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A Home for Surgical Pain Management

The Perioperative Pain Service

Wanderer, Jonathan P., MD, MPhil; Nathan, Naveen, MD

doi: 10.1213/ANE.0000000000002409
Infographics: Infographic

Vanderbilt University School of Medicine (

Northwestern University Feinberg School of Medicine (

The Infographic is composed by Jonathan P. Wanderer, MD, MPhil, Vanderbilt University School of Medicine (, and Naveen Nathan, MD, Northwestern University Feinberg School of Medicine ( Illustration by Naveen Nathan, MD.

The authors declare no conflicts of interest.



The concept of the medical home, extended to surgical patients, has the potential to provide a robust mechanism for streamlining and coordinating care before, during, and after operative procedures. In its current state, this care can be fragmented, especially for patients with chronic pain conditions that may require medical tapering regimens following an acute surgical episode on top of baseline conditions. In this infographic, we review the scope of chronic postsurgical pain, the risk factors for its development, and the role that a perioperative pain service might play in perioperative care coordination for this complex patient population.

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1. Zaccagnino MP, Bader AM, Sang CN, Correll DJ. The perioperative surgical home: a new role for the acute pain service. Anesth Analg. 2017;125:1394–1402.
© 2017 International Anesthesia Research Society