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  • Different routes of...

Different routes of administration that benefit in acute postoperative pain management

Written By : Dr. Shravani Dali |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2021-07-24T09:00:23+05:30  |  Updated On 24 July 2021 2:25 PM IST
Different routes of administration that benefit in acute postoperative pain management
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Utilizing different routes of administration of analgesics could help pain physicians provide ease to acute pain and prevent it from progressing to chronic pain, suggests a study published in the Pain and Therapy journal.

Successfully treating postoperative acute pain, along with early mobilization as well as nutrition, is one of the perioperative techniques proposed to improve surgical outcomes and reduce the costs of hospitalization.

Also, sufficient pain control decreases perioperative morbidity associated with surgical stress and can also avoid the development of chronic postoperative pain syndromes, treating which is still a huge challenge. Hence, route of drug administration, the best dosage for that route, and unique limitations and contraindications for every patient should be also considered along with the choice of drug class to be used.

A group of researchers from Italy conducted a comprehensive analysis on the different routes of administration of acute postoperative pain medications and their indications and limitations, focusing on recent evidence and international recommendations.

The researchers thoroughly searched various databases for recent studies regarding postoperative pain, oral medication, intravenous medications, epidural route, intrathecal route, opioids, nonsteroidal anti-inflammatory drugs (NSAIDs), paracetamol, local anesthetics, peripheral blocks, adjuvants.

Hence, the conclusion derived by the authors are based on previously conducted studies and do not contain any new studies with human participants or animals.

The researchers concluded the following:

· A multimodal pain control way that includes a variety of analgesic and non-pharmacological interventional techniques ensure better analgesia than a single intervention.

· The knowledge of indications and limitations of the different routes of administration of acute pain drugs could be useful in achieving better pain relief.

· The oral route is the route of choice, unless contraindicated; while the intramuscular route is highly discouraged.

· Epidural analgesia is highly advised for patients who undergo major thoracic and abdominal procedures, hip surgery, and lower extremity surgery, particularly in patients at risk for cardiac or pulmonary complications, or prolonged ileus

· Peripheral blocks are advised for surgery at the extremities and in abdominal, breast, or thoracic surgery

· Accurate monitoring is needed in all cases to prevent complications

For more information refer to:

"The Routes of Administration for Acute Postoperative Pain Medication" by Puntillo F published in the Pain and Therapy journal.

https://link.springer.com/article/10.1007/s40122-021-00286-5


multimodal analgesiaacute painpostoperative acute painroutes of administrationpain medicationperipheral blocks
Source : Pain and therapy
Dr. Shravani Dali
Dr. Shravani Dali

    Dr. Shravani Dali has completed her BDS from Pravara institute of medical sciences, loni. Following which she extensively worked in the healthcare sector for 2+ years. She has been actively involved in writing blogs in field of health and wellness. Currently she is pursuing her Masters of public health-health administration from Tata institute of social sciences. She can be contacted at editorial@medicaldialogues.in.

    Dr. Kamal Kant Kohli
    Dr. Kamal Kant Kohli

    Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751

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