Key result
Multimodal analgesia and enhanced recovery after surgery pathways improve postoperative pain, function, and satisfaction, with future directions pointing toward personalized pain medicine.
Why the study?
Opioid overutilization for postoperative pain control contributed to the opioid epidemic, warranting an updated review of multimodal analgesia strategies within enhanced recovery pathways.
This review highlights the importance of multimodal analgesia and ERAS pathways in improving postoperative pain and function, suggesting personalized medicine as the next step to mitigate opioid overutilization.
Answers are grounded in this paper and cite their sources.
Supports multimodal analgesia in ERAS for recovery; leaves open personalized pain strategies pending prospective trials.
Effective pain management is a key component in the continuum of perioperative care to ensure optimal outcomes for surgical patients. The overutilization of opioids in the past few decades for postoperative pain control has been a major contributor to the current opioid epidemic. Multimodal analgesia (MMA) and enhanced recovery after surgery (ERAS) pathways have been repeatedly shown to significantly improve postoperative outcomes such as pain, function and satisfaction. The current review aims to examine the history of perioperative MMA strategies in ERAS and provide an update with recent evidence. Furthermore, this review details recent advancements in personalized pain medicine. We speculate that the next important step for improving perioperative pain management could be through incorporating these personalized metrics, such as clinical pharmacogenomic testing and patient-reported outcome measurements, into ERAS program.
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Chen et al. (2021) conducted a review in Perioperative pain. Multimodal analgesia and enhanced recovery after surgery (ERAS) pathways was evaluated. Multimodal analgesia and enhanced recovery after surgery pathways improve postoperative pain, function, and satisfaction, with future directions pointing toward personalized pain medicine.
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