One of the most common surgeries performed in women is abdominal hysterectomy. Effective postoperative pain management a holistic method with cumulative efforts from surgeon, anesthetists, hospital staff and care giver. There are several approaches to provide adequate relief such as preemptive analgesia, regional general techniques, multimodal analgesia peripheral nerve blocks. The main objecti...

Greater understanding of the pathophysiology and mechanism of acute pain has led to advances in pharmacologic therapy. Understanding the principles of multimodal therapy along with surgical-specific protocols leads to improved outcome in patients. However, further large-scale randomized trials need to be performed to further establish and demonstrate the long-term benefit of multimodal therapy ...

BACKGROUND In abdominal wall reconstruction, adequate pain control and minimization of narcotic consumption are essential to improving patient outcomes and satisfaction. Previous studies have examined the role of individual strategies, such as neuraxial analgesia and multimodal analgesia. However, there has not been a study that examined all potential determinants of postoperative narcotic requ...

The 2018 Critical Care Medicine Guidelines for Analgesia and Sedation in the ICU Good Practice Statement emphasized importance treatment of pain taking precedence over sedation. Within these guidelines, a multimodal analgesia approach is standard care ICU, which often includes initiation opioids. 1 As practice has shifted to prioritize management sedation, opioids have been administered frequen...

Patients undergoing total hip and knee arthroplasty experience substantial and sustained postoperative pain. Inadequate analgesia may impede recovery and delay hospital discharge. Traditionally, postoperative analgesia following arthroplasty was provided by intravenous patient-controlled analgesia or epidural analgesia, but each technique has distinct advantages and disadvantages. Recently, per...

Objectives At the conclusion of this educational activity, the reader should be able to: 1. Describe the benefits of multimodal analgesia. 2. Describe the muscles and innervation of the abdominal wall. 3. Compare the various approaches to placing a transversus abdominis plane (TAP) block and their impact on distribution. 4. Compare TAP blocks to epidural analgesia. 5. Identify the risks and com...