Roger Chou|Debra B. Gordon|Óscar A. de León-Casasola|Jack M. Rosenberg|Stephen W. Bickler|Tim Brennan|Todd Carter|Carla L. Cassidy|Eva H. Chittenden|Ernest Degenhardt|Scott Griffith|Renee C.B. Manworren|Bill McCarberg|Robert R. Montgomery|Jamie D. Murphy|Melissa F. Perkal|Santhanam Suresh|Kathleen A. Sluka|Scott A. Strassels|Richard C. Thirlby|Eugene R. Viscusi|Gary A. Walco|Lisa M. Warner|Steven J. Weisman|Christopher L. Wu
Management of Postoperative Pain: A Clinical Practice Guideline From the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists' Committee on Regional Anesthesia, Executive Committee, and Administrative Council
Oregon Health & Science University|University of Washington|Roswell Park Comprehensive Cancer Center|University of Michigan–Ann Arbor|University of California, San Diego|University of Iowa Hospitals and Clinics|University of Cincinnati|United States Department of Veterans Affairs|Veterans Health Administration|Massachusetts General Hospital|United States Army Medical Command|University of Connecticut|American Academy of Arts and Sciences|University of Colorado Denver|Johns Hopkins Medicine|Johns Hopkins University|Comer Children's Hospital|University of Iowa|Austin College|Virginia Mason Medical Center|Polytechnic University of Bari|Thomas Jefferson University|Seattle Children's Hospital|Children's Hospital of Wisconsin|Johns Hopkins Medicine|Johns Hopkins University
patients undergo surgical procedures experience acute postoperative pain evidence suggests less half report adequate postoperative pain relief many preoperative intraoperative postoperative interventions management strategies available reducing managing postoperative pain american pain society input american society anesthesiologists commissioned interdisciplinary expert panel develop clinical practice guideline promote evidencebased effective safer postoperative pain management children adults guideline subsequently approved american society regional anesthesia part guideline development process systematic review commissioned various aspects related various interventions management strategies postoperative pain review evidence expert panel formulated recommendations addressed various aspects postoperative pain management including preoperative education perioperative pain management planning use different pharmacological nonpharmacological modalities organizational policies transition outpatient care recommendations based underlying premise optimal management begins preoperative period assessment patient development plan care tailored individual surgical procedure involved panel found evidence supports use multimodal regimens many situations although exact components effective multimodal care vary depending patient setting surgical procedure although guidelines based systematic review evidence management postoperative pain panel identified numerous research gaps 32 recommendations 4 assessed supported highquality evidence 11 areas patient education perioperative planning patient assessment organizational structures policies transitioning outpatient care made basis lowquality evidencethis guideline basis systematic review evidence postoperative pain management provides recommendations developed multidisciplinary expert panel safe effective postoperative pain management basis plan care tailored individual surgical procedure involved multimodal regimens recommended many situations