Techniques to Optimize Multimodal Analgesia in Ambulatory Surgery

  • Amit Prabhakar
  • John N. Cefalu
  • Josef S. Rowe
  • Alan D. Kaye
  • Richard D. UrmanEmail author
Other Pain (N Vadivelu and A Kaye, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Other Pain


Purpose of Review

Ambulatory surgery has grown in popularity in recent decades due to the advancement in both surgical and anesthetic techniques resulting in quicker recovery times, fewer complications, higher patient satisfaction, and reduced costs of care. We review common approaches to multimodal analgesia.

Recent Findings

A multimodal approach can help reduce perioperative opioid requirements and improve patient recovery. Analgesic options may include NSAIDs, acetaminophen, gabapentinoids, corticosteroids, alpha-2 agonists, local anesthetics, and the use of regional anesthesia.


We highlight important aspects related to pain management in the ambulatory surgery setting. A coordinated approach is required by the entire healthcare team to help expedite patient recovery and facilitate a resumption of normal activity following surgery. Implementation and development of standardized analgesic protocols will further improve patient care and outcomes.


Pain management Ambulatory Multimodal NSAIDs Opioid Anesthesia Analgesia 


Compliance with Ethical Standards

Conflict of Interest

Amit Prabhakar, John N. Cefalu, Josef S. Rowe, and Alan D. Kaye declare that they have no conflicts of interest.

Richard D. Urman received funding from Merck, Mallinckrodt and Medtronic.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  • Amit Prabhakar
    • 1
  • John N. Cefalu
    • 2
  • Josef S. Rowe
    • 2
  • Alan D. Kaye
    • 2
  • Richard D. Urman
    • 3
    Email author
  1. 1.Department of Anesthesiology and Critical Care MedicineThe Johns Hopkins HospitalBaltimoreUSA
  2. 2.Department of AnesthesiologyLouisiana State University Health Sciences CenterNew OrleansUSA
  3. 3.Department of Anesthesiology, Perioperative and Pain MedicineBrigham and Women’s HospitalBostonUSA

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