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Multimodal analgesia for acute postoperative and trauma-related pain

  • Rosemary C. Polomano
  • , Mechele Fillman
  • , Nicholas A. Giordano
  • , April Hazard Vallerand
  • , Kelly L.Wiltse Nicely
  • , Carla R. Jungquist
  • University of Pennsylvania
  • Stanford University
  • Wayne State University

Research output: Contribution to journalReview articlepeer-review

59 Scopus citations

Abstract

Multimodal analgesia, which combines analgesic drugs from different classes and employs analgesic techniques that target different mechanisms of pain, is recommended in the treatment of acute postoperative and trauma-related pain because its synergistic effect maximizes pain relief at lower analgesic doses, thereby reducing the risk of adverse drug effects. Using a case-based approach, this article reviews various multimodal analgesic therapies used in the treatment of acute pain; discusses their benefits; and summarizes findings from related research, recommendations from evidence-based practice guidelines, and expert consensus reports.

Original languageEnglish
Pages (from-to)S12-S26
JournalAmerican Journal of Nursing
Volume117
Issue number3
DOIs
StatePublished - 2017

Keywords

  • Acute pain
  • Multimodal analgesia
  • Nondrug measures for acute pain
  • Opioids
  • Postoperative pain

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