A multisociety organizational consensus process to define guiding principles for acute perioperative pain management.
Edward R MarianoDavid M DickersonJoseph W SzokolMichael HarnedJeffrey T MuellerBeverly K PhilipJaime L BarattaPadma GulurJennifer RoblesKristopher M SchroederKarla E K WyattJason M SchwalbEric S SchwenkRicha WardhanTodd S KimKent K HigdonDeepak G KrishnanAshley M ShillingGary SchwartzLisa WiechmannLisa V DoanNabil M ElkassabanyStephen C YangIyabo O MuseJean D EloyVikas MehtaShalini ShahRebecca L JohnsonMichael J EnglesbeAmanda KallenS Bobby MukkamalaAshley WaltonAsokumar BuvanendranPublished in: Regional anesthesia and pain medicine (2021)
The US Health and Human Services Pain Management Best Practices Inter-Agency Task Force initiated a public-private partnership which led to the publication of its report in 2019. The report emphasized the need for individualized, multimodal, and multidisciplinary approaches to pain management that decrease the over-reliance on opioids, increase access to care, and promote widespread education on pain and substance use disorders. The Task Force specifically called on specialty organizations to work together to develop evidence-based guidelines. In response to this report's recommendations, a consortium of 14 professional healthcare societies committed to a 2-year project to advance pain management for the surgical patient and improve opioid safety. The modified Delphi process included two rounds of electronic voting and culminated in a live virtual event in February 2021, during which seven common guiding principles were established for acute perioperative pain management. These principles should help to inform local action and future development of clinical practice recommendations.
Keyphrases
- pain management
- healthcare
- clinical practice
- chronic pain
- liver failure
- quality improvement
- cardiac surgery
- endothelial cells
- patients undergoing
- respiratory failure
- primary care
- mental health
- public health
- drug induced
- palliative care
- aortic dissection
- intensive care unit
- affordable care act
- health information
- climate change
- mechanical ventilation
- spinal cord
- risk assessment
- neuropathic pain
- acute respiratory distress syndrome
- acute kidney injury
- postoperative pain