TY - JOUR
T1 - Procedure-Specific Pain Management (PROSPECT) - An update
AU - Lee, Brian
AU - Schug, Stephan A
AU - Joshi, Girish P
AU - Kehlet, Henrik
AU - PROSPECT Working Group
N1 - Copyright © 2018 Elsevier Ltd. All rights reserved.
PY - 2018/6
Y1 - 2018/6
N2 - Post-operative pain management protocols may be optimised by examining procedure-specific evidence and outcomes. This recognition led to the formation of the PROcedure-SPECific Pain ManagemenT (PROSPECT) collaboration of anaesthesiologists and surgeons. The aim of PROSPECT is to provide practical and evidence-based recommendations to prevent and treat post-operative pain after specific surgical procedures, thereby overcoming the limitations of generic, non-specific guidelines. Updates in the methodology of PROSPECT in 2017 have placed an increased emphasis on the clinical relevance of studies, including a focus on interventions in the context of multimodal analgesia strategies and consideration of risks and benefits of interventions in specific surgical settings. Evidence-based reviews of analgesic measures, including advice on surgical techniques and adjuvants after diverse surgical procedures, have been completed by the PROSPECT collaboration and are accessible on the website (www.postoppain.org) and published in the peer-reviewed literature. These reviews continue to identify significant gaps in clinically relevant research on post-operative analgesia and are possibly leading to a closing of some of these gaps.
AB - Post-operative pain management protocols may be optimised by examining procedure-specific evidence and outcomes. This recognition led to the formation of the PROcedure-SPECific Pain ManagemenT (PROSPECT) collaboration of anaesthesiologists and surgeons. The aim of PROSPECT is to provide practical and evidence-based recommendations to prevent and treat post-operative pain after specific surgical procedures, thereby overcoming the limitations of generic, non-specific guidelines. Updates in the methodology of PROSPECT in 2017 have placed an increased emphasis on the clinical relevance of studies, including a focus on interventions in the context of multimodal analgesia strategies and consideration of risks and benefits of interventions in specific surgical settings. Evidence-based reviews of analgesic measures, including advice on surgical techniques and adjuvants after diverse surgical procedures, have been completed by the PROSPECT collaboration and are accessible on the website (www.postoppain.org) and published in the peer-reviewed literature. These reviews continue to identify significant gaps in clinically relevant research on post-operative analgesia and are possibly leading to a closing of some of these gaps.
KW - Anesthesiologists/trends
KW - Clinical Decision-Making/methods
KW - Evidence-Based Medicine/methods
KW - Humans
KW - Pain Management/methods
KW - Pain, Postoperative/prevention & control
U2 - 10.1016/j.bpa.2018.06.012
DO - 10.1016/j.bpa.2018.06.012
M3 - Review
C2 - 30322452
SN - 1753-3740
VL - 32
SP - 101
EP - 111
JO - Best Practice & Research: Clinical Anaesthesiology
JF - Best Practice & Research: Clinical Anaesthesiology
IS - 2
ER -