Skip to main content
SpringerLink
Log in

New Vistas in Ambulatory Postoperative Pain Management

  • Chapter
  • First Online:
Pain Control in Ambulatory Surgery Centers

  • 486 Accesses

Abstract

Postoperative analgesia care is a rapidly expanding field of medicine that includes traditional pharmacotherapy as well as many nonpharmacologic approaches. The nonpharmacologic field is an exciting frontier for anesthesiologists to utilize in an attempt to optimize pain control, decrease healthcare costs, and improve patient satisfaction in the new age of patient-centered care. This chapter discusses new and upcoming vistas in this direction.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Meissner W, Zaslansky R. A survey of postoperative pain treatments and unmet needs. Best Pract Res Clin Anaesthesiol. 2019;33(3):269–86. https://doi.org/10.1016/j.bpa.2019.10.003.

    Article  PubMed  Google Scholar 

  2. Gan TJ, Habib AS, Miller TE, White W, Apfelbaum JL. Incidence, patient satisfaction, and perceptions of post-surgical pain: results from a US national survey. Curr Med Res Opin. 2014;30(1):149–60. https://doi.org/10.1185/03007995.2013.860019.

    Article  PubMed  Google Scholar 

  3. Pavlin DJ, Chen C, Penaloza DA, Polissar NL, Buckley FP. Pain as a factor complicating recovery and discharge after ambulatory surgery. Anesth Analg. 2002;95(3):627–34. https://doi.org/10.1097/00000539-200209000-00025.

    Article  PubMed  Google Scholar 

  4. Rae A. Reasons for delayed patient discharge following day surgery: a literature review. Nurs Stand. 2016;31(11):42–51. https://doi.org/10.7748/ns.2016.e10292.

    Article  PubMed  Google Scholar 

  5. Gan TJ. Poorly controlled postoperative pain: prevalence, consequences, and prevention. J Pain Res. 2017;10:2287–98. https://doi.org/10.2147/JPR.S144066.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Prabhakar A, Cefalu JN, Rowe JS, Kaye AD, Urman RD. Techniques to optimize multimodal analgesia in ambulatory surgery. Curr Pain Headache Rep. 2017;21(5):1–6. https://doi.org/10.1007/s11916-017-0622-z.

    Article  Google Scholar 

  7. O’Donnell KF. Preoperative pain management education: a quality improvement project. J Perianesth Nurs. 2015;30(3):221–7. https://doi.org/10.1016/j.jopan.2015.01.013.

    Article  PubMed  Google Scholar 

  8. Chou R, Gordon DB, De Leon-Casasola OA, et al. Management of postoperative pain: a clinical practice guideline from the American pain society, the American society of regional anesthesia and pain medicine, and the American society of anesthesiologists’ committee on regional anesthesia, executive commi. J Pain. 2016;17(2):131–57. https://doi.org/10.1016/j.jpain.2015.12.008.

    Article  PubMed  Google Scholar 

  9. Lanitis S, Karkoulias K, Sgourakis G, Brotzakis P, Armoutides V, Karaliotas C. The late effect of intraoperative wound infiltration with local anaesthetic in surgical patients; is there any? A randomized control trial. Int J Surg. 2015;20:35–40. https://doi.org/10.1016/j.ijsu.2015.05.053.

    Article  PubMed  Google Scholar 

  10. Dasta J, Ramamoorthy S, Patou G, Sinatra R. Bupivacaine liposome injectable suspension compared with bupivacaine HCl for the reduction of opioid burden in the postsurgical setting. Curr Med Res Opin. 2012;28(10):1609–15. https://doi.org/10.1185/03007995.2012.721760.

    Article  CAS  PubMed  Google Scholar 

  11. Hamilton TW, Athanassoglou V, Mellon S, et al. Liposomal bupivacaine infiltration at the surgical site for the management of postoperative pain. Cochrane Database Syst Rev. 2017;2017(2):CD011419. https://doi.org/10.1002/14651858.CD011419.pub2.

    Article  PubMed Central  Google Scholar 

  12. Derry CJ, Derry S, Moore RA. Single dose oral ibuprofen plus paracetamol (acetaminophen) for acute postoperative pain. Cochrane Database Syst Rev. 2013;2017(10):CD010210. https://doi.org/10.1002/14651858.CD010210.pub2.

    Article  Google Scholar 

  13. Faich G, Goldstein JL, Simon LS, et al. Gastrointestinal toxicity witeh celecoxib vs nonsteroidal anti-inflammatory drugs for osteoarthritis and rheumatoid arthritis. JAMA. 2000;284(10):1247–55.

