Acute Pain after Surgery: Lessons Learned from the Last Decade Stephan A Schug Anaesthesiology & Pain Medicine University of Western Australia Royal Perth Hospital

American Pain Society, American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists “The panel recommends that clinicians offer multimodal analgesia, or the use of a variety of analgesic medications and techniques combined with nonpharmacological interventions, for the treatment of postoperative pain in children and adults (strong recommendation, high-quality evidence).” Note: Exact components of effective multimodal care will vary depending on the patient, setting, and surgical procedure. Chou R, et al. J Pain. 2016;17:131-57. 2

Procedure Specific Postoperative Pain Management (PROSPECT) Procedure Specific Postoperative Pain Management (PROSPECT). Available from: http://www.postoppain.org. Accessed June 2017.

Conclusions Initiate multimodal analgesic techniques Minimise use of opioids Maximise use of non-opioid agents Use regional anaesthesia whenever possible Superior to opioids, especially in orthopaedic patients Use evidence-based, procedure-specific pain management guidelines where available http://fpm.anzca.edu.au/Resources/Publications http://www.jpain.org/article/S1526-5900(15)00995-5/pdf http://www.postoppain.org 4