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Multimodal Simple Analgesia

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Analgesia in Major Abdominal Surgery

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Abstract

Multimodal analgesia relies on the principle of administering different types of analgesic medications, which through an additive or synergistic effect can improve post-operative pain control. A multimodal analgesic approach allows a reduction in systemic opioid requirements and their associated adverse effects, with the ultimate goal of facilitating early feeding and postoperative mobilization in patients undergoing abdominal surgery. A multimodal analgesia protocol should be procedure-specific and include non-opioid analgesics administered regularly, with systemic opioids to treat moderate-severe breakthrough pain, and regional anaesthesia techniques for certain surgical procedures.

This chapter reviews the pathophysiology of surgical pain after abdominal surgery and it describes the most common simple analgesic agents used in multimodal analgesic protocols to provide optimal analgesia for patients undergoing abdominal surgery.

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Authors and Affiliations

  1. Department of Anesthesia, McGill University Health Centre, Montreal General Hospital, Montreal, QC, Canada

    Giuliano Michelagnoli

  2. Department of Anesthesiology, McGill University Health Centre, Montreal General Hospital, Montreal, QC, Canada

    Gabriele Baldini

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  1. Giuliano Michelagnoli
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  2. Gabriele Baldini
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Correspondence to Gabriele Baldini .

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Editors and Affiliations

  1. Department of Anaesthetics and Critical Care, Royal Blackburn Hospital, Blackburn, Lancashire, UK

    Anton Krige

  2. Department of Anesthesiology and Critical Care, Virginia Commonwealth University Hospital, Richmond, VA, USA

    Michael J. P. Scott

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Michelagnoli, G., Baldini, G. (2018). Multimodal Simple Analgesia. In: Krige, A., Scott, M. (eds) Analgesia in Major Abdominal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-94482-1_2

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