    Article  Google Scholar 

  14. Bally M, Dendukuri N, Rich B, et al. Risk of acute myocardial infarction with NSAIDs in real world use: Bayesian meta-analysis of individual patient data. BMJ. 2017;357:j1909. https://doi.org/10.1136/bmj.j1909.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Wheatley BM, Nappo KE, Christensen DL, Holman AM, Brooks DI, Potter BK. Effect of NSAIDs on bone healing rates: a meta-analysis. J Am Acad Orthop Surg. 2019;27(7):e330–6. https://doi.org/10.5435/JAAOS-D-17-00727.

    Article  PubMed  Google Scholar 

  16. FDA warns about serious breathing problems with seizure and nerve pain medicines gabapentin (Neurontin, Gralise, Horizant) and pregabalin (Lyrica, Lyrica CR)|FDA.

    Google Scholar 

  17. Mcnicol ED, Ferguson MC, Hudcova J. Patient controlled opioid analgesia versus non-patient controlled opioid analgesia for postoperative pain. Cochrane Database Syst Rev. 2015;2015(6):CD003348. https://doi.org/10.1002/14651858.CD003348.pub3.

    Article  PubMed Central  Google Scholar 

  18. Chuang CC, Lee CC, Wang LK, et al. An innovative nonpharmacological intervention combined with intravenous patient-controlled analgesia increased patient global improvement in pain and satisfaction after major surgery. Neuropsychiatr Dis Treat. 2017;13:1033–42. https://doi.org/10.2147/NDT.S131517.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Assouline B, Tramèr MR, Kreienbühl L, Elia N. Benefit and harm of adding ketamine to an opioid in a patient-controlled analgesia device for the control of postoperative pain. Pain. 2016;157(12):2854–64. https://doi.org/10.1097/j.pain.0000000000000705.

    Article  CAS  PubMed  Google Scholar 

  20. Thomas DA, Chang D, Zhu R, Rayaz H, Vadivelu N. Concept of the ambulatory pain physician. Curr Pain Headache Rep. 2017;21(1):7. https://doi.org/10.1007/s11916-017-0611-2.

    Article  PubMed  Google Scholar 

  21. Vadivelu N, Kai AM, Kodumudi V, Berger JM. Challenges of pain control and the role of the ambulatory pain specialist in the outpatient surgery setting. J Pain Res. 2016;9:425–35. https://doi.org/10.2147/JPR.S86579.

    Article  PubMed  PubMed Central  Google Scholar 

  22. American Society of Anesthesiologists. Practice guidelines for acute pain management in the perioperative setting: an updated report by the american society of anesthesiologists task force on acute pain management. Anesthesiology. 2012;116(2):248–73. https://doi.org/10.1097/ALN.0b013e31823c1030.

    Article  Google Scholar 

  23. Vickers AJ, Cronin AM, Maschino AC, et al. Acupuncture for chronic pain: individual patient data meta-analysis. Arch Intern Med. 2012;172(19):1444–53. https://doi.org/10.1001/archinternmed.2012.3654.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Zhu Y, Feng Y, Peng L. Effect of transcutaneous electrical nerve stimulation for pain control after total knee arthroplasty: a systematic review and meta-analysis. J Rehabil Med. 2017;49(9):700–4. https://doi.org/10.2340/16501977-2273.

    Article  PubMed  Google Scholar 

  25. DeSantana JM, Walsh DM, Vance C, Rakel BA, Sluka KA. Effectiveness of transcutaneous electrical nerve stimulation for treatment of hyperalgesia and pain. Curr Rheumatol Rep. 2008;10(6):492–9. https://doi.org/10.1007/s11926-008-0080-z.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Elboim-Gabyzon M, Najjar SA, Shtarker H. Effects of transcutaneous electrical nerve stimulation (TENS) on acute postoperative pain intensity and mobility after hip fracture: a double blinded, randomized trial. Clin Interv Aging. 2019;14:1841–50. https://doi.org/10.2147/CIA.S203658.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Husch HH, Watte G, Zanon M, et al. Effects of transcutaneous electrical nerve stimulation on pain, pulmonary function, and respiratory muscle strength after posterolateral thoracotomy: a randomized controlled trial. Lung. 2020;198(2):345–53. https://doi.org/10.1007/s00408-020-00335-4.

    Article  CAS  PubMed  Google Scholar 

  28. Johnson MI. Transcutaneous electrical nerve stimulation (TENS) as an adjunct for pain management in perioperative settings: a critical review. Expert Rev Neurother. 2017;17(10):1013–27. https://doi.org/10.1080/14737175.2017.1364158.

    Article  CAS  PubMed  Google Scholar 

  29. Cabýoglu MT, Ergene N, Tan U. The mechanism of acupuncture and clinical applications. Int J Neurosci. 2006;116(2):115–25. https://doi.org/10.1080/00207450500341472.

