Abstract:
:Despite recent advances in perioperative patient care, postsurgical pain continues to be undermanaged. There is increasing acceptance of the concept that effective postsurgical pain management is best achieved through combined use of more than one analgesic agent or technique, and overreliance on opioids produces unwanted side effects limiting their utility. Accordingly, a balanced, multimodal approach to pain management within the larger framework of an Enhanced Recovery After Surgery (ERAS) pathway has become standard at many institutions for perioperative care, to control postsurgical pain, reduce opioid-related adverse events, hasten postsurgical recovery, and shorten length of hospital stay. The success of ERAS is dependent on nurses and the multidisciplinary team to execute its standardized processes across the care continuum, including patient education, perioperative care, and postsurgical evaluation. Here, we review current concepts related to multimodal analgesia and ERAS regarding care of adult surgical patients and discuss the perioperative nurse's role within this paradigm.
journal_name
AORN Jjournal_title
AORN journalauthors
Montgomery R,McNamara SAdoi
10.1016/j.aorn.2016.10.012subject
Has Abstractpub_date
2016-12-01 00:00:00pages
S9-S16issue
6Seissn
0001-2092issn
1878-0369pii
S0001-2092(16)30755-4journal_volume
104pub_type
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