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Guiding principles for acute perioperative pain management

Guiding principles for acute perioperative pain management
Conduct a preoperative evaluation including assessment of medical and psychologic conditions, concomitant medications, history of chronic pain, substance abuse disorder, and previous postoperative treatment regimens and responses, to guide the perioperative pain management plan.
Use a validated pain assessment tool to track responses to postoperative pain treatments and adjust treatment plans accordingly.
Offer multimodal analgesia, or the use of a variety of analgesic medications and techniques combined with nonpharmacologic interventions, for the treatment of postoperative pain in adults.
Provide patient- and family-centered individually tailored education to the patient (and/or responsible caregiver), including information on treatment options for managing postoperative pain, and document the plan and goals for postoperative pain management.
Provide education to all patients (adult) and primary caregivers on the pain treatment plan, including proper storage and disposal of opioids and tapering of analgesics after hospital discharge.
Adjust the pain management plan based on adequacy of pain relief and presence of adverse events.
Have access to consultation with a pain specialist for patients who have inadequately controlled postoperative pain or are at high risk of inadequately controlled postoperative pain at their facilities (eg, long-term opioid therapy, history of substance use disorder).
This table shows the principles for perioperative pain management issued by the multidisciplinary Perioperative Pain Summit Consortium.
Reproduced with permission from: Mariano ER, Dickerson DM, Szokol JW, et al. A multisociety organizational consensus process to define guiding principles for acute perioperative pain management. Reg Anesth Pain Med 2021. Copyright © 2021 BMJ Publishing Group Ltd.
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