Both nonopioids and opioid may be used. Nonopioids are key in multimodal analgesia approach to postoperative pain in all surgical setting. They are a beneficial component of multimodal analgesia after ambulatory surgery and can contribute to improved analgesia and reduced opioid side effects through their opioid-sparing effects. Opioids play an essential role as analgesics in the immediate perioperative period and as rescue analgesic in ambulatory anesthesia.
Local and Regional Anesthesia techniques.
Local and regional anesthesia techniques are highly recommended as an integral part of multimodal analgesia. They can offer specific benefits to patients after ambulatory surgery. Simple infiltration and instillation techniques can be quite useful in providing analgesia with minimal adverse effects after ambulatory surgery. The benefits of peripheral nerve blocks after ambulatory surgery are not debatable, and many trials in many settings show excellent analgesia with minimal adverse events. Insertion of a catheter while blocking peripheral nerves permits extension of the analgesia by top-up doses, or a continuous infusion can be used in an ambulatory setting.
Discharge analgesia after ambulatory surgery
Even though patients experience pain at home hours or days after discharge, it is unacceptable not only to the patient but also to the family because it gives them an additional burden. Patients need careful instruction and supply of sufficient amounts of appropriate analgesics to cover their pain at home. Proper prescription of discharge analgesia package is necessary to prevent increased long-term use of opioids which adverse effects on the users. More emphasis should be on nonopioids and local and regional techniques.
Benefits of strategies of reducing pain
Reducing morbidity and mortality rates
It is an economic saving
Safety and patient satisfaction
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