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Contemporary Approaches to Postoperative Pain Management

Murphy, Amanda M. M.D.; Haykal, Siba M.D., Ph.D.; Lalonde, Donald H. M.D.; Zhong, Toni M.D.

Plastic and Reconstructive Surgery: December 2019 - Volume 144 - Issue 6 - p 1080e-1094e
doi: 10.1097/PRS.0000000000006268
Patient Safety CME
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Learning Objectives: After reading this article, the participant should be able to: 1. Describe the fundamental concepts of multimodal analgesia techniques and how they target pain pathophysiology. 2. Effectively educate patients on postoperative pain and safe opioid use. 3. Develop and implement a multimodal postoperative analgesia regimen.

Summary: For many years, opioids were the cornerstone of postoperative pain control, contributing to what has become a significant public health concern. This article discusses contemporary approaches to multimodal, opioid-sparing postoperative pain management in the plastic surgical patient.

Toronto, Ontario; and Saint John, New Brunswick, Canada

From the Departments of Surgery and Surgical Oncology, University of Toronto.

Received for publication January 15, 2019; accepted May 1, 2019.

Disclosure:Dr. Zhong has received funds from the Canadian Institutes for Health Research, for the Foundation Scheme & New Investigator awards (2015 to 2020); the Canadian Breast Cancer Foundation; the Canadian Cancer Society, for the MCCAT multicenter clinical trial; and from the PEGI single-center randomized controlled trial. The remaining authors have no financial interest to declare in relation to the content of this article.

Related digital media are available in the full-text version of the article on

By reading this article, you are entitled to claim one (1) hour of Category 2 Patient Safety Credit. ASPS members can claim this credit by logging in to Dashboard, clicking “Submit CME,” and completing the form.

Toni Zhong, M.D., Division of Plastic Surgery, University Health Network, 200 Elizabeth Street, 8N-871, Toronto, Ontario M5G 2C4, Canada,, @drtonizhong

Copyright © 2019 by the American Society of Plastic Surgeons