Abstract

Pain management plays a fundamental role in enhanced recovery after surgery pathways. The concept of multimodal analgesia in providing a balanced and effective approach to perioperative pain management is widely accepted and practiced, with regional anesthesia playing a pivotal role. Nerve block techniques can be utilized to achieve the goals of enhanced recovery, whether it be resolution of ileus or time to mobilization. However, the recent expansion in the number and types of nerve block approaches can appear daunting to the general anesthesiologist. Which is the most appropriate regional technique to choose, and what skills and infrastructure are required for its implementation? A multidisciplinary team-based approach for defining the goals is essential, based on each individual patient's needs, and incorporating patient, surgical and social factors. This review provides a framework for a personalized approach to post-operative pain management with an emphasis on regional anesthesia techniques.

View details for DOI 10.4097/kja.20323

View details for PubMedID 32752602