[A multimodal and multidisciplinary postoperative pain management concept].
Under-treatment of acute postoperative pain can lead to chronic pain with neuronal plasticity and result in poor surgical outcomes. A multimodal approach is therefore necessary to reduce postoperative pain by combining various analgesics with a non-pharmacological strategy. The current use of multimodal approaches, even for the management of postoperative pain, can reduce the side effects of pharmaceutical therapy alone as well as reducing the length of hospital stay. Adequate pain control is an important prerequisite for the application of rehabilitation programmes and will thereby influence functional outcome. In addition, patient satisfaction, as a major benchmarking factor after surgical treatment, is significantly influenced by the quality of postoperative pain management.
Ettrich
U
U
Klinik und Poliklinik für Orthopädie, Universitätsklinikum Carl Gustav Carus, Technische Universität, Fetscherstrasse 74, 01307 Dresden. uwe.ettrich@uniklinikum-dresden.de
Seifert
J
J
Scharnagel
R
R
Günther
K P
KP
D015670:Acupuncture Therapy; D000698:Analgesia / Q000379:methods*; D016058:Analgesia, Patient-Controlled; D000700:Analgesics / Q000009:adverse effects / Q000627:therapeutic use*; D000765:Anesthesia, Conduction; D019985:Benchmarking; D003131:Combined Modality Therapy; D006801:Humans; D007258:Informed Consent; D007902:Length of Stay; D019637:Orthopedic Procedures / Q000009:adverse effects*; D010147:Pain Measurement; D010149:Postoperative Pain / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D017060:Patient Satisfaction; D026741:Physical Therapy Modalities; D017410:Practice Guidelines as Topic; D012064:Relaxation Therapy; D004561:Transcutaneous Electric Nerve Stimulation
D000700:Analgesics