AIRR - ANZCA Institutional Research Repository
Skip navigation
Please use this identifier to cite or link to this item: https://hdl.handle.net/11055/1156
Title: Current approaches to acute postoperative pain management after major abdominal surgery
Authors: Pirie, K 
Traer, E 
Finniss, D 
Myles, PS 
Riedel, BJ 
Keywords: abdominal surgery
laparoscopic
lidocaine
neuraxial analgesia
opioids
outcomes
postoperative pain
regional analgesia
Issue Date: Sep-2022
Source: 129(3):378-393
Abstract: Abstract Poorly controlled postoperative pain is associated with increased morbidity, negatively affects quality of life and functional recovery, and is a risk factor for persistent pain and longer-term opioid use. Up to 10% of opioid-naïve patients have persistent opioid use after many types of surgeries. Opioid-related side-effects and the opioid abuse epidemic emphasise the need for alternative, opioid-minimising, multimodal analgesic strategies, including neuraxial (epidural/intrathecal) techniques, truncal nerve blocks, and lidocaine infusions. The preference for minimally invasive surgical techniques has changed anaesthetic and analgesic requirements in abdominal surgery compared with open laparotomy, leading to a decline in popularity of epidural anaesthesia and an increasing interest in intrathecal morphine and truncal nerve blocks. Limited research exists on patient quality of recovery using specific analgesic techniques after intra-abdominal surgery. Poorly controlled postoperative pain after major abdominal surgery should be a research priority as it affects patient-centred short-term and long-term outcomes (including quality of life scores, return to function measurements, disability-free survival) and has broad community health and economic implications.
URI: https://hdl.handle.net/11055/1156
ISSN: 0007-0912
Appears in Collections:Scholarly and Clinical

Show full item record

Page view(s)

310
checked on Mar 28, 2024

Google ScholarTM

Check

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.