Manejo da dor aguda no perioperatório: estratégias multimodais e novas abordagens farmacológicas

Authors

  • Marcela de Godoy Carvalho Duque
  • Antonio Pereira Caldas Neto
  • Maria Eduarda Portela Veras Mascena
  • Maria Eduarda Vieira de Moura Melo
  • Anna Júlia Aguiar Guerra
  • Pedro Augusto Alexandre da Silva
  • Laura Rafaela Alves de Lima
  • Marta Úrsula Barbosa de Moraes
  • Marina Cruz Moraes da Silva
  • Marina Maia Vieira Wanderley Pimentel
  • Manuelly Pereira de Morais Santos
  • Ana Carolina Mattos Uchôa de Moraes
  • Leonardo Morais de Andrade
  • Lavine Alves Correia
  • Raphael Alexandre Filgueiras
  • João Gabriel de Araújo Rodrigues

DOI:

https://doi.org/10.34119/bjhrv7n4-095

Keywords:

dor aguda pós operatória, tratamento multimodal, tratamento farmacológico

Abstract

Recentemente, o manejo da dor aguda perioperatória evoluiu significativamente com a adoção crescente de estratégias multimodais e novas abordagens farmacológicas. Essas incluem o uso integrado de anti-inflamatórios não esteroides (AINEs), paracetamol intravenoso, gabapentinoides, além de técnicas como anestesia regional e PCA (Patient-Controlled Analgesia) sem opioides. Essas abordagens não apenas melhoram o controle da dor de maneira mais eficaz, mas também reduzem os efeitos adversos associados ao uso de opioides, promovendo uma recuperação mais rápida e segura para os pacientes submetidos a procedimentos cirúrgicos.

References

ADAMS, Tobias J; ALJOHANI, Dalia Mohammed; FORGET, Patrice. Perioperative opioids: a narrative review contextualising new avenues to improve prescribing. *S.l.: s.n.*, 2023. DOI: 10.1016/j.bja.2023.02.037.

AL-SAIDI, Ibrahim et al. The Acute Perioperative Pain Service: Impact, Organization, and Future Directions. *S.l.: s.n.*, 2023. DOI: 10.1007/s11916-023-01133-2.

BICKET, Mark C et al. Optimizing opioid prescribing and pain treatment for surgery: Review and conceptual framework. *S.l.: s.n.*, 2019. DOI: 10.1093/ajhp/zxz146.

BURNETT, Garrett; DEMARIA JR, Samuel; LEVINE, Adam I. Regional Anesthesia and Acute Pain Management. *S.l.: s.n.*, 2019. DOI: 10.1016/j.otc.2019.08.013.

CAMPBELL, Ryan et al. Perioperative gabapentinoid use lowers short-term opioid consumption following lower limb arthroplasty: Systematic review and meta-analysis. *S.l.: s.n.*, 2021. DOI: 10.5055/jom.2021.0635.

CORRELL, Darin. Chronic postoperative pain: recent findings in understanding and management. *S.l.: s.n.*, 2017. DOI: 10.12688/f1000research.11101.1.

CORSIA, G et al. Perioperative analgesia in urology and potential influence of anesthesia on oncologic outcomes of surgery. [Article in French]. *S.l.: s.n.*, 2012. DOI: 10.1016/j.purol.2012.04.006.

CRAMER, John D et al. Nonopioid, Multimodal Analgesia as First-line Therapy After Otolaryngology Operations: Primer on Nonsteroidal Anti-inflammatory Drugs (NSAIDs). *S.l.: s.n.*, 2020. DOI: 10.1177/0194599820947013.

DIZDAREVIC, Anis et al. A Comprehensive Review of Analgesia and Pain Modalities in Hip Fracture Pathogenesis. *S.l.: s.n.*, 2019. DOI: 10.1007/s11916-019-0814-9.

GORDON, Debra B et al. Research Gaps in Practice Guidelines for Acute Postoperative Pain Management in Adults: Findings From a Review of the Evidence for an American Pain Society Clinical Practice Guideline. *S.l.: s.n.*, 2016. DOI: 10.1016/j.jpain.2015.10.023.

JIPA, Miruna et al. Opioid-Sparing Analgesia Impacts the Perioperative Anesthetic Management in Major Abdominal Surgery. *S.l.: s.n.*, 2023. DOI: 10.3390/medicina58040487.

KANDARIAN, Brandon S et al. Updates on multimodal analgesia and regional anesthesia for total knee arthroplasty patients. *S.l.: s.n.*, 2019. DOI: 10.1016/j.bpa.2019.02.004.

KAYE, Alan David et al. Exparel for Postoperative Pain Management: a Comprehensive Review. *S.l.: s.n.*, 2020. DOI: 10.1007/s11916-020-00905-4.

KAYE, Alan D et al. An Update on Nonopioids: Intravenous or Oral Analgesics for Perioperative Pain Management. *S.l.: s.n.*, 2017. DOI: 10.1016/j.anclin.2017.01.006.

KUMAR, Kanupriya et al. A Review of Opioid-Sparing Modalities in Perioperative Pain Management: Methods to Decrease Opioid Use Postoperatively. *S.l.: s.n.*, 2017. DOI: 10.1213/ANE.0000000000002497.

MATAR, Nicole; PASHKOVA, Anna A. Preoperative Optimization for Perioperative Analgesia. *S.l.: s.n.*, 2020. DOI: 10.1016/j.otc.2020.05.002.

MAXWELL, Cory; NICOARA, Alina. New developments in the treatment of acute pain after thoracic surgery. *S.l.: s.n.*, 2013. DOI: 10.1097/ACO.0000000000000029.

RAJPUT, Kanishka et al. Acute Pain Management of Chronic Pain Patients in Ambulatory Surgery Centers. *S.l.: s.n.*, 2020. DOI: 10.1007/s11916-020-00922-3.

WU, Janet W S; WONG, Y C. Elective unilateral total knee replacement using continuous femoral nerve blockade versus conventional patient-controlled analgesia: perioperative patient management based on a multidisciplinary pathway. *S.l.: s.n.*, 2013. DOI: 10.12809/hkmj133899.

YADEAU, J T et al. Pregabalin and pain after total knee arthroplasty: a double-blind, randomized, placebo-controlled, multidose trial. *S.l.: s.n.*, 2015. DOI: 10.1093/bja/aev217.

Published

07/16/2024

How to Cite

DUQUE, M. de G. C.; CALDAS NETO, A. P.; MASCENA, M. E. P. V.; MELO, M. E. V. de M.; GUERRA, A. J. A.; SILVA, P. A. A. da; LIMA, L. R. A. de; MORAES, M. Úrsula B. de; SILVA, M. C. M. da; PIMENTEL, M. M. V. W.; SANTOS, M. P. de M.; MORAES, A. C. M. U. de; ANDRADE, L. M. de; CORREIA, L. A.; FILGUEIRAS, R. A.; RODRIGUES, J. G. de A. Manejo da dor aguda no perioperatório: estratégias multimodais e novas abordagens farmacológicas. Brazilian Journal of Health Review, [S. l.], v. 7, n. 4, p. e71272, 2024. DOI: 10.34119/bjhrv7n4-095. Disponível em: https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/71272. Acesso em: 18 oct. 2026.

Issue

Section

Original Papers