Summary: The benefits of optimal pain management are well recognized. Nevertheless, treatment of postoperative pain continues to be a major challenge, and inadequate postoperative pain relief remains disturbingly high. One of the reasons for suboptimal pain management may be related to inadequate or improper application of available analgesic therapies. Use of patient-specific and procedure-specific pain management strategies should improve pain control and consequently improve perioperative outcome, including early ambulation, ability to perform rehabilitation activities, and return to activities of daily living. This article discusses the current evidence that should allow improved postoperative pain control with emphasis on the use of procedure-specific pain management.
From the Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center.
Disclosure: Dr. Joshi has received honoraria from Pfizer, Baxter, Pacira, Cadence, and Mylan Pharmaceuticals. This study was supported entirely from internal funds from the Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, Texas.
Girish P. Joshi, MBBS, MD, FFARCSI, Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical School, 5323 Harry Hines Blvd, Dallas, TX 75390-9068, firstname.lastname@example.org