    Article  PubMed  Google Scholar 

  30. Wu MS, Chen KH, Chen IF, et al. The efficacy of acupuncture in post-operative pain management: a systematic review and meta-analysis. PLoS One. 2016;11(3):e0150367. https://doi.org/10.1371/journal.pone.0150367.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Plunkett A, McCoart A, Howard RS, Dennison E, Bartoszek M. A randomized, single-blind, prospective trial of auricular “battlefield” acupuncture for the reduction of postoperative tonsillectomy pain in adults. Pain Manag. 2018;8(4):287–95. https://doi.org/10.2217/pmt-2018-0007.

    Article  PubMed  Google Scholar 

  32. Deng G, Rusch V, Vickers A, et al. Randomized controlled trial of a special acupuncture technique for pain after thoracotomy. J Thorac Cardiovasc Surg. 2008;136(6):1464–9. https://doi.org/10.1016/j.jtcvs.2008.07.053.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Kelly RB, Willis J. Acupuncture for pain. Am Fam Physician. 2019;100(2):89–96.

    PubMed  Google Scholar 

  34. Radcliffe J, Porterfield S. Music therapy and post-operative pain. Florida State University Archives. https://diginole.lib.fsu.edu/islandora/object/fsu%3A550173/. Accessed 4 June 2020.

  35. Chiodo CP, Keyser C, Palms D, Malone C, Bluman EM, Smith JT. The impact of music therapy in the postoperative setting on overall patient satisfaction using validated outcome scores. J Perianesthesia Nurs. 2019;34(2):354–8. https://doi.org/10.1016/j.jopan.2018.04.006.

    Article  Google Scholar 

  36. Al Wattar BH, Keay SD. Music therapy to optimise postoperative pain management: how much more evidence is needed? BJOG. 2020;127(6):746. https://doi.org/10.1111/1471-0528.16166.

    Article  PubMed  Google Scholar 

  37. Ilan S, Christensen E. Perspectives on Music Imagery and complex chronic pain. Approaches. Music Therapy and Special Education. https://www.forskningsdatabasen.dk/en/catalog/2468230666. Published 2017. Accessed 4 June 2020.

  38. Premkumar A, Lovecchio FC, Stepan JG, et al. A novel mobile phone text messaging platform improves collection of patient-reported post-operative pain and opioid use following orthopedic surgery. HSS J. 2019;15(1):37–41. https://doi.org/10.1007/s11420-018-9635-3.

    Article  PubMed  Google Scholar 

  39. Zaccagnino MP, Bader AM, Sang CN, Correll DJ. The perioperative surgical home: a new role for the acute pain service. Anesth Analg. 2017;125(4):1394–402. https://doi.org/10.1213/ANE.0000000000002165.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Physical Medicine and Rehabilitation, UCLA/Greater Los Angeles VA Health Care System, Los Angeles, CA, USA

    Kunal R. Sinha & Melissa E. Phuphanich

  2. David Geffen School of Medicine at UCLA, University of California, Los Angeles, CA, USA

    Kunal R. Sinha & Melissa E. Phuphanich

  3. Department of Internal Medicine, AMITA Health Saint Francis Hospital, Evanston, IL, USA

    Nirmal Gosalia

  4. Pain Specialty Group, Newington, NH, USA

    Anh L. Ngo

  5. Medical College of Wisconsin, Wauwatosa, WI, USA

    Mitchell C. Fuller

  6. Departments of Anesthesiology and Pharmacology, Toxicology, and Neurosciences, Louisiana State University Health Shreveport, Shreveport, LA, USA

    Alan David Kaye

Authors
  1. Kunal R. Sinha
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Melissa E. Phuphanich
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Nirmal Gosalia
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Anh L. Ngo
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Mitchell C. Fuller
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Alan David Kaye
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Mitchell C. Fuller .

Editor information

Editors and Affiliations

  1. Department of Anesthesiology, Yale University, New Haven, CT, USA

    Kanishka Rajput

  2. Department of Anesthesiology, Yale University, New Haven, CT, USA

    Nalini Vadivelu

  3. Departments of Anesthesiology and Pharmacology, Toxicology, and Neurosciences, Louisiana State University Health Science Center, Shreveport, LA, USA

    Alan David Kaye

  4. Department of Anesthesiology, Louisiana State University Health Science Center, Shreveport, LA, USA

    Rinoo Vasant Shah

Rights and permissions

Reprints and permissions

Copyright information

© 2021 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Sinha, K.R., Phuphanich, M.E., Gosalia, N., Ngo, A.L., Fuller, M.C., Kaye, A.D. (2021). New Vistas in Ambulatory Postoperative Pain Management. In: Rajput, K., Vadivelu, N., Kaye, A.D., Shah, R.V. (eds) Pain Control in Ambulatory Surgery Centers. Springer, Cham. https://doi.org/10.1007/978-3-030-55262-6_31

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-55262-6_31

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-55261-9

  • Online ISBN: 978-3-030-55262-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation