Kariem El-Boghdadly, Nicholas A. Levy, William J. Fawcett, Roger D. Knaggs, Helen Laycock, Emma Baird, Felicia J. Cox, Will Eardley, Harriet Kemp, Zoey Malpus, Andrea Partridge, Judith Partridge, Anjna Patel, Cathy Price, Joyce Robinson, Kim Russon, Jackie Walumbe, Dileep N. Lobo
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This multidisciplinary consensus statement provides principles that might aid postoperative recovery, and which should be applied throughout the entire peri-operative pathway by healthcare professionals, institutions and patients.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>We conducted a directed literature review followed by a four-round modified Delphi process to formulate recommendations for organisations and individuals.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>We make recommendations for the entire peri-operative period, covering pre-admission; admission; intra-operative; post-anaesthetic care unit; ward; intensive care unit; preparation for discharge; and post-discharge phases of care. We also provide generic principles of peri-operative pain management that clinicians should consider throughout the peri-operative pathway, including: assessing pain to facilitate function; use of multimodal analgesia, including regional anaesthesia; non-pharmacological strategies; safe use of opioids; and use of protocols and training for staff in caring for patients with postoperative pain.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>We hope that with attention to these principles and their implementation, outcomes for adult patients having surgery might be improved.</p>\n </section>\n </div>","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"79 11","pages":"1220-1236"},"PeriodicalIF":7.5000,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/anae.16391","citationCount":"0","resultStr":"{\"title\":\"Peri-operative pain management in adults: a multidisciplinary consensus statement from the Association of Anaesthetists and the British Pain Society\",\"authors\":\"Kariem El-Boghdadly, Nicholas A. 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This multidisciplinary consensus statement provides principles that might aid postoperative recovery, and which should be applied throughout the entire peri-operative pathway by healthcare professionals, institutions and patients.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>We conducted a directed literature review followed by a four-round modified Delphi process to formulate recommendations for organisations and individuals.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>We make recommendations for the entire peri-operative period, covering pre-admission; admission; intra-operative; post-anaesthetic care unit; ward; intensive care unit; preparation for discharge; and post-discharge phases of care. 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Peri-operative pain management in adults: a multidisciplinary consensus statement from the Association of Anaesthetists and the British Pain Society
Background
Nearly half of adult patients undergoing surgery experience moderate or severe postoperative pain. Inadequate pain management hampers postoperative recovery and function and may be associated with adverse outcomes. This multidisciplinary consensus statement provides principles that might aid postoperative recovery, and which should be applied throughout the entire peri-operative pathway by healthcare professionals, institutions and patients.
Methods
We conducted a directed literature review followed by a four-round modified Delphi process to formulate recommendations for organisations and individuals.
Results
We make recommendations for the entire peri-operative period, covering pre-admission; admission; intra-operative; post-anaesthetic care unit; ward; intensive care unit; preparation for discharge; and post-discharge phases of care. We also provide generic principles of peri-operative pain management that clinicians should consider throughout the peri-operative pathway, including: assessing pain to facilitate function; use of multimodal analgesia, including regional anaesthesia; non-pharmacological strategies; safe use of opioids; and use of protocols and training for staff in caring for patients with postoperative pain.
Conclusions
We hope that with attention to these principles and their implementation, outcomes for adult patients having surgery might be improved.
期刊介绍:
The official journal of the Association of Anaesthetists is Anaesthesia. It is a comprehensive international publication that covers a wide range of topics. The journal focuses on general and regional anaesthesia, as well as intensive care and pain therapy. It includes original articles that have undergone peer review, covering all aspects of these fields, including research on equipment.