Pain medicine

2026 American Society of Anesthesiologists Practice Guideline on Perioperative Pain Management Using Local and Regional Analgesia for Cardiothoracic Surgeries, Mastectomy, and Abdominal Surgeries

AnesthesiologyPublished Practice guideline

Methodological detailsData analysis limited by low methodologic quality, inconsistent outcome measurements and small single-centre sample sizes
  • Data analysis limited by low methodologic quality, inconsistent outcome measurements and small single-centre sample sizes

Recommendations

As issued by the authors

  1. strongly recommends

    Adults: fascial plane blocks to reduce pain and/or opioid requirements in the first 24 h after open cardiothoracic, abdominal, retroperitoneal and pelvic surgeries and mastectomy

  2. recommended

    Adults: fascial plane blocks to reduce pain and/or opioid requirements after minimally invasive abdominal procedures

  3. conditionally recommends

    Adults: fascial plane blocks for minimally invasive cardiothoracic surgeries and open hernia repair to reduce pain in the first 24 h

  4. strongly recommends

    Children: fascial plane blocks to reduce pain and/or opioid use after open cardiac or thoracic surgeries

  5. conditionally recommended

    Children: fascial plane blocks to reduce pain in the first 24 h after open hernia repair

Original publication

2026 American Society of Anesthesiologists Practice Guideline on Perioperative Pain Management Using Local and Regional Analgesia for Cardiothoracic Surgeries, Mastectomy, and Abdominal Surgeries. Anesthesiology. Published 9 December 2025. doi:10.1097/aln.0000000000005790

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