Principles of multimodal acute pain management

The article was professionally consulted by Specialist Doctor I Nguyen Xuan Tinh - Anesthesiologist - Resuscitation - Department of General Surgery - Vinmec Phu Quoc International General Hospital.

Post-operative pain is of particular concern to doctors due to its impact on the patient's recovery and psychological state. Treatment of postoperative pain by multimodality method is the method chosen by many doctors because of the certain benefits that this method brings.

Postoperative pain is a complex pathophysiological response, with patients experiencing both sensory and emotional discomfort related to physical injuries. Pain after surgery has a certain influence on the patient's recovery and can cause many life-threatening complications if not treated promptly.
Treatment of pain after surgery is necessary because of the following reasons:
The treatment of postoperative pain belongs to the humanitarian issue as well as the ethical issue of medical doctors, anyone cannot ignore the pain. The patient's pain and treatment strengthens the patient's trust in the doctor in particular and the medical industry in general. Postoperative pain is a common problem in patients due to many different causes, especially in surgical patients. These pains will affect many aspects such as health, recovery or mood of the patient. Especially in terms of the patient's health such as increased risk of chronic pain, wound infection, ischemic heart disease, paralytic ileus... Acute postoperative pain is often costly due to prolonged hospital stay. have a certain effect on the patient's ability to pay.
MORE: Notes in pain relief after surgery

Post-operative pain management adheres to the following principles:
The patient participates in his or her own pain treatment plan with the physician, and works with the physician to assess the symptoms and pain severity. Early detection and best-planned treatment are given at the onset of pain. Consider and evaluate risk factors such as the type of surgery causing the pain, the patient's condition, and concurrent therapies to determine the most appropriate analgesia plan. Using multimodal analgesia Create a patient pain profile and treatment protocol, specifying bedside information such as patient pain level, patient response to pain medication, and side effects of treatment. treatment course. In addition, it is necessary to regularly collect data on the patient's condition from the time of admission to the time of drug use. Prepare patient for discharge and examine and assess patient's pain relief needs and pain risk factors 1 day prior to discharge. SEE ALSO: Pain and pain treatment after surgery: Things to know

In 2009, the United States Department of Health and Human Services, a multimodality approach to acute pain, improved pain relief and reduced adverse event rates in patients. Multimodal acute analgesia is understood as the use of many different analgesics as well as different drug delivery routes to have a synergistic effect in the treatment of postoperative pain.
Multimodal acute pain relief with the following treatment principles:
Treatment in both space and time, using a variety of pain relievers as well as different pain relief methods Minimizing dependence belongs to the opiate group, uses morphine more sparingly Effects on analgesia Use of multimodal acute analgesia before, during, and after surgery Some systemic analgesics are used in multimodal acute analgesia
Acetaminophen (Paracetamol) NSAIDS Ketamine Opioids Morphine Some anesthetic methods:
Local anesthesia Local anesthesia Peripheral anesthesia under ultrasound guidance includes plane anesthesia, rectus abdominis, and upper extremity anesthesia. , lower extremity anesthesia Epidural Anesthesia Combination of Fentanyl and Morphine In fact, postoperative pain is not as scary as many people think if it is properly evaluated and treated. If the patient is equipped with knowledge about postoperative pain, participates in the treatment process by cooperating well with the surgeon and anesthesiologist, it will bring good pain relief.
At Vinmec system, with modern equipment (pain index monitor, specialized ultrasound machine for regional anesthesia, nerve stimulator...), specific treatment regimen, always updated new techniques of regional anesthesia, providing patients with good postoperative pain treatment in accordance with the goal of "Pain Free Hospital".