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Essential Elements of Multimodal Analgesia in Enhanced Recovery After Surgery (ERAS) Guidelines
Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston MA, USA.
Department of Anesthesiology and Pharmacology, Anesthesiology Services, LSU School of Medicine, University Medical Center Hospital, New Orleans LA, USA.
Örebro University, School of Medical Sciences. Department of Surgery, Faculty of Health and Medical Sciences, Örebro University, Örebro, Sweden.ORCID iD: 0000-0003-2636-4745
Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston MA, USA.
2017 (English)In: Anesthesiology Clinics, ISSN 1932-2275, Vol. 35, no 2, p. e115-e143Article in journal (Refereed) Published
Abstract [en]

Perioperative multimodal analgesia uses combinations of analgesic medications that act on different sites and pathways in an additive or synergistic manner to achieve pain relief with minimal or no opiate consumption. Although all medications have side effects, opiates have particularly concerning, multisystemic, long-term, and short-term side effects, which increase morbidity and prolong admissions. Enhanced recovery is a systematic process addressing each aspect affecting recovery. This article outlines the evidence base forming the current multimodal analgesia recommendations made by the Enhanced Recovery After Surgery Society (ERAS). We describe current evidence and important future directions for effective perioperative multimodal analgesia in enhanced recovery pathways.

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2017. Vol. 35, no 2, p. e115-e143
National Category
Anesthesiology and Intensive Care Surgery
Identifiers
URN: urn:nbn:se:oru:diva-63768DOI: 10.1016/j.anclin.2017.01.018PubMedID: 28526156Scopus ID: 2-s2.0-85019571824OAI: oai:DiVA.org:oru-63768DiVA, id: diva2:1170362
Available from: 2018-01-03 Created: 2018-01-03 Last updated: 2018-08-13Bibliographically approved

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Ljungqvist, Olle

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