Chapters authored
Pain Management in Enhanced Recovery after Emergency Surgery
Patients presenting with acute abdominal pain frequently need very good analgesia. In order to obtain successful analgesia, pain should be evaluated, and a suitable intervention should be performed employing multimodal analgesic techniques and a minimum dose of opioid with appropriate monitoring as opioids raise the possibility of the patient being over-sedated, experience hypoventilation, or possibly aspirate. ERAS protocol is a multimodal and multidisciplinary approach to peri-operative management which aims for evidence-based reduction of physiological stress, post-operative complications and organ dysfunction, reoccurrence and mortality whilst also increasing mobility, ultimately leading to early discharge and better surgical outcomes. Multimodal analgesia has an advantage where different techniques are used to tackle pain by targeting different receptors in the pain pathway. Here we discuss a number of multimodal analgesic therapies used to alleviate acute postoperative pain in emergency surgeries, explains their advantages, and evaluates relevant findings and evidence-based management guidelines.
Part of the book: Topics in Postoperative Pain