Post-operative pain management

Authors

DOI:

https://doi.org/10.33448/rsd-v11i14.36731

Keywords:

Postoperative pain; Postoperative care; Treatment.

Abstract

Pain is a highly subjective and multifactorial experience. Most patients undergoing surgical procedures experience postoperative pain. Thus, the aim of this study was to review the available management for the treatment of postoperative pain in literature. The research consists of an integrative literature review, carried out in the PubMed database, which considered articles published in Portuguese or English, between January 2015 and November 2021. Postoperative pain management is still unsatisfactory. Oral analgesia is the mainstay of pain control. Preoperative, intraoperative, and postoperative pain is usually treated with a combination of oral medications, including acetaminophen or nonsteroidal anti-inflammatory drugs and oral opioid analgesics. Opioids have many side effects, including tolerance and addiction. The multimodal approach to postoperative pain is the most recommended. Non-pharmacological pain control measures have been shown to be effective and should be encouraged.

References

Aldamluji, N., et al. (2021). Prospect guideline for tonsillectomy: systematic review and procedure-specific postoperative pain management recommendations. Anestesia.

Barazanchi, A. W. H., et al. (2018). Evidence-based management of pain after laparoscopic cholecystectomy: a PROSPECT review update. British Journal of Anesthesia. 121(4), 787-803.

Bianchini, C., et al. (2016). Post-operative management in head and neck cancer patients: predictive factors and efficacy of therapy. ACTA Otorhinolaryngologica. 36, 91-6.

Bignami,E., et al (2018). Perioperative pain management in cardiac surgery: a systematic review. Minerva Anestesiologica. 84 (4), 488-503.

Cook, C. E., et al. (2017). Post-operative opioid pain management patterns for patients who receive hip surgery. Substance Abuse Treatment, Prevention and Policy.

De Sousa, L. D., et al. (2011). The nursing scientific production about the clinic: an integrative review. Rev Esc Enferm, 45 (2), 494-500.

De Jong, R., & Shysh, A.J. (2018). Development of a multimodal analgesia protocol for perioperative acute pain management for lower limb amputation. Pain Research and Management. 1, 1-9.

Dieu, A., et al. (2021). Pain management after open liver resection: Procedure- specific postoperative pain management recommendations. Regional Anesthesia Pain Medicine. 46, 433-445.

Fiore Jr., J. F., et al. (2019). Preventing opioid prescription after major surgery: a scoping review of opioid-free analgesia. British Journal of Anesthesia. 123 (5), 627-636.

Garcia, J. B. S., et al. (2017). Aprimorar o controle da dor no pós-operatório na América Latina. Revista Brasileira de Anestesiologia. 67 (4), 395-403.

Karlsen, A. P. H., et al. (2017). Postoperative pain treatment after total knee arthroplasty: A systematic review. PLOS ONE. 12 (3), 1-53.

Kaye, A. D., et al. (2020). Dexmedetomidine in enhanced recovery after surgery (ERAS) protocols for postoperative pain. Current Pain and Headache Reports

Ketonis, M. D., et al. (2015). Pain Management Strategies in Hand Surgery. Department of Orthopaedic Surgery Faculty Papers.

Lespacio, M. J., et al. (2019). Pain management associated with total joint arthroplasty: a primer. The Permanente Journal.

Levy, N., Mills, P., & Rockett, M. (2019). Post-surgical pain management: time for a paradigm shift. British Journal of Anaesthesia.

Li, J. W., Ma, Y. S., & Xiao, L. K. (2019) Postoperative Pain Management in Total Knee Arthroplasty. Orthopaedic Surgery.

Soares, C. B., et al. (2013). Revisão integrativa: conceitos e métodos utilizados na enfermagem. Rev Esc Enferm USP. 48(2):335-45

Wu, M., et al. (2016). The efficacy of acupuncture in post-operative pain management: A systematic review and meta-analysis. PLOS ONE. 11 (3), 1-12.

Published

07/11/2022

How to Cite

BOTELHO, Z. T. .; TRONCOSO, G.; BAHIA, L. T. B. .; REIS, A. Post-operative pain management. Research, Society and Development, [S. l.], v. 11, n. 14, p. e581111436731, 2022. DOI: 10.33448/rsd-v11i14.36731. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/36731. Acesso em: 19 apr. 2024.

Issue

Section

Health Sciences