[Treatment of postoperative pain--a status report].
Substantial progress has been made in our understanding of acute pain mechanisms, and our insight into postoperative convalescence and rehabilitation has increased dramatically. There is a lack of evidence for pre-emptive analgesia, whereas studies of antihyperalgesic drugs and multimodal analgesic regimens are promising. The use of opioids should be restricted, and it may be rational to develop procedure-specific pain treatment guidelines. There is a need for increased collaboration and integration of acute pain treatment and multimodal postoperative rehabilitation efforts.
Dahl
Jørgen B
JB
Amtssygehuset i Glostrup, Operations- og Anaestesiologisk Afdeling, og H:S Rigshospitalet, Juliane Marie Centret, Sektion for Kirurgisk Patofysiologi. jbdahl@dadlnet.dk
Kehlet
Henrik
H
D000698:Analgesia / Q000379:methods; D000700:Analgesics / Q000008:administration & dosage; D006801:Humans; D033183:Interdisciplinary Communication; D010149:Postoperative Pain / Q000188:drug therapy / Q000517:prevention & control / Q000628:therapy*; D010353:Patient Education as Topic; D011182:Postoperative Care / Q000379:methods; D011292:Premedication; D011300:Preoperative Care / Q000379:methods; D020127:Recovery of Function
D000700:Analgesics