The Importance of Optimizing Acute Pain in the Orthopedic Trauma Patient

被引:27
作者
Jones, Jerry, Jr. [1 ]
Southerland, Warren [1 ]
Catalani, Blas [1 ]
机构
[1] Univ Tennessee, Hlth Sci Ctr, Dept Anesthesiol, 877 Jefferson Ave,Chandler Bldg,Suite 600, Memphis, TN 38103 USA
关键词
Regional anesthesia; Acute pain; Postoperative pain; Orthopedic trauma patient; NONSTEROIDAL ANTIINFLAMMATORY DRUGS; FEMORAL-NECK FRACTURES; POSTOPERATIVE PAIN; NERVE BLOCK; HIP FRACTURE; CONTROLLED ANALGESIA; MULTIMODAL ANALGESIA; EMERGENCY-DEPARTMENT; REGIONAL ANESTHESIA; ENHANCED RECOVERY;
D O I
10.1016/j.ocl.2017.06.003
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Postoperative pain control is a highly studied topic because of its significant effect on costs, hospital course, and, most importantly, patient satisfaction. Opioid use has been the "status quo" of postoperative pain management but prolongs hospital stays and increases complications. Optimizing acute pain management in patients with orthopedic trauma is important and can translate into significant positive physiologic and financial outcomes. Although multiple viable examples of optimizing acute pain management in the literature demonstrate outcome improvements, implementation has not been widespread. Significant outcome success will depend more on system-wide implementation than a specific regimen for postoperative pain control.
引用
收藏
页码:445 / +
页数:22
相关论文
共 180 条
  • [1] Comparative Effectiveness of Pain Management Interventions for Hip Fracture: A Systematic Review
    Abou-Setta, Ahmed M.
    Beaupre, Lauren A.
    Rashiq, Saifee
    Dryden, Donna M.
    Hamm, Michele P.
    Sadowski, Cheryl A.
    Menon, Matthew R. G.
    Majumdar, Sumit R.
    Wilson, Donna M.
    Karkhaneh, Mohammad
    Mousavi, Shima S.
    Wong, Kai
    Tjosvold, Lisa
    Jones, C. Allyson
    [J]. ANNALS OF INTERNAL MEDICINE, 2011, 155 (04) : 234 - +
  • [2] Prevalence of Surgical Site Infection in Orthopedic Surgery: A 5-year Analysis
    Al-Mulhim, Fahad A.
    Baragbah, Mohammed A.
    Sadat-Ali, Mir
    Alomran, Abdallah S.
    Azam, Md Q.
    [J]. INTERNATIONAL SURGERY, 2014, 99 (03) : 264 - 268
  • [3] Long-term Analgesic Use After Low-Risk Surgery A Retrospective Cohort Study
    Alam, Asim
    Gomes, Tara
    Zheng, Hong
    Mamdani, Muhammad M.
    Juurlink, David N.
    Bell, Chaim M.
    [J]. ARCHIVES OF INTERNAL MEDICINE, 2012, 172 (05) : 425 - 430
  • [4] [Anonymous], 2012, Sentinel Event Alert, P1
  • [5] [Anonymous], SCI DAILY
  • [6] [Anonymous], SOC IMP PAIN SIP PLA
  • [7] [Anonymous], 2003, ACUTE PAIN, DOI DOI 10.1016/S1366-0071(03)00004-4
  • [8] [Anonymous], REG ANESTH PAIN MED
  • [9] [Anonymous], J ORTHOP TRAUMA
  • [10] [Anonymous], NOVEL PROTOCOL FEMOR