PAIN-POST OPERATIVE PAIN

SUMMARY

1. Pharmacological and non-pharmacological therapy targeting different mechanisms of action in peripheral or central nervous system: regional anesthetic blocks, non-opioid analgesia around the clock, opioid analgesia.

2. Paracetamol and/or NSAIDs should be part of multimodal analgesia for management of postoperative pain in patients without contraindications. There is strong evidence that this decreases postoperative pain & opioid consumption than opioids alone.

3. Gabapentin or pregabalin also reduces opioid requirements. There is inadequate evidence to recommend a dose, typical doses: gabapentin 600 or 1200 mg or pregabalin 150 or 300 mg, administered 1–2 hours pre-operatively.

Reference(s)

Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. Get it on Amazon.
Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. Get it on Amazon.
O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. Get it on Amazon.