title: Multimodal analgesia and regional anaesthesia.
abstract: Multimodal analgesia provides quality analgesia, with fewer side effects due to the use of combined analgesics or analgesic techniques. Regional anaesthesia plays a fundamental role in achieving this goal. The different techniques of regional anaesthesia that include both peripheral and central blocks in either a single dose or in continuous infusion help to modulate the nociceptive stimuli that access the central level. The emergence of the ultrasound as an effective system to perform regional anaesthesia techniques has allowed the development of new regional anaesthesia techniques that formerly could not be carried out since only neurostimulation or skin references were used. It is essential to take into account that even with effective blocking it is advisable to associate other drugs by other routes, in this way we will be able to reduce the required doses individually and attempt to achieve a synergistic, not purely additive, effect.
authors.affiliation: Unidad del Dolor, Servicio de Anestesiología, Hospital Clínico Universitario de Valencia, Valencia, España; Departamento de Anatomía Humana, Universitat de Valencia, Valencia, España. Electronic address: carlostornero@gmail.com.
authors.forename: C
authors.initials: C
authors.lastname: Tornero Tornero
authors.affiliation: Servicio de Anestesiología, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España.
authors.forename: L E
authors.initials: LE
authors.lastname: Fernández Rodríguez
authors.affiliation: Unidad del Dolor, Servicio de Anestesiología, Hospital Clínico Universitario de Valencia, Valencia, España.
authors.forename: J
authors.initials: J
authors.lastname: Orduña Valls
mesh_terms: D000698:Analgesia / Q000379:methods*; D000700:Analgesics; D000765:Anesthesia, Conduction; D006801:Humans; D059408:Pain Management / Q000379:methods*
chemical_list: D000700:Analgesics
keywords: Analgesia multimodal; Anestesia regional; Anestésicos locales; Ecografía; Local anaesthetics; Multimodal analgesia; Postoperative; Postoperatorio; Regional anaesthesia; Ultrasound