Multimodal analgesia (MMA) has been widely recommended and regarded for many years as the foundation of contemporary perioperative pain management strategies [1,2]. The goal of using MMA has been to enhance the efficiency of pain management while simultaneously lessening the adverse effects associated with opioid use [1,3,4]. Several major professional organizations, including the American Pain Society, the American Society of Regional Anaesthesia and Pain Medicine, and the American Society of Anaesthesiologists, have provided firm guidelines endorsing MMA as a standard of care rather than merely an adjunct to other analgesic methods. This approach is further supported by Enhanced Recovery After Surgery (ERAS) protocols, which represent an established best practice in perioperative management, emphasizing the role of MMA in accelerating functional recovery and reducing the duration of surgical hospitalization. ERAS principles have been widely disseminated through educational programmes, scientific meetings, and institutional implementation initiatives, reinforcing the importance of MMA in contemporary anaesthesia practice.
REFERENCES:
1.Chou R, Gordon DB, de Leon-Casasola OA, Rosenberg JM, Bickler S, Brennan T, Carter T, Cassidy CL, Chittenden EH, Degenhardt E, Griffith S. 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 committee, and administrative council. The journal of pain. 2016 Feb 1;17(2):131-57.
2.Ljungqvist O, Scott M, Fearon KC. Enhanced recovery after surgery: a review. JAMA surgery. 2017 Mar 1;152(3):292-8.
3.Wick EC, Grant MC, Wu CL. Postoperative multimodal analgesia pain management with nonopioid analgesics and techniques: a review. JAMA surgery. 2017 Jul 1;152(7):691-7.
4.Buvanendran A, Kroin JS. Multimodal analgesia for controlling acute postoperative pain. Current opinion in Anesthesiology. 2009 Oct 1;22(5):588-93.
5.Tornero CT, Rodríguez LF, Valls JO. Multimodal analgesia and regional anaesthesia. Revista Española de Anestesiología y Reanimación (English Edition). 2017 Aug 1;64(7):401-5.
6.Olmos AV, Steen S, Boscardin CK, Chang JM, Manahan G, Little AR, Lee MC, Liu LL. Increasing the use of multimodal analgesia during adult surgery in a tertiary academic anaesthesia department. BMJ Open Quality. 2021 Jul 19;10(3).
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