• Clin Podiatr Med Surg · Apr 2003

    Review

    Perioperative pain control.

    • Trevor A Davy, Carl Sharp, and Sue Lynch.
    • Grant Podiatric Surgical Residency Program, Department of Medical Education, Grant Medical Center, 111 S. Grant Avenue, Columbus, OH 43215, USA. tdavy170392@sbcglobal.net
    • Clin Podiatr Med Surg. 2003 Apr 1;20(2):257-67.

    AbstractThere are many options for perioperative pain control available to surgeons. Given these options, adequate levels of analgesia should be achieved and maintained in all surgical patients. Data suggest that analgesia may be improved by combining different analgesic approaches. To avoid high-dose requirements, dose-dependent adverse effects, and potential toxicity associated with reliance on one agent or technique, "balanced" or multimodal analgesic regimens have been advocated. A multimodal recovery program consists of three major components: (1) early mobilization, (2) complete perioperative analgesia, and (3) early oral nutrition. The goal of multimodal programs is to accelerate patient rehabilitation and reduce hospital stays. Balanced multimodal programs are the present and future of perioperative pain control and will enhance patient care.

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