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American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on optimal analgesia within an enhanced recovery pathway for colorectal surgery: part 1-from the preoperative period to PACU.

dc.contributor.author Gan, Tong Joo
dc.contributor.author Gordon, DB
dc.contributor.author Grant, Stuart Alan
dc.contributor.author McEvoy, MD
dc.contributor.author Miller, Timothy Ellis
dc.contributor.author Mythen, Michael Gerard
dc.contributor.author Perioperative Quality Initiative (POQI) I Workgroup
dc.contributor.author Scott, MJ
dc.contributor.author Shaw, Andrew David
dc.contributor.author Thacker, Julie K Marosky
dc.contributor.author Wu, CL
dc.coverage.spatial England
dc.date.accessioned 2017-05-01T13:48:08Z
dc.date.available 2017-05-01T13:48:08Z
dc.date.issued 2017
dc.identifier https://www.ncbi.nlm.nih.gov/pubmed/28413629
dc.identifier 64
dc.identifier.uri http://hdl.handle.net/10161/14227
dc.description.abstract BACKGROUND: Within an enhanced recovery pathway (ERP), the approach to treating pain should be multifaceted and the goal should be to deliver "optimal analgesia," which we define in this paper as a technique that optimizes patient comfort and facilitates functional recovery with the fewest medication side effects. METHODS: With input from a multi-disciplinary, international group of clinicians, and through a structured review of the literature and use of a modified Delphi method, we achieved consensus surrounding the topic of optimal analgesia in the perioperative period for colorectal surgery patients. DISCUSSION: As a part of the first Perioperative Quality Improvement (POQI) workgroup meeting, we sought to develop a consensus document describing a comprehensive, yet rational and practical, approach for developing an evidence-based plan for achieving optimal analgesia, specifically for a colorectal surgery ERP. The goal was two-fold: (a) that application of this process would lead to improved patient outcomes and (b) that investigation of the questions raised would identify knowledge gaps to aid the direction for research into analgesia within ERPs in the years to come. This document details the evidence for a wide range of analgesic components, with particular focus from the preoperative period to the post-anesthesia care unit. The overall conclusion is that the combination of analgesic techniques employed in the perioperative period is not important as long as it is effective in delivering the goal of optimal analgesia as set forth in this document.
dc.language eng
dc.relation.ispartof Perioper Med (Lond)
dc.relation.isversionof 10.1186/s13741-017-0064-5
dc.subject Colorectal
dc.subject Enhanced recovery pathway
dc.subject Multimodal
dc.subject Non-opioid adjuncts
dc.subject Optimal analgesia
dc.subject Outcomes
dc.subject Pain management
dc.subject Perioperative
dc.subject Quality
dc.title American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on optimal analgesia within an enhanced recovery pathway for colorectal surgery: part 1-from the preoperative period to PACU.
dc.type Journal article
pubs.author-url https://www.ncbi.nlm.nih.gov/pubmed/28413629
pubs.begin-page 8
pubs.organisational-group Anesthesiology
pubs.organisational-group Anesthesiology, General, Vascular, High Risk Transplant & Critical Care
pubs.organisational-group Clinical Science Departments
pubs.organisational-group Duke
pubs.organisational-group School of Medicine
pubs.publication-status Published online
pubs.volume 6


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