The Role of the Anesthesiologist in Fast-Track Surgery: From Multimodal Analgesia to Perioperative Medical Care

White, Paul F.; Kehlet, Henrik; Neal, Joseph M.; Schricker, Thomas; Carr, Daniel B.; Carli, Franco

doi:10.1213/01.ane.0000263034.96885.e1

Cited by 400 publications

(220 citation statements)

References 260 publications

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“…1,2 Anesthesiologists can choose among different interventions for postoperative pain control, but there is little evidence that different pain intervention strategies impact clinically important postoperative outcomes. 3 Many years ago, intravenous infusion of lidocaine (IVLI) was proposed as an anesthesia adjuvant, but this approach has gained in interest in the medical literature only recently.…”

Section: Résumémentioning

confidence: 99%

Perioperative intravenous lidocaine infusion for postoperative pain control: a meta-analysis of randomized controlled trials

Vigneault

Turgeon

Côté

et al. 2010

Can J Anesth/J Can Anesth

319

225

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Introduction Various strategies have been proposed for postoperative pain control. Among those, intravenous lidocaine infusion (IVLI) has gained in interest. However, its clinical benefit remains unclear. This systematic review is an evaluation of the analgesic efficacy and safety of IVLI during general anesthesia. Methods A systematic search was performed using MED-LINE, EMBASE, Cochrane, and SCOPUS databases, likewise, grey literature. The review included all randomized controlled trials that used a placebo or any comparator and evaluated IVLI during general anesthesia for any type of surgery. Primary outcomes were pain control and opioid requirement. Secondary outcomes were mortality, length of stay, ileus recovery time, nausea/vomiting, and adverse events. Random effects models were used and heterogeneity was assessed using the I 2 index. to -5.56), time to first flatus (WMD -7.62 hr, 95% CI -10.78 to -4.45), time to first feces (WMD -10.71 hr, 95% CI -16.14 to -5.28), nausea/vomiting (risk ratios = 0.71, 95% CI 0.57-0.90), and hospital length of stay (WMD -0.17 days, 95% CI -0.41 to 0.07). Abdominal surgery was strongly associated with benefit. For the 12 studies that systematically screened adverse events, the Results 123Can J Anesth/J Can Anesth (2011) 58:22-37 DOI 10.1007/s12630-010-9407-0 incidence of cardiac and neurologic adverse events was comparable. Eight studies observed toxic plasma levels. Discussion Perioperative IVLI reduced postoperative pain and opioid requirement, as well as ileus recovery time, hospital length of stay, and nausea/vomiting. Intravenous lidocaine infusion was effective mainly in abdominal surgery populations. Considering that toxic levels were detected and that adverse events were not systematically screened for in most studies, dose and safety of IVLI should be established before recommending its use. RésuméIntroduction Plusieurs strate´gies ont e´te´propose´es pour le contrôle de la douleur postope´ratoire. Parmi ces strate´gies, la lidocaı¨ne par voie intraveineuse suscite un inte´reˆt croissant. Toutefois, ses avantages cliniques demeurent peu clairs. Cette revue me´thodique est une e´valuation de l'efficaciteá nalge´sique et de l'innocuite´de la lidocaı¨ne par voie intraveineuse pendant l'anesthe´sie ge´ne´rale. Méthode Une recherche me´thodique a e´te´re´alise´e dans les bases de donne´es MEDLINE, EMBASE, Cochrane et SCOPUS ainsi que dans la litte´rature grise. Cette revue a tenu compte de toutes les e´tudes randomise´es contrôle´es ayant utilise´un placebo ou un traitement de re´fe´rence et e´value´la lidocaı¨ne par voie intraveineuse pendant l'anesthe´sie ge´ne´rale, quel que soit le type de chirurgie. Les principaux crite`res d'e´valuation e´taient le contrôle de la douleur et le besoin en opioı¨des. Les crite`res d'e´valuation secondaires e´taient la mortalite´, la dure´e d'hospitalisation, le temps de re´cupe´ration du transit intestinal, les nause´es et vomissements et les e´ve´nements inde´sirables. Des mode`les a`effets ale´atoires ont e´teú tilise´s e...

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Section: Résumémentioning

confidence: 99%

Perioperative intravenous lidocaine infusion for postoperative pain control: a meta-analysis of randomized controlled trials

Vigneault

Turgeon

Côté

et al. 2010

Can J Anesth/J Can Anesth

319

225

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show abstract

“…На догоспитальном этапе в задачи анестезиоло-га-реаниматолога входит оценка, а при необходимо-сти и коррекция отклонений, связанных с основ-ным и сопутствующими заболеваниями, для сниже-ния периоперационного риска [22].…”

Section: предоперационная стратегияunclassified

Accelerated postoperative rehabilitation: multidisciplinary issue. Part 1

Затевахин¹,

Pasechnik²,

Губайдуллин³

et al. 2015

Khir. Z. im. N.I. Pirogova

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“…14 Ideally, multimodal procedure-specific analgesia should be incorporated into a rehabilitation program after surgery to improve patient outcomes. [31][32][33][34] Guidelines for procedure-specific analgesia are available online. 35,36 Discharge planning Pain management for day surgery patients remains the responsibility of the anaesthetist or the surgeon.…”

Section: Procedure-specific Analgesiamentioning

confidence: 99%

Dental note: Postoperative pain management

Daly¹

2013

Aust Prescr

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The Role of the Anesthesiologist in Fast-Track Surgery: From Multimodal Analgesia to Perioperative Medical Care

Abstract: The decisions of the anesthesiologist as a key perioperative physician are of critical importance to the surgical care team in developing a successful fast-track surgery program.

Cited by 400 publications

References 260 publications

Perioperative intravenous lidocaine infusion for postoperative pain control: a meta-analysis of randomized controlled trials

Perioperative intravenous lidocaine infusion for postoperative pain control: a meta-analysis of randomized controlled trials

Accelerated postoperative rehabilitation: multidisciplinary issue. Part 1

Dental note: Postoperative pain management

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