A systems approach to perioperative pain management

Jay K. Ferrell, Maisie L. Shindo

Producción científica: Chapter

1 Cita (Scopus)


The current crisis of opioid addiction has shed light on the shortcomings of our historically fragmented and arbitrary approaches to perioperative pain management. Effective perioperative pain management is multifactorial and can be enhanced via a systems-based approach that spans the continuum of the perioperative encounter. Key elements of a systems approach include preoperative pain management assessment and education, utilization of multimodal analgesia, strong collaboration with anesthesia providers and perioperative nursing professionals, and establishing postdischarge support and communication processes for patients. Although relatively novel, enhanced recovery protocols-based on the broader concept of enhanced recovery after surgery (ERAS)-have shown great promise and are efficacious models of systems-based perioperative pain management.

Idioma originalEnglish (US)
Título de la publicación alojadaOpioid Use, Overuse, and Abuse in Otolaryngology
Número de páginas18
ISBN (versión digital)9780323790161
ISBN (versión impresa)9780323790178
EstadoPublished - ene 1 2021

ASJC Scopus subject areas

  • General Medicine


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