Making progress in the management of postoperative pain: a review of the cyclooxygenase 2-specific inhibitors.

Abstract:

:Postoperative pain is one of the most common forms of acute pain. Optimal pain management decreases the stress response to surgery, reduces complications, improves recovery time, and results in improved economic and quality-of-life outcomes. A preoperative, multimodal approach to postoperative analgesia can be achieved through a combination of therapies that continue beyond the immediate perioperative time frame. This multimodal approach provides superior analgesia with opioid-sparing effects and reduced opioid-related adverse events. Although the use of nonspecific nonsteroidal antiinflammatory drugs in a surgical setting has been limited owing to concerns of renal and gastrointestinal complications as well as platelet dysfunction, cyclooxygenase (COX)-2-specific inhibitors appear to be safe and effective alone and in combination with opioids for a variety of surgical procedures. The COX-2-specific inhibitors may have an important role in extending the use of balanced, multimodal analgesia to a broad surgical population, thus ultimately improving patient outcomes after surgery.

journal_name

Pharmacotherapy

journal_title

Pharmacotherapy

authors

Stephens JM,Pashos CL,Haider S,Wong JM

doi

10.1592/phco.24.17.1714.52339

subject

Has Abstract

pub_date

2004-12-01 00:00:00

pages

1714-31

issue

12

eissn

0277-0008

issn

1875-9114

journal_volume

24

pub_type

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