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Prevention of Adverse Effects in Perioperative Pain Management for General and Plastic Surgeons 

Prevention of Adverse Effects in Perioperative Pain Management for General and Plastic Surgeons
Chapter:
Prevention of Adverse Effects in Perioperative Pain Management for General and Plastic Surgeons
Author(s):

Daniel Krashin

, Natalia Murinova

, and Alan D. Kaye

DOI:
10.1093/med/9780190457006.003.0018
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date: 03 December 2020

Postoperative pain management is a key part of perioperative care. Inadequately controlled pain contributes to poor outcomes and patient satisfaction. Overmedication with opioids for postoperative pain also leads to complications and slows recovery. Perioperative pain care starts with thorough evaluation at the preoperative visit. Multimodal pain treatment reduces the reliance on opioids and tends to improve outcomes. Many complicating factors, including pregnancy, comorbid psychological and medical conditions, addiction, and chronic opioid therapy need to be identified and addressed in a personalized pain plan. Complications including delirium and opioid-induced respiratory suppression are also discussed.

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