The role of regional analgesia in personalized postoperative pain management.
Pain management plays a fundamental role in enhanced recovery after surgery pathways. The concept of multimodal analgesia in providing a balanced and effective approach to perioperative pain management is widely accepted and practiced, with regional anesthesia playing a pivotal role. Nerve block techniques can be utilized to achieve the goals of enhanced recovery, whether it be the resolution of ileus or time to mobilization. However, the recent expansion in the number and types of nerve block approaches can be daunting for general anesthesiologists. Which is the most appropriate regional technique to choose, and what skills and infrastructure are required for its implementation? A multidisciplinary team-based approach for defining the goals is essential, based on each patient's needs, and incorporating patient, surgical, and social factors. This review provides a framework for a personalized approach to postoperative pain management with an emphasis on regional anesthesia techniques.
['Chitnis|Shruti S|SS|', 'Tang|Raymond|R|', 'Mariano|Edward R|ER|']
D000698:Analgesia D000700:Analgesics D000765:Anesthesia, Conduction D000779:Anesthetics, Local D001182:Arthroscopy D006801:Humans D059408:Pain Management D010149:Pain, Postoperative D057285:Precision Medicine
Pain management Enhanced recovery Multimodal analgesia Nerve block Acute pain Opioid Persistent postsurgical pain