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August 13, 2014Acta Anaesthesiologica Scandinavica

Adverse effects of perioperative paracetamol, NSAID s, glucocorticoids, gabapentinoids and their combinations: a topical review

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Key result

Data on adverse events of perioperative non-opioid analgesics are sparse and inconclusive, with paracetamol showing trivial AEs and NSAIDs having inconclusive cardiovascular and mortality risks.

Why the study?

What are the adverse events associated with common perioperative non-opioid analgesics?

Population

Patients experiencing post-operative pain

Design

Review

Authors

OMOle MathiesenJWJørn WetterslevVKVesa Kontinen

Discussion

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Member takes

Overview

Inconclusive perioperative NSAID AE data warrant clinical caution; leaves open need for large trials with prolonged follow-up.

Structured PICO

What are the adverse events associated with common perioperative non-opioid analgesics?

P
Population
Patients experiencing post-operative pain
I
Intervention
Perioperative non-opioid analgesics (paracetamol, NSAIDs, glucocorticoids, gabapentinoids, and their combinations)
O
Outcome
Adverse events associated with perioperative non-opioid analgesicssafety

Reporting of adverse events for common perioperative non-opioid analgesics is sparse and mostly confined to the immediate post-operative period, highlighting a need for large trials with prolonged observation.

Limitations

  • Data on adverse events are sparse and confined to the immediate perioperative period.
  • Knowledge of benefit and harm related to multimodal pain treatment is deficient and needs clarification in large trials with prolonged observation.
  • Data on adverse events are sparse and confined to the immediate perioperative period
  • Knowledge of benefit and harm related to multimodal pain treatment is deficient

Cite This Study

Mathiesen et al. (2014) conducted a review in Post-operative pain. Perioperative non-opioid analgesics (paracetamol, NSAIDs, glucocorticoids, gabapentinoids) was evaluated on Adverse events. Data on adverse events of perioperative non-opioid analgesics are sparse and inconclusive, with paracetamol showing trivial AEs and NSAIDs having inconclusive cardiovascular and mortality risks.

synapsesocial.com/papers/6a917ab72d14ef2b6ea1668bhttps://doi.org/10.1111/aas.12380
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