Priority 9 from the Anaesthesia (Canada) PSP

UNCERTAINTY: How can anesthesiologists improve pain control after surgery?  (JLA PSP Priority 9)
Overall ranking 9
JLA question ID 0084/09
Explanatory note

This question asks about the role of anesthesiologists in helping to control patients' pain after surgery. Respondents wanted to know what medications, or other strategies, are best for managing pain, including chronic pain, after surgery.
Evidence

Guay J, Parker MJ, Griffiths R, Kopp S. Peripheral nerve blocks for hip fractures. Cochrane Database Syst Rev. 2017 May 11;5. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD001159.pub2/full

Guay J, Nishimori M, Kopp SL. Epidural local anaesthetics versus opioid‐based analgesic regimens for postoperative gastrointestinal paralysis, vomiting and pain after abdominal surgery. Cochrane Database Syst Rev. 2016 Jul 16;7. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD001893.pub2/full

Pehora C, Pearson AM, Kaushal A, Crawford MW, Johnston B. Dexamethasone as an adjuvant to peripheral nerve block. Cochrane Database Syst Rev. 2017 Nov 9;11. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD011770.pub2/full
Health Research Classification System category  Generic health relevance
Extra information provided by this PSP
Original uncertainty examples How can we adequately control pain post surgery to help patients mobilize faster? ~ How can post op pain be better controlled? Lecturing a pt about opioids after surgery is not appropriate.
Submitted by Healthcare providers, caregivers, patients
PSP information
PSP unique ID 0084
PSP name Anesthesia (Canada)
Total number of uncertainties identified by this PSP. 49  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 15 May 2019