Pain medicine

PROcedure-SPECific postoperative pain management guideline for laparoscopic colorectal surgery: A systematic review with recommendations for postoperative pain management

Eur J AnaesthesiolPublished Systematic review with procedure-specific recommendations

Methodological detailsPROSPECT guideline, systematic review of RCTs
  • PROSPECT guideline
  • Systematic review of RCTs

Recommendations

As issued by the authors

  1. Basic analgesia (paracetamol for rectal surgery; paracetamol with either an NSAID or cyclo-oxygenase-2-specific inhibitor for colonic surgery) and wound infiltration as first-line interventions

  2. No consensus for intrathecal morphine or IV lidocaine; no recommendation can be made for these interventions

  3. IV lidocaine may be considered when basic analgesia cannot be provided

Original publication

PROcedure-SPECific postoperative pain management guideline for laparoscopic colorectal surgery: A systematic review with recommendations for postoperative pain management. Eur J Anaesthesiol. Published 2 February 2024. doi:10.1097/eja.0000000000001945

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