pain management, enhanced recovery strategies, multimodal analgesic and anesthetic techniques, and postoperative opioid prescribing. Still, comprehensive integration of these recommendations into standard practice at the institutional level remains elusive, and persistent postoperative pain and opioid use pose significant societal burdens. The multitude of guidance publications, many different healthcare providers involved in executing them, evolution of surgical technique, and complexities of perioperative care transitions all represent challenges to process improvement. This review seeks to summarize and integrate key recommendations into a “roadmap” for institutional adoption of perioperative analgesic and opioid optimization strategies. We present a brief review of applicable statistics and definitions as impetus for prioritizing both analgesia and opioid exposure in surgical quality improvement. We then review recommended modalities at each phase of perioperative care. We showcase the value of interprofessional collaboration in implementing and sustaining perioperative performance measures related to pain management and analgesic exposure, including those from the patient perspective. Surgery centers across the globe should adopt an integrated, collaborative approach to the twin goals of optimal pain management and opioid stewardship across the care continuum.

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