Stamer, Ulrike; Erlenwein, Joachim; Freys, Stephan M; Stammschulte, Thomas; Stichtenoth, Dirk; Wirz, Stefan (2021). [Perioperative analgesia with nonopioid analgesics : Joint interdisciplinary consensus-based recommendations of the German Pain Society, the German Society of Anaesthesiology and Intensive Care Medicine and the German Society of Surgery]. Schmerz, 35(4), pp. 265-281. Springer 10.1007/s00482-021-00566-1
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BACKGROUND
Nonopioid analgesics are frequently used for perioperative analgesia; however, insufficient research is available on several practical issues. Often hospitals have no strategy for how to proceed, e.g., for informing patients or for the timing of perioperative administration of nonopioid analgesics.
METHODS
An expert panel representing the German national societies of pain, anaesthesiology and intensive care medicine and surgery developed recommendations for the perioperative use of nonopioid analgesics within a formal, structured consensus process.
RESULTS
The panel agreed that nonopioid analgesics shall be part of a multimodal analgesia concept and that patients have to be informed preoperatively about possible complications and alternative treatment options. Patients' history of pain and analgesic intake shall be evaluated. Patients at risk of severe postoperative pain and possible chronification of postsurgical pain shall be identified. Depending on the duration of surgery, nonopioid analgesics can already be administered preoperatively or intraoperatively so that plasma concentrations are sufficient after emergence from anesthesia. Nonopioid analgesics or combinations of analgesics shall be administered for a limited time only. An interdisciplinary written standard of care, comprising the nonopioid analgesic of choice, possible alternatives, adequate dosing and timing of administration as well as surgery-specific policies, have to be agreed upon by all departments involved. At discharge, the patient's physician shall be informed of analgesics given and those necessary after discharge. Patients shall be informed of possible side effects and symptoms and timely discontinuation of analgesic drugs.
CONCLUSION
The use of nonopioid analgesics as part of a perioperative multimodal concept should be approved and established as an interdisciplinary and interprofessional concept for the adequate treatment of postoperative pain.
Item Type: |
Journal Article (Review Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic and Policlinic for Anaesthesiology and Pain Therapy |
UniBE Contributor: |
Stamer, Ulrike |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1432-2129 |
Publisher: |
Springer |
Language: |
German |
Submitter: |
Jeannie Wurz |
Date Deposited: |
01 Jul 2021 15:24 |
Last Modified: |
05 Dec 2022 15:51 |
Publisher DOI: |
10.1007/s00482-021-00566-1 |
PubMed ID: |
34076782 |
Additional Information: |
This article appears in parallel in Der Chirurg. The Abstract appears in both German and English. Dieser Beitrag erscheint parallel in den Zeitschriften A&I Anästhesiologie & Intensivmedizin, Der Anästhesist, Der Chirurg, Der Schmerz und in gekürzter Form in Passion Chirurgie. |
Uncontrolled Keywords: |
Acute pain Metamizole (Dipyrone) NSAIDs Nonopioid analgesics Paracetamol Patient information Perioperative pain management |
BORIS DOI: |
10.48350/157132 |
URI: |
https://boris.unibe.ch/id/eprint/157132 |
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