Opioid sparing strategies for perioperative pain management other than regional anaesthesia: A narrative review
Opioids play a crucial role in pain management in spite of causing increased hospital morbidity and related costs. It may also cause significant risks such as postoperative nausea and vomiting (PONV), sedation, sleep disturbances, urinary retention and respiratory depression (commonly referred to as...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Journal of Anaesthesiology Clinical Pharmacology |
| Subjects: | |
| Online Access: | http://www.joacp.org/article.asp?issn=0970-9185;year=2022;volume=38;issue=1;spage=3;epage=10;aulast=Ghai |
| _version_ | 1818219067442462720 |
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| author | Babita Ghai Anudeep Jafra Nidhi Bhatia Neha Chanana Dipika Bansal Vivek Mehta |
| author_facet | Babita Ghai Anudeep Jafra Nidhi Bhatia Neha Chanana Dipika Bansal Vivek Mehta |
| author_sort | Babita Ghai |
| collection | DOAJ |
| description | Opioids play a crucial role in pain management in spite of causing increased hospital morbidity and related costs. It may also cause significant risks such as postoperative nausea and vomiting (PONV), sedation, sleep disturbances, urinary retention and respiratory depression (commonly referred to as opioid related adverse effects) in postoperative patients. In order to evade these opioid related side effects and also improve pain management, multimodal analgesia i.e., combination of different analgesics, was introduced more than a decade ago. Both pharmacological and non-pharmacological techniques are available as opioid sparing analgesia. Research from around the world have proved pharmacological techniques ranging from acetaminophen, NSAIDs (non-steroidal anti-inflammatory drugs), N-methyl-D-aspartate receptor antagonists (NDMA), alpha-2 agonists, anticonvulsants such as gamma aminobutyric acid analogues, beta-blockers, capsaicin, lignocaine infusion to glucocorticoids to be effective. On the other hand, non-pharmacological methods include techniques such as cognitive behavioral therapy, transcutaneous electrical nerve stimulation (TENS), electroanalgesia, acupuncture and hypnosis. However, research regarding the effect of these non-pharmacological techniques on pain management is still needed. |
| first_indexed | 2024-12-12T07:33:46Z |
| format | Article |
| id | doaj.art-0ee27ade399a404fbe7a0695d6122af0 |
| institution | Directory Open Access Journal |
| issn | 0970-9185 |
| language | English |
| last_indexed | 2024-12-12T07:33:46Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Anaesthesiology Clinical Pharmacology |
| spelling | doaj.art-0ee27ade399a404fbe7a0695d6122af02022-12-22T00:32:57ZengWolters Kluwer Medknow PublicationsJournal of Anaesthesiology Clinical Pharmacology0970-91852022-01-0138131010.4103/joacp.JOACP_362_19Opioid sparing strategies for perioperative pain management other than regional anaesthesia: A narrative reviewBabita GhaiAnudeep JafraNidhi BhatiaNeha ChananaDipika BansalVivek MehtaOpioids play a crucial role in pain management in spite of causing increased hospital morbidity and related costs. It may also cause significant risks such as postoperative nausea and vomiting (PONV), sedation, sleep disturbances, urinary retention and respiratory depression (commonly referred to as opioid related adverse effects) in postoperative patients. In order to evade these opioid related side effects and also improve pain management, multimodal analgesia i.e., combination of different analgesics, was introduced more than a decade ago. Both pharmacological and non-pharmacological techniques are available as opioid sparing analgesia. Research from around the world have proved pharmacological techniques ranging from acetaminophen, NSAIDs (non-steroidal anti-inflammatory drugs), N-methyl-D-aspartate receptor antagonists (NDMA), alpha-2 agonists, anticonvulsants such as gamma aminobutyric acid analogues, beta-blockers, capsaicin, lignocaine infusion to glucocorticoids to be effective. On the other hand, non-pharmacological methods include techniques such as cognitive behavioral therapy, transcutaneous electrical nerve stimulation (TENS), electroanalgesia, acupuncture and hypnosis. However, research regarding the effect of these non-pharmacological techniques on pain management is still needed.http://www.joacp.org/article.asp?issn=0970-9185;year=2022;volume=38;issue=1;spage=3;epage=10;aulast=Ghaiacupuncturecognitive behavioral therapyenhanced recovery after surgerymultimodal analgesianon pharmacological therapiesopioid sparing strategiespharmacological techniquespostoperative pain |
| spellingShingle | Babita Ghai Anudeep Jafra Nidhi Bhatia Neha Chanana Dipika Bansal Vivek Mehta Opioid sparing strategies for perioperative pain management other than regional anaesthesia: A narrative review Journal of Anaesthesiology Clinical Pharmacology acupuncture cognitive behavioral therapy enhanced recovery after surgery multimodal analgesia non pharmacological therapies opioid sparing strategies pharmacological techniques postoperative pain |
| title | Opioid sparing strategies for perioperative pain management other than regional anaesthesia: A narrative review |
| title_full | Opioid sparing strategies for perioperative pain management other than regional anaesthesia: A narrative review |
| title_fullStr | Opioid sparing strategies for perioperative pain management other than regional anaesthesia: A narrative review |
| title_full_unstemmed | Opioid sparing strategies for perioperative pain management other than regional anaesthesia: A narrative review |
| title_short | Opioid sparing strategies for perioperative pain management other than regional anaesthesia: A narrative review |
| title_sort | opioid sparing strategies for perioperative pain management other than regional anaesthesia a narrative review |
| topic | acupuncture cognitive behavioral therapy enhanced recovery after surgery multimodal analgesia non pharmacological therapies opioid sparing strategies pharmacological techniques postoperative pain |
| url | http://www.joacp.org/article.asp?issn=0970-9185;year=2022;volume=38;issue=1;spage=3;epage=10;aulast=Ghai |
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