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Postoperative pain management in non-traumatic emergency general surgery: WSES-GAIS-SIAARTI-AAST guidelines.
Coccolini, Federico; Corradi, Francesco; Sartelli, Massimo; Coimbra, Raul; Kryvoruchko, Igor A; Leppaniemi, Ari; Doklestic, Krstina; Bignami, Elena; Biancofiore, Giandomenico; Bala, Miklosh; Marco, Ceresoli; Damaskos, Dimitris; Biffl, Walt L; Fugazzola, Paola; Santonastaso, Domenico; Agnoletti, Vanni; Sbarbaro, Catia; Nacoti, Mirco; Hardcastle, Timothy C; Mariani, Diego; De Simone, Belinda; Tolonen, Matti; Ball, Chad; Podda, Mauro; Di Carlo, Isidoro; Di Saverio, Salomone; Navsaria, Pradeep; Bonavina, Luigi; Abu-Zidan, Fikri; Soreide, Kjetil; Fraga, Gustavo P; Carvalho, Vanessa Henriques; Batista, Sergio Faria; Hecker, Andreas; Cucchetti, Alessandro; Ercolani, Giorgio; Tartaglia, Dario; Galante, Joseph M; Wani, Imtiaz; Kurihara, Hayato; Tan, Edward; Litvin, Andrey; Melotti, Rita Maria; Sganga, Gabriele; Zoro, Tamara; Isirdi, Alessandro; De'Angelis, Nicola; Weber, Dieter G; Hodonou, Adrien M; tenBroek, Richard.
Afiliación
  • Coccolini F; General, Emergency and Trauma Surgery Department, Pisa University Hospital, Via Paradisa, 2, 56124, Pisa, Italy. federico.coccolini@gmail.com.
  • Corradi F; ICU Department, Pisa University Hospital, Pisa, Italy.
  • Sartelli M; General Surgery Department, Macerata Hospital, Macerata, Italy.
  • Coimbra R; Trauma Surgery Department, Riverside University Health System Medical Center, Loma Linda, CA, USA.
  • Kryvoruchko IA; Department of Surgery No2, Kharkiv National Medical University, Kharkiv, Ukraine.
  • Leppaniemi A; General Surgery Department, Helsinki University Hospital, Helsinki, Finland.
  • Doklestic K; Clinic of Emergency Surgery, University Clinical Center of Serbia, Belgrade, Serbia.
  • Bignami E; ICU Department, Parma University Hospital, Parma, Italy.
  • Biancofiore G; Transplant ICU Department, Pisa University Hospital, Pisa, Italy.
  • Bala M; Trauma and Acute Care Surgery Unit Hadassah, Hebrew University Medical Center, Jerusalem, Israel.
  • Marco C; General Surgery Department, Monza University Hospital, Monza, Italy.
  • Damaskos D; General and Emergency Surgery, Royal Infirmary of Edinburgh, Edinburgh, UK.
  • Biffl WL; Trauma/Acute Care Surgery, Scripps Clinic Medical Group, La Jolla, CA, USA.
  • Fugazzola P; General Surgery Department, Pavia University Hospital, Pavia, Italy.
  • Santonastaso D; ICU Department, Bufalini Hospital, Cesena, Italy.
  • Agnoletti V; ICU Department, Bufalini Hospital, Cesena, Italy.
  • Sbarbaro C; ICU Department, Pisa University Hospital, Pisa, Italy.
  • Nacoti M; ICU Department Papa Giovanni XXIII Hospital, Bergamo, Italy.
  • Hardcastle TC; Trauma and Burn Service, Inkosi Albert Luthuli Central Hospital, Mayville, Durban, South Africa.
  • Mariani D; General Surgery Department, Legnano Hospital, Legnano, Milano, Italy.
  • De Simone B; Emergency and Colorectal Surgery, Poissy and Saint Germain en Laye Hospitals, Poissy, France.
  • Tolonen M; Emergency Surgery, HUS Helsinki University Hospital, Meilahti Tower Hospital, Helsinki, Finland.
  • Ball C; Trauma and Acute Care Surgery, Foothills Medical Center, Calgary, AB, Canada.
  • Podda M; Department of Surgical Science, University of Cagliari, Cagliari, Italy.
  • Di Carlo I; General Surgery, Cannizzaro University Hospital, Catania, Italy.
  • Di Saverio S; General Surgery Department, San Benedetto del Tronto Hospital, San Benedetto del Tronto, Italy.
  • Navsaria P; Trauma Center, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa.
  • Bonavina L; General Surgery Department, San Donato Hospital, Milan, Italy.
  • Abu-Zidan F; Department of Surgery, College of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates.
  • Soreide K; Department of Gastrointestinal Surgery, Stavanger University Hospital, University of Bergen, Bergen, Norway.
  • Fraga GP; Division of Trauma Surgery, School of Medical Sciences, University of Campinas, Campinas, Brazil.
  • Carvalho VH; ICU Department, School of Medical Sciences, University of Campinas, Campinas, Brazil.
  • Batista SF; Anesthesia Department, School of Medical Sciences, Campinas, Brazil.
  • Hecker A; General Surgery, Giessen University Hospital, Giessen, Germany.
  • Cucchetti A; Department of Medical and Surgical Sciences - DIMEC, Alma Mater Studiorum - University of Bologna, General Surgery of the Morgagni - Pierantoni Hospital, Forlì, Italy.
  • Ercolani G; Department of Medical and Surgical Sciences - DIMEC, Alma Mater Studiorum - University of Bologna, General Surgery of the Morgagni - Pierantoni Hospital, Forlì, Italy.
  • Tartaglia D; General, Emergency and Trauma Surgery Department, Pisa University Hospital, Via Paradisa, 2, 56124, Pisa, Italy.
  • Galante JM; General Surgery Department, UCLA Davis University Hospital, Los Angeles, CA, USA.
  • Wani I; General Surgery Department, Government Gousiua Hospital, Srinagar, India.
  • Kurihara H; Emergency and Trauma Surgery Department, Milano University Hospital, Milan, Italy.
  • Tan E; Emergency Department, Nijmegen Hospital, Nijmegen, The Netherlands.
  • Litvin A; Department of Surgical Disciplines, Immanuel Kant Baltic Federal University, Regional Clinical Hospital, Kaliningrad, Russia.
  • Melotti RM; Bologna University, Bologna, Italy.
  • Sganga G; Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.
  • Zoro T; ICU Department, Pisa University Hospital, Pisa, Italy.
  • Isirdi A; ICU Department, Pisa University Hospital, Pisa, Italy.
  • De'Angelis N; Service de Chirurgie Digestive Et Hépato-Bilio-Pancréatique, Hôpital Henri Mondor, Université Paris Est, Créteil, France.
  • Weber DG; Department of General Surgery, Royal Perth Hospital, Perth, Australia.
  • Hodonou AM; Faculty of Medicine of Parakou, University of Parakou, Parakou, Benin.
  • tenBroek R; General Surgery Department, Nijmegen Hospital, Nijmegen, The Netherlands.
World J Emerg Surg ; 17(1): 50, 2022 09 21.
Article en En | MEDLINE | ID: mdl-36131311
ABSTRACT

