https://www.ncbi.nlm.nih.gov/books/NBK544298/
Postoperative pain control aims to reduce the negative consequences of acute postsurgical pain and help the patient transition smoothly back to normal function. Traditionally, opioid analgesic therapy has been the primary treatment for acute postoperative pain. However, the recent rise in morbidity and mortality associated with opioid misuse has led to increasing demands for more investigative

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5770176/
1. Introduction. More than 230 million people undergo surgery each year worldwide and the number is increasing annually. 183 Surgery causes commonly postoperative pain that should be alleviated as soon and as effective as possible to reduce suffering, to promote the healing process and rehabilitation and to prevent complications. However, clinical pain management after surgery is far from

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)30813-X/fulltext
Controlling acute pain after surgery is important not only in the immediate postoperative phase but also to prevent chronic postsurgical pain, which can develop in as many as 10% of patients. A Series of three papers in this week's issue examines postoperative pain management, outlines how and why acute pain can become chronic, what can be done to lessen that risk, and the role of opioids.

https://journals.sagepub.com/doi/10.1177/21925682241265625
As enhanced recovery after surgery has become a consensus in the field of spinal surgery, we believe the effective short-term postoperative pain control is crucial. 27 Mild transient pain allows patients to mobilize early, facilitating early rehabilitation and plays a critical role in preventing postoperative complications associated with

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8765537/
Introduction. Postoperative pain is a common but often inadequately treated condition, with 80% of surgical patients experiencing postoperative pain but less than 50% of these patients reporting sufficient pain control according to a US Institute of Medicine report. 1 In addition, a national survey suggests that 39% of patients with postoperative pain experience severe to extreme levels of

https://pubmed.ncbi.nlm.nih.gov/34200695/
Multimodal analgesia (MMA) and enhanced recovery after surgery (ERAS) pathways have been repeatedly shown to significantly improve postoperative outcomes such as pain, function and satisfaction. The current review aims to examine the history of perioperative MMA strategies in ERAS and provide an update with recent evidence.

https://academic.oup.com/bjs/article/107/2/e70/6120927
Acute postoperative pain is common. Nearly 20 per cent of patients experience severe pain in the first 24 h after surgery, a figure that has remained largely unchanged in the past 30 years. This review aims to present key considerations for postoperative pain management.

https://bjssjournals.onlinelibrary.wiley.com/doi/10.1002/bjs.11477
Acute postoperative pain is common. Nearly 20 per cent of patients experience severe pain in the first 24 h after surgery, a figure that has remained largely unchanged in the past 30 years. This review aims to present key considerations for postoperative pain management. Methods. A narrative review of postoperative pain strategies was undertaken.

https://pubmed.ncbi.nlm.nih.gov/31785712/
Abstract. Enhanced recovery after surgery (ERAS) programmes are increasingly becoming standard of care for several surgical procedures. However, compliance with ERAS protocols including pain management protocols remains poor. The PROSPECT (PROcedure-SPEcific Postoperative Pain ManagemenT) collaboration provides evidence-based, procedure

https://journals.sagepub.com/doi/full/10.1177/2158244020924377
The American Pain Society (APS) recommends that to improve the quality of pain management, focus should be put on the severity of pain and the effects of pain on patient outcomes ().In Gordon et al. (2016), six quality indicators were proposed to increase the quality of pain management.These indicators are as follows: recording the severity of pain with a numeric rating scale or a verbal

https://my.clevelandclinic.org/-/scassets/files/org/patients-visitors/information/prepare-for-surgery/pain-control-after-surgery-17
duced or stopped. Headache can occur, but this is rare. Severe complications, damage and infection, are extremely rare.Nerve BlocksYou may be o. fered a nerve block to control your pain after surgery. Unlike an epidural, which controls pain over a broad area of your body, a nerve block controls pain isolate.

https://www.sciencedirect.com/science/article/pii/S0007091222002860
A large proportion of the elective and emergency surgical case load involves abdominal surgery. 1 In the USA, 10 million hospital discharges in 2009-13 were associated with open abdominal surgery, 2, 3 and more than 30 000 emergency laparotomies are performed in the UK every year. 4 Major abdominal surgery encompasses a broad range of surgical procedures in heterogenous patient populations

https://www.europeanpainfederation.eu/wp-content/uploads/2017/01/02.-What-Health-Care-Professionals-Should-Know-About-Pain-After-Surgery.pdf
2017 Global Year Against Pain After Surgery. It is important to keep in mind that regardless of the magnitude of a specific physiological or economic benefit (or not) of aggressive pain control, patients have a fundamental human right to receive the best pain control that their health-care providers can provide.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10744474/
Effective musculoskeletal pain management is crucial for patient recovery and satisfaction after orthopedic surgical procedures. Despite advances in multimodal analgesia, acute postoperative pain continues to be inadequately managed, with up to 80% of patients reporting moderate to severe pain after surgery .

