Pain Management in Plastic Surgery

Anna R Schoenbrunner; Jeffrey E Janis

doi:10.1016/j.cps.2019.12.001

Pain Management in Plastic Surgery

Clin Plast Surg. 2020 Apr;47(2):191-201. doi: 10.1016/j.cps.2019.12.001. Epub 2020 Feb 1.

Authors

Anna R Schoenbrunner¹, Jeffrey E Janis²

Affiliations

¹ Department of Plastic and Reconstructive Surgery, The Ohio State University, 915 Olentangy River Road, Columbus, OH 43212, USA. Electronic address: https://twitter.com/aschoenbrunner.
² Department of Plastic and Reconstructive Surgery, Ohio State University Wexner Medical Center, 915 Olentangy River Road, Columbus, OH 43212, USA. Electronic address: jeffrey.janis@osumc.edu.

PMID: 32115046
DOI: 10.1016/j.cps.2019.12.001

Abstract

Poorly controlled postoperative pain is associated with worse clinical outcomes and negative patient experiences. Surgeons play a crucial role in optimizing postoperative pain and minimizing narcotic use. This article reviews pain management strategies available to plastic surgeons based on therapeutic class of medication and provides a framework for pain management based on Enhanced Recovery After Surgery (ERAS) protocols. The authors have developed a multimodal analgesia regimen to treat postsurgical pain. This article discusses opioids, acetaminophen, nonsteroidal antiinflammatory drugs, cyclooxygenase-2 inhibitors, gabapentin, muscle relaxants, steroids, and local anesthetics. It also discusses tumescent analgesia, regional blocks, and epidurals.

Keywords: Multimodal analgesia; Pain management; Plastic surgery.

Publication types

Review

MeSH terms

Analgesia / methods*
Analgesics, Opioid / therapeutic use*
Humans
Pain Management / methods
Pain, Postoperative / drug therapy*
Plastic Surgery Procedures*

Substances

Analgesics, Opioid