Sng, Daniel Da Der; Uitenbosch, Giulia; de Boer, Hans D; Carvalho, Hugo Nogueira; Cata, Juan P; Erdoes, Gabor; Heytens, Luc; Lois, Fernande Jane; Pelosi, Paolo; Rousseau, Anne-Françoise; Forget, Patrice; Nesvadba, David (2023). Developing expert international consensus statements for opioid-sparing analgesia using the Delphi method. BMC anesthesiology, 23(1), p. 62. BioMed Central 10.1186/s12871-023-01995-4
|
Text
s12871-023-01995-4.pdf - Published Version Available under License Creative Commons: Attribution (CC-BY). Download (1MB) | Preview |
INTRODUCTION
The management of postoperative pain in anaesthesia is evolving with a deeper understanding of associating multiple modalities and analgesic medications. However, the motivations and barriers regarding the adoption of opioid-sparing analgesia are not well known.
METHODS
We designed a modified Delphi survey to explore the perspectives and opinions of expert panellists with regard to opioid-sparing multimodal analgesia. 29 anaesthetists underwent an evolving three-round questionnaire to determine the level of agreement on certain aspects of multimodal analgesia, with the last round deciding if each statement was a priority.
RESULTS
The results were aggregated and a consensus, defined as achievement of over 75% on the Likert scale, was reached for five out of eight statements. The panellists agreed there was a strong body of evidence supporting opioid-sparing multimodal analgesia. However, there existed multiple barriers to widespread adoption, foremost the lack of training and education, as well as the reluctance to change existing practices. Practical issues such as cost effectiveness, increased workload, or the lack of supply of anaesthetic agents were not perceived to be as critical in preventing adoption.
CONCLUSION
Thus, a focus on developing specific guidelines for multimodal analgesia and addressing gaps in education may improve the adoption of opioid-sparing analgesia.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic and Policlinic for Anaesthesiology and Pain Therapy > Partial clinic Insel |
UniBE Contributor: |
Erdoes, Gabor (B) |
ISSN: |
1471-2253 |
Publisher: |
BioMed Central |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
02 Mar 2023 13:35 |
Last Modified: |
18 Dec 2023 16:07 |
Publisher DOI: |
10.1186/s12871-023-01995-4 |
PubMed ID: |
36849928 |
Additional Information: |
Pain and Opioids after Surgery (PANDOS) European Society of Anaesthesiology, Intensive Care (ESAIC) Research Group: Ulrike Stamer |
Uncontrolled Keywords: |
Delphi Opioid-sparing Opioids |
BORIS DOI: |
10.48350/179361 |
URI: |
https://boris.unibe.ch/id/eprint/179361 |
Actions (login required)
 |
Edit item |