The efficacy of preemptive analgesia for postoperative pain control: a systematic review of the literature.

Abstract:

:The purpose of preemptive analgesia is to reduce postoperative pain, contributing to a more comfortable recovery period and reducing the need for narcotic pain control. The efficacy of preemptive analgesia remains controversial. This systematic review of the literature evaluated the efficacy of nonsteroidal anti-inflammatory drugs (NSAIDs), cyclooxygenase-2 (COX-2) inhibitors, and gabapentin as preemptive oral analgesics for surgical patients. Included articles were limited to studies of adult patients that compared the difference in postoperative pain between control and treatment groups. Of 40 studies reviewed, 14 met the inclusion criteria, including two on NSAIDs, four on COX-2 inhibitors, and eight on gabapentin. Research was predominantly conducted outside the United States. Gabapentin and COX-2 inhibitors were found to be the most effective preemptive analgesics for postoperative pain control. As part of a collaborative team, perioperative nurses and certified RN anesthetists are responsible for ongoing pain assessment and management for preemptive analgesic interventions.

journal_name

AORN J

journal_title

AORN journal

authors

Penprase B,Brunetto E,Dahmani E,Forthoffer JJ,Kapoor S

doi

10.1016/j.aorn.2014.01.030

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

94-105.e8

issue

1

eissn

0001-2092

issn

1878-0369

pii

S0001-2092(14)01090-4

journal_volume

101

pub_type

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