In recent years, there has been an increasing interest in local infiltration analgesia (LIA) as a technique to control postoperative pain. We conducted a systematic review of randomized clinical trials investigating LIA for total knee arthroplasty (TKA) and total hip arthroplasty (THA) to evaluate the analgesic efficacy of LIA for early postoperative pain treatment. In addition, the analgesic e...

Many patients undergoing plastic surgery experience significant pain postoperatively. The use of preemptive, multimodal analgesia techniques to reduce postoperative pain has been widely described in the literature. This quality improvement project evaluated the implementation of a preemptive, multimodal analgesia protocol in an office-based plastic surgery facility to decrease postoperative pai...

Acute and chronic pain management in children is increasingly characterized by either a multimodal or a preventive analgesia approach, in which smaller doses of opioid and nonopioid analgesics, such as nonsteroidal anti-inflammatory drugs, local anaesthetics, N-methyl-D-aspartate antagonists, alpha(2)-adrenergic agonists, and voltage-gated calcium channel alpha-2 delta-proteins, are combined al...

1 Albrecht E, Taffe P, Yesrin B, Schoettker P, Decosterd I, Hugli O. Undertreatment of acute pain (olioanalgesia) and medical practice variation in prehospital analgesia of adult trauma patients: a 10 yr retrospective study. Br J Anaesthesia 2012; 110: 96–106 2 Ricard-Hibon A, Chollet C, Saada S, Loridant B, Marty J. A quality control program for acute pain management in out-of-hospital critica...

Nefopam is a non-opioid, non-steroidal, centrally acting analgesic drug used to prevent postoperative pain, primarily in the context of multimodal analgesia. This paper reviews preclinical and clinical studies in which nefopam has been combined with opioids, non-steroidal anti-inflammatory compounds, and paracetamol. This report focuses on the literature during the last decade and discusses the...

In the soon-to-be-released clinical practice guidelines from the American Pain Society, multimodal analgesia is recommended for pain management after all surgical procedures. Multimodal analgesia is a surgery-specific population-based approach to optimize pain relief by treating pain through multiple mechanisms along multiple sites of the nociceptive pathway. The reliance on multiple medication...

The parietal component of pain occupies an important place in the management postoperative analgesia. Parietal infiltration is a technique that fits into concept multimodal analgesia using several analgesic products simultaneously. This simple and reliable makes it possible to reduce use opioids therefore their adverse effects; without increasing risk infection. It reduces length hospitalization.

conclusions there is still not a definitive consensus as to which technique is superior, but including one of the methods in addition to providing the patient with parenteral and enteral drugs could provide better postsurgical analgesia. the aim of this review article is to look at the effectiveness of various local anesthetic techniques available to provide analgesia following laparoscopic sur...

Anesthesiology, V 124 • No 1 10 January 2016 N early a quarter century ago, a group of Scandinavian investigators raised global awareness of the deadly risk of respiratory depression from a novel perioperative analgesic method: neuraxial morphine.1 Postoperative respiratory depression from opioids remains a concern today, and in this month’s issue of aneStheS...