Pharmachologic treatment of acute postoperative pain: A clinical practice guideline of The Turkish Society of Algology Akut postoperatif ağrının farmakolojik tedavisi: Türk Algoloji-Ağrı Derneği klinik uygulama kılavuzu


Reisli R., Akkaya Ö. T., Arıcan Ş., Can Ö. S., Çetingök H., GÜLEÇ M. S., ...Daha Fazla

Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology, cilt.33, ss.1-51, 2021 (ESCI) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 33
  • Basım Tarihi: 2021
  • Doi Numarası: 10.14744/agri.2021.60243
  • Dergi Adı: Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, EMBASE, MEDLINE, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.1-51
  • Anahtar Kelimeler: Guideline, multimodal analgesia, patient assesment, pharmacoterapy, postoperative pain management, special patient groups, NONSTEROIDAL ANTIINFLAMMATORY DRUGS, TOTAL KNEE ARTHROPLASTY, PATIENT-CONTROLLED ANALGESIA, CHRONIC POSTSURGICAL PAIN, OPIOID-FREE, BEHAVIORAL PAIN, INTRAVENOUS LIDOCAINE, REGIONAL ANESTHESIA, BARIATRIC SURGERY, ENHANCED-RECOVERY
  • Eskişehir Osmangazi Üniversitesi Adresli: Evet

Özet

Satisfactory pain relief is a fundamental right of every patient suffering from pain. Despite the developments on pharmachologic treatment modalities and interventions for pain control, inadequacy of postoperative pain management is still a major problem. After surgical intervention, 66% of patients experience moderate to severe pain during discharge, 9% after two weeks. Untreated postoperative pain may lead to prolonged hospital stay, increased intensive care needs, development of chronic pain, and reduced the patients quality of life. In the following guideline all aspects of postoperative pain briefly evaluated. The clinical practice of postoperative analgesia, recommendations, the diagnosis, assessment and pharmachologic treatment of acute postoperative pain with the current available agents in Turkey are discussed in this article. Our aim is to promote awareness of effective, and safe postoperative pain management strategies to meet the needs of the patients; minor patient groups, such as paediatric population, pregnant patients, elderly, patient with high body mass index and covid 19 diesease. Despite all the recommendations, any guidelines special cases where standard modalities fail to treat postoperative pain management as in patients with chronic pain who previously used opioids, drug addicts, the patient should be consulted with an pain specialist.