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References in periodicals archive ?
Comparisons included opioid exposure, multimodal analgesia use, and other process and outcome measures before and after implementation.
New treatment methods, including multimodal analgesia which combines analgesics from different classes to target different pain mechanisms, have led to improvement in acute pain management (Polomano et al., 2017).
[2,3] The practice of multimodal analgesia is preferred for acute pain management in children with combination of drugs (NSAIDs, opioids, paracetamol etc.) and regional anaesthesia.
Although the pain felt at the end of the operation is less than that felt after open surgeries, multimodal analgesia techniques are still needed to manage postoperative pain (1).
The surgical procedures for which multimodal analgesia was provided postoperatively are listed in Table 1 (for mice) and 2 (for rats).
ERAS pathways feature bundled perioperative pathways that incorporate various concepts such as avoidance of prolonged preoperative fasting, early postoperative feeding, multimodal analgesia (with an avoidance of opiates), and inclusion of antibiotic and antiembolic prophylaxis, among other things.
Accordingly, a multidisciplinary team used information from the American College of Surgeons National Surgical Quality Improvement Program Pediatric (NSQIP-P) to identify areas for improvement, including multimodal analgesia, standardization of antibiotics, early mobilization, and discharge initiated by nursing.
Other studies have shown that multimodal analgesia is utilized in only 25%-50% of surgical patients, even though it is considered the standard of care.
Multimodal analgesia which includes combination of opioids, nonsteroidal anti-inflammatory drugs (NSAIDs) and bupivacaine have proven to be a breakthrough in pain management9.
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