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Table 1 Key points for analgesia within an ERP for colorectal surgery

From: 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

• Analgesia is a key component in enhanced recovery pathways.

 

• Optimal analgesia addresses patient pain while restoring function and minimizing side effects.

 

• Minimizing opioid use and its side effects is a cornerstone of analgesia practice within ERPs.

 

• Intraoperative opioid-sparing techniques and postoperative early oral multimodal analgesia are the backbone for providing analgesia within ERPs.

 

• Open, laparoscopic, and robotic surgical approaches need different analgesic strategies.

 

• There are many different analgesic combinations that are efficacious.

 

• Hospitals should adopt at least two or three analgesic strategies for colorectal surgery to allow for individual patient variation or failure of the primary choice of analgesia.

 

• Hospitals should have a troubleshooting pathway in place for breakthrough pain to minimize the negative impact of intravenous opioid use.

 

• Audit of compliance of analgesia and restoration of function can lead to improvement of patient experience.

 
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Perioperative Medicine

ISSN: 2047-0525