BACKGROUND:

Non-traumatic emergency general surgery involves a heterogeneous population that may present with several underlying diseases. Timeous emergency surgical treatment should be supplemented with high-quality perioperative care, ideally performed by multidisciplinary teams trained to identify and handle complex postoperative courses. Uncontrolled or poorly controlled acute postoperative pain may result in significant complications. While pain management after elective surgery has been standardized in perioperative pathways, the traditional perioperative treatment of patients undergoing emergency surgery is often a haphazard practice. The present recommended pain management guidelines are for pain management after non-traumatic emergency surgical intervention. It is meant to provide clinicians a list of indications to prescribe the optimal analgesics even in the absence of a multidisciplinary pain team. MATERIAL AND

METHODS:

An international expert panel discussed the different issues in subsequent rounds. Four international recognized scientific societies World Society of Emergency Surgery (WSES), Global Alliance for Infection in Surgery (GAIS), Italian Society of Anesthesia, Analgesia Intensive Care (SIAARTI), and American Association for the Surgery of Trauma (AAST), endorsed the project and approved the final manuscript.

CONCLUSION:

Dealing with acute postoperative pain in the emergency abdominal surgery setting is complex, requires special attention, and should be multidisciplinary. Several tools are available, and their combination is mandatory whenever is possible. Analgesic approach to the various situations and conditions should be patient based and tailored according to procedure, pathology, age, response, and available expertise. A better understanding of the patho-mechanisms of postoperative pain for short- and long-term outcomes is necessary to improve prophylactic and treatment strategies.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor Postoperatorio / Anestesia Tipo de estudio: Guideline Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: World J Emerg Surg Año: 2022 Tipo del documento: Article País de afiliación: Italia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor Postoperatorio / Anestesia Tipo de estudio: Guideline Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: World J Emerg Surg Año: 2022 Tipo del documento: Article País de afiliación: Italia