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Techniques to Optimize Multimodal Analgesia in Ambulatory Surgery

  • Other Pain (N Vadivelu and A Kaye, Section Editors)
  • Published:
Current Pain and Headache Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

Ambulatory surgery has grown in popularity in recent decades due to the advancement in both surgical and anesthetic techniques resulting in quicker recovery times, fewer complications, higher patient satisfaction, and reduced costs of care. We review common approaches to multimodal analgesia.

Recent Findings

A multimodal approach can help reduce perioperative opioid requirements and improve patient recovery. Analgesic options may include NSAIDs, acetaminophen, gabapentinoids, corticosteroids, alpha-2 agonists, local anesthetics, and the use of regional anesthesia.

Summary

We highlight important aspects related to pain management in the ambulatory surgery setting. A coordinated approach is required by the entire healthcare team to help expedite patient recovery and facilitate a resumption of normal activity following surgery. Implementation and development of standardized analgesic protocols will further improve patient care and outcomes.

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Author information

Authors and Affiliations

  1. Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins Hospital, Baltimore, MD, USA

    Amit Prabhakar

  2. Department of Anesthesiology, Louisiana State University Health Sciences Center, New Orleans, LA, USA

    John N. Cefalu, Josef S. Rowe & Alan D. Kaye

  3. Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston, MA, 02115, USA

    Richard D. Urman

Authors
  1. Amit Prabhakar
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  2. John N. Cefalu
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  3. Josef S. Rowe
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  4. Alan D. Kaye
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  5. Richard D. Urman
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Corresponding author

Correspondence to Richard D. Urman.

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Conflict of Interest

Amit Prabhakar, John N. Cefalu, Josef S. Rowe, and Alan D. Kaye declare that they have no conflicts of interest.

Richard D. Urman received funding from Merck, Mallinckrodt and Medtronic.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Other Pain

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Prabhakar, A., Cefalu, J.N., Rowe, J.S. et al. Techniques to Optimize Multimodal Analgesia in Ambulatory Surgery. Curr Pain Headache Rep 21, 24 (2017). https://doi.org/10.1007/s11916-017-0622-z

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  • DOI: https://doi.org/10.1007/s11916-017-0622-z

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