TY - CHAP M1 - Book, Section TI - Management of Acute Postoperative Pain A1 - Ray, Neil A1 - Schmidt, Peter A1 - Ottestad, Einar A2 - Longnecker, David E. A2 - Mackey, Sean C. A2 - Newman, Mark F. A2 - Sandberg, Warren S. A2 - Zapol, Warren M. PY - 2017 T2 - Anesthesiology, 3e AB - KEY POINTSAnalgesia, as distinct from hypnosis, is a vital and integral component of anesthesia.Anesthesiologists must plan for the continuum of intra- and postoperative pain.The principles of “opioid sparing” or “multimodal analgesia” are central to the goal of early recovery after surgery.Patient-controlled analgesia (PCA) has greatly facilitated acute pain management at both provider and institutional levels.Epidural analgesia continues to play an important role in the treatment of pain after major intraabdominal and thoracic surgery, although the benefit versus risk should be reexamined in an era of potent thrombosis prophylaxis and multimodal analgesia.Regional nerve blocks and catheters remain important adjuncts for orthopedic and extremity surgeries.Chronic opioid use and tolerance remain challenges during acute pain treatment. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1144134231 ER -