Opioid free pain management in ambulatory hemorrhoidectomy reduces pain

Pain management in ambulatory surgery.

Successful ambulatory surgery is dependent on analgesia that is effective, has minimal adverse effects, and can be safely managed by the patient at home after discharge. A number of studies have identified that the provision of effective postoperative analgesia is inadequate for a significant proportion of patients. The following discussion details the current available analgesic options for am...

Opioid abuse and pain management.

Chronic nonmalignant pain affects a significant number of Americans. In addition to physical discomfort, chronic pain leads to work absenteeism, family disruption, and impairment of activities of daily living, resulting in secondary depression, social isolation, and low self-esteem, among other consequences. Concurrent with the increased need for pain management is a considerable increase in th...

Pain Management in Ambulatory Surgery—A Review

Day surgery, coming to and leaving the hospital on the same day as surgery as well as ambulatory surgery, leaving hospital within twenty-three hours is increasingly being adopted. There are several potential benefits associated with the avoidance of in-hospital care. Early discharge demands a rapid recovery and low incidence and intensity of surgery and anaesthesia related side-effects; such as...

Opioid Use in Cancer Pain Management

The role of non-opioid analgesic techniques in the management of pain after ambulatory surgery.

I n describing how patients feel after surgery, Armitage (1) stated that “slapping the patient on the face and telling him or her that it’s all over is a complete inversion of the truth” because as far as the patient is concerned, “it is often just the beginning.” Although the current armamentarium of analgesic drugs and techniques is impressive, effective management of postoperative pain still...