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Preoperative Optimization

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Perioperative Pain Control: Tools for Surgeons

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Abstract

For scheduled surgical procedures, postoperative analgesic planning should begin at the preoperative stage. This should start with a focused pain history of any chronic pain conditions that the patient may have, home pain medications, previous experiences with pain medications, and any history of substance use disorder. Patients should also be screened for medical conditions that may affect treatment choice. This approach allows the surgeon to involve a multidisciplinary team, potentially including pain management, anesthesiologists, addiction specialists, and psychologists to create an optimal analgesic plan, if necessary. Multimodal analgesia, including regional anesthesia if appropriate, should be employed. Patients on chronic opioid therapy may have developed tolerance to opioids, making postoperative pain control more challenging. Patients with a history of substance use disorder require special consideration. The patient should be involved in planning for postoperative analgesia, and clear expectations for pain control should be set.

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, Columbia University Medical Center, New York, NY, USA

    Nicole Matar

  2. Bergen Medical Associates, Emerson, NJ, USA

    Peter F. Svider

  3. Hackensack Meridian Health, Hackensack University Medical Center, Hackensack, NJ, USA

    Peter F. Svider

  4. Department of Anesthesiology, Division of Pain Medicine, Columbia University Irving Medical Center, New York, NY, USA

    Anna A. Pashkova

Authors
  1. Nicole Matar
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  2. Peter F. Svider
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  3. Anna A. Pashkova
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Editor information

Editors and Affiliations

  1. Bergen Medical Associates, Emerson, NJ, USA

    Peter F. Svider

  2. Anesthesiology, Pain Medicine, Columbia University Irving Medical Center, New York, NY, USA

    Anna A. Pashkova

  3. Otolaryngology – Head and Neck Surgery, University of Colorado School of Medicine, Aurora, CO, USA

    Andrew P. Johnson

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Matar, N., Svider, P.F., Pashkova, A.A. (2021). Preoperative Optimization. In: Svider, P.F., Pashkova, A.A., Johnson, A.P. (eds) Perioperative Pain Control: Tools for Surgeons. Springer, Cham. https://doi.org/10.1007/978-3-030-56081-2_5

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  • DOI: https://doi.org/10.1007/978-3-030-56081-2_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-56080-5

  • Online ISBN: 978-3-030-56081-2

  • eBook Packages: MedicineMedicine (R0)

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