https://www.yalemedicine.org/conditions/pain-relief-after-surgery
Patients who need surgery for broken bones may also need opioids. "Opioid medications help with surgical pain," Dr. Thomas says. "However they have the potential to cause side effects, like slowing your breathing, nausea, vomiting and constipation.". Of great concern, also, is that opioids pose a risk of addiction and misuse if pain

https://journals.lww.com/painrpts/Fulltext/2017/03000/Postoperative_pain_from_mechanisms_to_treatment.1.aspx
Understanding basic mechanisms of postoperative pain to identify effective treatment strategies may improve patients' outcome after surgery. This review presents and discusses basic science findings and scientific evidence generated within the last 2 decades in the field of acute postoperative pain. 1. Introduction.

https://newsnetwork.mayoclinic.org/discussion/finding-the-balance-opioids-and-pain-control-after-surgery/
In a recent Mayo Clinic study, researchers found that most patients prescribed fewer opioids after surgery were able to maintain satisfactory comfort levels without requiring more prescription refills later.. Under new evidence-based guidelines, patients undergoing various surgeries received fewer opioid pills, and 88% reported feeling "very" or "somewhat" satisfied with their pain management.

https://pubmed.ncbi.nlm.nih.gov/23350836/
Aim: The aim of this systematic review was to evaluate the available literature on the management of pain after laparoscopic colorectal surgery. Method: Randomized studies, published in English between January 1995 and July 2011, assessing analgesic and anaesthetic interventions in adults undergoing laparoscopic colorectal surgery, and reporting pain scores, were retrieved from the Embase and

https://implementationscience.biomedcentral.com/articles/10.1186/s13012-014-0110-3
Pain management after surgery is known to be a care process where the quality of care is highly variable. ... Acute Pain Management: Scientific Evidence. 2010, National health and Medical Research Council, Canberra, Australia ... Postoperative pain management and outcome after surgery. Best Pract Res Clin Anaesthesiol. 2007, 21 (1): 99-107. 10.

https://journals.lww.com/jtrauma/fulltext/2024/04000/acute_pain_management_after_trauma__what_you_need.2.aspx
Effective acute pain control is an important patient-centered outcome. Inadequate pain relief contributes to harmful physiologic and psychological sequelae. 1 Undertreated acute pain limits a patient's early mobilization and return to baseline and may also lead to the development of chronic pain syndromes. 2,3 Opioids remain a mainstay in acute pain management but are actually not as effective

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4018688/
Recent evidence suggests that the reduction in these adverse effects may be best achieved by using a combination of protocols involving both central and peripheral-acting drugs and devices ... Shoar S, Esmaeili S, Safari S. Pain Management After Surgery: A Brief Review. Anesth Pain. 2012;1(3):184-6. DOI: 10.5812/kowsar.22287523.3443.

https://www.youtube.com/watch?v=4w58uejkigc
This video explains how you can use the scientific understanding of pain medications to control pain after surgery while minimizing the side effects of opiat

https://bmccancer.biomedcentral.com/articles/10.1186/s12885-024-12455-8
Nevertheless, there is some evidence suggesting the role of abnormal descending controls in cancer pain. For instance, compared with women who did not experience pain after surgery, women who experienced chronic pain after breast cancer surgery displayed enhanced TSP, mechanical pain and deficits in CPM . These results suggested that persistent

https://pubmed.ncbi.nlm.nih.gov/37488312/
The primary outcome was the activity of daily living after surgery. The secondary was postoperative pain and other outcomes included time to freely elevation, vomiting frequency, the use of analgesics, and complications. Results: A total of 122 patients were included, with 70 in the ERAS group and 52 in the non-ERAS group. Compared to non-ERAS

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10282558/
In 2018, the American College of Surgeons (ACS) integrated the best practices and evidence from the literature and developed the Safe and Effective Pain Control After Surgery (SEPCAS) patient education brochure as part of their Strong for Surgery initiative . The Strong for Surgery initiative is a bundle of checklists and patient education

https://news.sky.com/story/election-2024-sunak-starmer-conservatives-labour-reform-lib-dem-12593360
Asked who performed best - the results came in exactly 50/50. Our deputy political editor Sam Coates says there will likely be disappointment in the Conservative ranks over this result.