Observational analysis finds opioid-sparing techniques improve pain management in perioperative patients, indicating a shift towards multimodal approaches.
Enhanced Recovery After Surgery (ERAS) protocols have been implemented across multiple surgical specialties, including OB/GYN, to improve patients’ perioperative experiences. ERAS protocols typically include multimodal pain regimens; opioids are frequently utilized. In the perioperative setting, nonopioid analgesics, including acetaminophen, NSAIDs, dexamethasone, gabapentinoids, ketamine, antidepressants, and local anesthesia may be used, which impacts perioperative opioid utilization. In some patients, opioid-sparing analgesia may be possible. Postdischarge, patients should utilize a multimodal pain regimen similar to that of their inpatient stay, with limited opioid quantities prescribed. Postoperative prescribing should balance optimal pain control while considering the risks and side effects of opioid analgesics.
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Seitz et al. (2025) studied this question.
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