[Multimodal approaches to postoperative pain management and convalescence].
Coping with pain is a complex, multifactorial phenomenon that requires an interdisciplinary approach. Multimodal analgesia involves the association of several analgesics administered by different routes to achieve more effective relief than analgesics administered individually. This approach reduces side effects and increases patient satisfaction. The advantages and limitations of different options for managing postoperative pain are reviewed. A regional block before surgery is recommended whenever possible. The choice of local anesthetic, the route of administration, and the duration of treatment will depend on the type of patient and operation. The combination of an anti-inflammatory drug with an analgesic that works on the central nervous system is recommended, whether the route is oral or parenteral, provided there are no contraindications. Integrating these techniques into a rehabilitation program will facilitate postoperative convalescence.
Mugabure Bujedo
B
B
Servicio de Anestesiología Reanimación y Tratamiento del Dolor, Hospital Donostia, San Sebastián. mugabure@yahoo.es
Tranque Bizueta
I
I
González Santos
S
S
Adrián Garde
R
R
D016058:Analgesia, Patient-Controlled; D000700:Analgesics / Q000008:administration & dosage / Q000494:pharmacology / Q000627:therapeutic use*; D000765:Anesthesia, Conduction / Q000379:methods; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage / Q000494:pharmacology / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003289:Convalescence; D004333:Drug Administration Routes; D004357:Drug Synergism; D004359:Drug Therapy, Combination; D018691:Excitatory Amino Acid Antagonists / Q000008:administration & dosage / Q000494:pharmacology / Q000627:therapeutic use; D006801:Humans; D009294:Narcotics / Q000008:administration & dosage / Q000494:pharmacology / Q000627:therapeutic use; D010149:Postoperative Pain / Q000188:drug therapy* / Q000503:physiopathology / Q000534:rehabilitation; D026741:Physical Therapy Modalities
D000700:Analgesics; D000894:Anti-Inflammatory Agents, Non-Steroidal; D018691:Excitatory Amino Acid Antagonists; D009294:Narcotics