Pain management after open colorectal surgery: An update of the systematic review and procedure-specific postoperative pain management (PROSPECT) recommendations
Methodological detailsPROSPECT methodology, update of 2016 recommendations, RCTs and systematic reviews in English, 2016 to 2022; 842 additional eligible studies identified; previous 2016 review included 93 studies
- PROSPECT methodology
- Update of 2016 recommendations
- RCTs and systematic reviews in English, 2016 to 2022; 842 additional eligible studies identified; previous 2016 review included 93 studies
Recommendations
As issued by the authors
Intra-operative and postoperative paracetamol and epidural analgesia (improved postoperative pain)
When epidural is not feasible: IV lidocaine, bilateral TAP block or postoperative continuous pre-peritoneal infusion
Intra-operative and postoperative COX-2 specific inhibitors or non-steroidal anti-inflammatory drugs (NSAIDs), for colonic surgery
Opioids used as rescue analgesics
Local anaesthetics should not be given by two different routes at the same time; careful dosing and monitoring because of the risk of toxicity
Original publication
Pain management after open colorectal surgery: An update of the systematic review and procedure-specific postoperative pain management (PROSPECT) recommendations. Eur J Anaesthesiol. Published 28 February 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →