Management of Postoperative Pain within Eras Protocols in Surgery

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Jaime Ruiz-Tovar, MD, PhD (Editor) – Professor of Surgery. Universidad Rey Juan Carlos. Madrid, Spain

Series: Anesthesiology and Perioperative Medicine

BISAC: MED006000

Target Audience: Surgeons, Nurses, Anesthesiologists, Endocrinologists, Medical students, Patients

Description:
Enhanced recovery after surgery (ERAS) programs are a multidisciplinary approach in the perioperative care of the patient undergoing major surgery, including pre, intra and postoperative measures, based on the actual evidence published in literature (evidence-based medicine), to improve the postoperative recovery of the patient. ERAS protocols have been widely developed in colorectal surgery, but given their excellent results, new protocols and guidelines have been developed in other surgical fields, including abdominal and extra-abdominal areas. One of the main keypoints in the multidisciplinary approach is a correct management of postoperative pain. Adequate analgesia implies lower morphine requirements and facilitates early postoperative mobilization. Consequently, lower postoperative ileus and earlier oral intake can be achieved. Altogether, this leads to an improvement of the overall quality of life.

Multimodal analgesia is one of the main tools employed for these aims. It consists of the administration of different analgesic drugs by different ways, reducing the risk of toxicity and the appearance of adverse effects. In addition, the different analgesic methods used provide a synergistic effect, maximizing the analgesic result.

The aim of this book is to update the actual evidence about ERAS protocols on different surgical approaches, analyzing the different analgesic schemes used in different approaches, all of them including the principle of multimodal analgesia.

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Description

Preface

Chapter 1. Physiopathological Basis of Pain
(Martina Lopez Gonzalez, Mario Torrego Garcia, Enrique Feito Casares – Department of Biomedical Engineering, Universidad Rey Juan Carlos, Madrid, Spain, et al.)

Chapter 2. Postoperative Pain Management: Analgesic Schemes
(Enrique Feito Casares, Martina Lopez Gonzalez, Mario Torrego Garcia – Department of Biomedical Engineering. Universidad Rey Juan Carlos, Madrid, Spain, et al.)

Chapter 3. Multimodal Analgesia and Enhanced Recovery After Surgery (ERAS) Protocols
(Mario Torrego García, Enrique Feito Casares, Martina López González – Department of Biomedical Engineering. Universidad Rey Juan Carlos, Madrid, Spain, et al.)

Chapter 4. Management of Postoperative Pain in Laparoscopic Surgery: Strategies for Adequate Control and Postoperative Analgesia Scheme
(Manuel Medina Pedrique, Jaime Ruiz-Tovar, Arturo Cruz Cidoncha, Cristina Barrera Rodríguez, Miguel Angel García-Ureña – Department of General Surgery, University Hospital of Henares, Coslada, Madrid, Spain, et al.)

Chapter 5. Post-operative Pain Management in Endoscopic Urological Surgeries
(Cristina Barrera Rodríguez, Jaime Ruiz-Tovar, Manuel Medina Pedrique, Brezo Belen del Blanco Narciso, Luis Miguel Herranz Fernández – Urology Department, Hospital Universitario del Henares, Madrid, Spain, et al.)

Chapter 6. Management of Postoperative Pain in Thoracic Surgery: Prophylactic Intraoperative Measures and Postoperative Analgesia
(Alejandra de la Fuente Añó, Jose Luis García Fernández, Ramón Moreno Balsalobre – Department of Thoracic Surgery, La Princesa Universitary Hospital, Madrid, Spain, et al.)

Chapter 7. Management of Postoperative Pain in Breast Surgery: Prophylactic Intraoperative Measures and Postoperative Analgesia
(Pablo Antonio Martínez Ramírez – Department of Biomedical Engineering, Rey Juan Carlos University, Madrid, Spain)

Chapter 8. Management of Postoperative Pain in Abdominal Wall Surgery: Prophylactic Intraoperative Measures and Postoperative Analgesia
(Marta Martín – Department of Biomedical Engineering, Universidad Rey Juan Carlos, Alcorcón, Madrid, Spain)

Chapter 9. Intraperitoneal Irrigation with Local Anesthetic Drugs
(Hugo Alcalde – Department of Biomedical Engineering, Rey Juan Carlos University, Madrid, Spain)

Chapter 10. Immunomodulating Effect of Vitamin E and Its Effect on Postoperative Pain
(Claudia Ramos Rincón – Department of Biomedical Engineering. Rey Juan Carlos University, Madrid, Spain)

Chapter 11. Magnetic Therapy on Pain Treatment
(Esther Enríquez Díaz – Department of Biomedical Engineering, Rey Juan Carlos University, Madrid, Spain)

Chapter 12. Opioid-Free Anesthesia and Impact on Postoperative Pain
(Ana Sánchez Gollarte, Jaime Ruiz-Tovar Polo, Ana María Minaya Bravo – Department of General and Visceral Surgery, Principe de Asturias University Hospital, Madrid, Spain, et al.)

Chapter 13. Effectiveness of Dexamethasone as an Adjuvant Treatment in Preemptive Analgesia for Postoperative Pain in Patients Undergoing Abdominal Surgery
(Estela Sanchez Carballo – Department of Biomedical Engineering, Rey Juan Carlos University, Madrid, Spain)

Chapter 14. Effect of Preemptive Intravenous Ibuprofen on Postoperative Pain
(Paola Sofía Paradas Sánchez – Department of Biomedical Engineering. Universidad Rey Juan Carlos, Madrid, Spain)

Chapter 15. Analgesic Effect of COX-2 Inhibitors for Postoperative Pain
(Pablo Gómez de Salazar Méndez – Department of Biomedical Engineering. Rey Juan Carlos University, Madrid, Spain)

Index

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