The Experts below are selected from a list of 110586 Experts worldwide ranked by ideXlab platform

Jangsu Park - One of the best experts on this subject based on the ideXlab platform.

Paul F. White - One of the best experts on this subject based on the ideXlab platform.

  • postoperative pain management after ambulatory surgery role of multimodal analgesia
    Anesthesiology Clinics, 2010
    Co-Authors: Ofelia L Elvirlazo, Paul F. White
    Abstract:

    Multimodal (or balanced) analgesia represents an increasingly popular approach to preventing postoperative pain. The approach involves administering a combination of opioid and nonopioid Analgesics. Nonopioid Analgesics are increasingly being used as adjuvants before, during, and after surgery to facilitate the recovery process after ambulatory surgery. Early studies evaluating approaches to facilitating the recovery process have demonstrated that the use of multimodal Analgesic techniques can improve early recovery as well as other clinically meaningful outcomes after ambulatory surgery. The potential beneficial effects of local anesthetics, NSAIDs, and gabapentanioids in improving perioperative outcomes continue to be investigated.

  • the changing role of non opioid Analgesic techniques in the management of postoperative pain
    Anesthesia & Analgesia, 2005
    Co-Authors: Paul F. White
    Abstract:

    Given the expanding role of ambulatory surgery and the need to facilitate an earlier hospital discharge, improving postoperative pain control has become an increasingly important issue for all anesthesiologists. As a result of the shift from inpatient to outpatient surgery, the use of IV patient-controlled analgesia and continuous epidural infusions has steadily declined. To manage the pain associated with increasingly complex surgical procedures on an ambulatory or short-stay basis, anesthesiologists and surgeons should prescribe multimodal Analgesic regimens that use non-opioid Analgesics (e.g., local anesthetics, nonsteroidal antiinflammatory drugs, cyclooxygenase inhibitors, acetaminophen, ketamine, alpha 2-agonists) to supplement opioid Analgesics. The opioid-sparing effects of these compounds may lead to reduced nausea, vomiting, constipation, urinary retention, respiratory depression and sedation. Therefore, use of non-opioid Analgesic techniques can lead to an improved quality of recovery for surgical patients.

Charles Argoff - One of the best experts on this subject based on the ideXlab platform.

  • recent management advances in acute postoperative pain
    Pain Practice, 2013
    Co-Authors: Charles Argoff
    Abstract:

    Introduction Acute postoperative pain remains a major problem, with both undertreatment and overtreatment leading to serious consequences, including increased risk of persistent postoperative pain, impaired rehabilitation, increased length of stay and/or hospital readmission, and adverse events related to excessive Analgesic use, such as oversedation. New Analgesic medications and techniques have been introduced that target the preoperative, intraoperative, and postoperative periods to better manage acute postoperative pain, with improvements in Analgesic efficacy and safety over more traditional pain management approaches. This review provides an overview of these new Analgesic medications and techniques. Specific topics that are discussed include the use of preoperative nonsteroidal anti-inflammatory drugs, anxiolytics, and anticonvulsants; intraoperative approaches such as neuraxial analgesia, continuous local anesthetic wound infusion, transversus abdominis plane block, extended-release epidural morphine, intravenous acetaminophen, and intravenous ketamine; and postoperative use of intravenous ibuprofen, new opioids (eg, tapentadol) or opioid formulations (morphine–oxycodone), and patient-controlled analgesia. Conclusion New, targeted, Analgesic medications and techniques may provide a safer and more effective approach to the management of acute postoperative pain than traditional approaches such as postoperative oral Analgesics.

Sangeun Park - One of the best experts on this subject based on the ideXlab platform.

Rashmi Bagga - One of the best experts on this subject based on the ideXlab platform.

  • quality of recovery and analgesia after total abdominal hysterectomy under general anesthesia a randomized controlled trial of tap block vs epidural analgesia vs parenteral medications
    Journal of Anaesthesiology Clinical Pharmacology, 2019
    Co-Authors: Preethy J Mathew, Neelam Aggarwal, Kamlesh Kumari, Aakriti Gupta, Nidhi Panda, Rashmi Bagga
    Abstract:

    Background and Aims: Parenteral Analgesics and epidural analgesia are two standard options to treat postoperative pain after total abdominal hysterectomy (TAH). Fascial plane blocks such as transversus abdominis plane (TAP) block have gained popularity recently. However, effect of these Analgesic regimens on quality of postoperative recovery (QoR) has not been studied. Hence we aimed to assess and compare the QoR with three different postoperative Analgesic regimens---parenteral analgesia, epidural analgesia, and TAP block in patients undergoing TAH under general anesthesia. Material and Methods: Sixty female patients undergoing TAH were randomized into three groups of 20 each for postoperative analgesia. Epidural group received boluses of 0.125% bupivacaine for 24 h, parenteral group received injection diclofenac and injection tramadol alternately every 6 h for 24 h, and TAP group received bilateral TAP block with 0.25% bupivacaine at end of operation. QoR was assessed postoperatively by 40-item questionnaire-QOR-40 and pain was assessed by numerical rating scale (NRS). Results: QOR-40 score was comparable across the three groups at 24, 48, and 72 h postoperatively. TAP block prolonged the time to first rescue Analgesic (P = 0.02) and reduced the total 24-h postoperative morphine consumption by 2.4 (95% CI: 1.0, 3.8) mg (P = 0.002) and 7.8 (95% CI: 6.4, 9.1) mg (P Conclusion: The QoR after abdominal hysterectomy is similar with either intravenous Analgesics or epidural analgesia or TAP block when used with rescue analgesia to manage postoperative pain. TAP block provides superior analgesia and reduces 24-h morphine consumption when compared with parenteral and epidural analgesia.