[New and evidence-based aspects of postoperative pain therapy].
Poorly managed postoperative pain has been recognised to delay patient recovery and hospital discharge. Recent metaanalyses support a multimodal approach with combinations of analgesics from different classes. The pharmacological options of commonly used opioids, nonsteroidal anti-inflammatory drugs, and other nonopioid analgesics in combination have been shown to provide effective pain relief and to reduce opioid consumption. Local, intraarticular, epidural, and, more importantly, modern peripheral regional techniques can be used successfully to enhance perioperative analgesia. The use of continuous perineural techniques with local anaesthetic infusion has been extended beyond hospital discharge in many European countries.
Volk
T
T
Universitätsklinik für Anästhesiologie und Operative Intensivmedizin, Charité-Universitätsmedizin Berlin, Campus Virchow-Klinikum und Campus Mitte, Charitéplatz 1, 10117, Berlin, Deutschland.
D000698:Analgesia / Q000379:methods*; D016058:Analgesia, Patient-Controlled; D000700:Analgesics / Q000008:administration & dosage / Q000627:therapeutic use; D000779:Anesthetics, Local / Q000008:administration & dosage / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage / Q000627:therapeutic use; D019317:Evidence-Based Medicine; D006801:Humans; D009407:Nerve Block; D010149:Postoperative Pain / Q000188:drug therapy / Q000628:therapy*; D012307:Risk Factors
D000700:Analgesics; D000779:Anesthetics, Local; D000894:Anti-Inflammatory Agents, Non-Steroidal
Br J Anaesth. 2008 Feb;100(2):154-64
18211990
Reg Anesth Pain Med. 2006 Nov-Dec;31(6):546-54
17138198
Reg Anesth Pain Med. 2005 Jan-Feb;30(1):83-98
15690273
Anesth Analg. 2005 Dec;101(6):1634-1642
16301234
J Bone Joint Surg Am. 2007 Jul;89(7):1542-52
17606794
JAMA. 2003 Nov 12;290(18):2455-63
14612482
Acta Orthop. 2007 Apr;78(2):159-61
17464601
Cochrane Database Syst Rev. 2006 Oct 18;(4):CD003348
17054167
JAMA. 2004 Mar 17;291(11):1333-41
15026400
Br J Anaesth. 2006 Dec;97(6):869-73
17065168
Ann Emerg Med. 2007 Aug;50(2):162-71, 171.e1
17210208
Anesth Analg. 2007 Jun;104(6):1545-56, table of contents
17513656
Anesthesiology. 2005 Dec;103(6):1296-304
16306743
Br J Anaesth. 2007 Jun;98(6):806-15
17519263
Acta Anaesthesiol Scand. 2007 Oct;51(9):1133-5
17850557
Anesth Analg. 2006 Jan;102(1):248-57
16368838
Cochrane Database Syst Rev. 2006 Jan 25;(1):CD004603
16437490
Anesthesiology. 2005 Jun;102(6):1249-60
15915040
Br J Anaesth. 2005 Apr;94(4):505-13
15681586
Anesthesiology. 2007 Apr;106(4):773-8
17413915
Reg Anesth Pain Med. 2004 Nov-Dec;29(6):576-91
15635517
Pain. 2005 Jan;113(1-2):61-70
15621365
Cochrane Database Syst Rev. 2007 Jul 18;(3):CD001825
17636687
Reg Anesth Pain Med. 1999 Sep-Oct;24(5):430-7
10499755
Anasthesiol Intensivmed Notfallmed Schmerzther. 2007 Jan;42(1):22-31
17253334
J Arthroplasty. 2007 Oct;22(7):1007-12
17920473
Knee. 2007 Oct;14(5):348-51
17669660
J Bone Joint Surg Am. 2001 Apr;83(4):572-6
11315787
Anaesthesist. 2006 Jan;55(1):80-92
16175343
Reg Anesth Pain Med. 2007 Jan-Feb;32(1):46-54
17196492
Lancet. 2007 Mar 10;369(9564):810-812
17350437
Orthopade. 2007 Jun;36(6):544, 546-51
17530215
Int Orthop. 2008 Dec;32(6):723-7
17687554
Anaesthesist. 2007 Nov;56(11):1155-62
17896093
Anesth Analg. 2006 Nov;103(5):1311-7
17056975
J Bone Joint Surg Am. 2007 Jun;89(6):1343-58
17545440
Anesthesiology. 2005 Nov;103(5):1079-88; quiz 1109-10
16249683