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Perioperative Pain Control in the Ambulatory Setting

  • Other Pain (N Vadivelu and A Kaye, Section Editors)
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Abstract

Across the USA and various parts of the world, ambulatory surgery centers have transitioned to accepting patients with advanced ASA statuses, leading to a larger volume and higher complexity of surgeries performed, while still urging for same-day patient discharges. Inadequate postoperative pain management and opioid analgesia side effects, such as sedation, respiratory depression, and postoperative nausea and vomiting, are the most common complications and most common reasons for readmission after ambulatory surgery. The trend to limiting these complications and achieve a more rapid patient discharge currently emphasizes a multifactorial, balanced analgesia strategy. This article reviews the multimodal approach by detailing the important aspects of specific regional nerve blocks, nerve blockade with catheter techniques, acetaminophen, non-selective NSAIDs, Cox-2 inhibitors, membrane stabilizers, and corticosteroids. Pain management in the ambulatory surgery patient will thus be optimized with a thorough preoperative evaluation, recognizing intraoperative events, and implementing multiple analgesic modalities.

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Authors and Affiliations

  1. Department of Anesthesiology, Advocate Illinois Masonic Medical Center, Chicago, IL, USA

    Maunak V. Rana & Ravi Desai

  2. Department of Anesthesiology, LSUHSC School of Medicine, 1542 Tulane Avenue, Suite 659, New Orleans, LA, 70112, USA

    Lien Tran & D’Andra Davis

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  1. Maunak V. Rana
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  2. Ravi Desai
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  3. Lien Tran
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  4. D’Andra Davis
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Correspondence to Maunak V. Rana.

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Maunak V. Rana, Ravi Desai, Lien Tran, and D’Andra Davis declare that they have no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Other Pain

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Rana, M.V., Desai, R., Tran, L. et al. Perioperative Pain Control in the Ambulatory Setting. Curr Pain Headache Rep 20, 18 (2016). https://doi.org/10.1007/s11916-016-0550-3

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