Optimal Pain Control in Abdominal Wall Reconstruction

被引:17
作者
Khansa, Ibrahim
Jefferson, Ryan
Khansa, Lara
Janis, Jeffrey E. [1 ]
机构
[1] Ohio State Univ, Dept Plast Surg, Wexner Med Ctr, 915 Olentangy River Rd, Columbus, OH 43210 USA
关键词
PLACEBO-CONTROLLED TRIAL; RANDOMIZED-CONTROLLED-TRIALS; FLAP BREAST RECONSTRUCTION; MAJOR ORTHOPEDIC-SURGERY; IBUPROFEN IV-IBUPROFEN; POSTOPERATIVE PAIN; EPIDURAL ANALGESIA; PLASTIC-SURGERY; DOUBLE-BLIND; CLINICAL CONSEQUENCES;
D O I
10.1097/PRS.0000000000004870
中图分类号
R61 [外科手术学];
学科分类号
摘要
Lack of physician familiarity with alternative pain control strategies is a major reason why opioids remain the most commonly used first-line treatment for pain after surgery. This is perhaps most problematic in abdominal wall reconstruction, where opioids may delay ambulation and return of bowel function, while negatively affecting mental status. In this article, we discuss multimodal strategies for optimal pain control in abdominal wall reconstruction. These strategies are straightforward and are proven to improve pain control while minimizing opioid-associated side effects.
引用
收藏
页码:142S / 148S
页数:7
相关论文
共 65 条
[1]   Opioid-induced hyperalgesia - A qualitative systematic review [J].
Angst, MS ;
Clark, JD .
ANESTHESIOLOGY, 2006, 104 (03) :570-587
[2]   Practice Guidelines for Acute Pain Management in the Perioperative Setting An Updated Report by the American Society of Anesthesiologists Task Force on Acute Pain Management [J].
Ashburn, Michael A. ;
Caplan, Robert A. ;
Carr, Daniel B. ;
Connis, Richard T. ;
Ginsberg, Brian ;
Green, Carmen R. ;
Lema, Mark J. ;
Nickinovich, David G. ;
Rice, Linda Jo .
ANESTHESIOLOGY, 2012, 116 (02) :248-273
[3]   Clinical Consequences of Inadequate Pain Relief: Barriers to Optimal Pain Management [J].
Baratta, Jaime L. ;
Schwenk, Eric S. ;
Viscusi, Eugene R. .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2014, 134 (04) :15S-21S
[4]   Efficacy of postoperative epidural analgesia - A meta-analysis [J].
Block, BM ;
Liu, SS ;
Rowlingson, AJ ;
Cowan, AR ;
Cowan, JA ;
Wu, CL .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2003, 290 (18) :2455-2463
[5]   Recurrent hypoxemia in young children with obstructive sleep apnea is associated with reduced opioid requirement for analgesia [J].
Brown, KA ;
Laferrière, A ;
Moss, IR .
ANESTHESIOLOGY, 2004, 100 (04) :806-810
[6]   Opioid tolerance: the clinical perspective [J].
Collett, BJ .
BRITISH JOURNAL OF ANAESTHESIA, 1998, 81 (01) :58-68
[7]   Putting It All Together: Recommendations for Improving Pain Management in Body Contouring [J].
Constantine, Fadi C. ;
Matarasso, Alan .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2014, 134 (04) :113S-119S
[8]   Epidural analgesia compared with intravenous morphine patient-controlled analgesia: Postoperative outcome measures after mastectomy with immediate TRAM flap breast reconstruction [J].
Correll, DJ ;
Viscusi, ER ;
Grunwald, Z ;
Moore, JH .
REGIONAL ANESTHESIA AND PAIN MEDICINE, 2001, 26 (05) :444-449
[9]   Bupivacaine liposome injectable suspension compared with bupivacaine HCl for the reduction of opioid burden in the postsurgical setting [J].
Dasta, Joseph ;
Ramamoorthy, Sonia ;
Patou, Gary ;
Sinatra, Raymond .
CURRENT MEDICAL RESEARCH AND OPINION, 2012, 28 (10) :1609-1615
[10]   Efficacy and safety of perioperative pregabalin for post-operative pain: a meta-analysis of randomized-controlled trials [J].
Engelman, E. ;
Cateloy, F. .
ACTA ANAESTHESIOLOGICA SCANDINAVICA, 2011, 55 (08) :927-943