Evaluating the Efficacy of Multimodal Pain Management Strategies in Postoperative Patients
DOI:
https://doi.org/10.70749/ijbr.v3i8.2034Keywords:
Multimodal pain management, patient satisfaction, post-operative care, surgical outcomes, pain relief, regression analysis, chi-square test, healthcare quality, planned surgery, emergency surgery.Abstract
The present paper examined how multimodal management of pain impacted the rate of satisfaction among patients that had undergone surgical procedure. There was also the use of the quantitative research design and the data was collected through the use of structured questionnaires with the subject of 280 surgical patients. The patients were all male and female of different ages that had planned surgery or emergency surgeries. The results were that multimodal approach to pain management such as multi-modal analgesics, physical therapy/education demonstrated a powerful positive effect on patient satisfaction. In the regression analysis, the results showed that the strength of a significant relationship between satisfaction levels and multimodal pain management was strong and the standardized effect was also highly significant (beta = 0.482, p < 0.01). Also, with chi-square test, it was found that there was a significant relationship between the type of pain management and satisfaction ( p < 0.01). These findings were connected with the prior studies and also a point was raised that patients feel more comfortable and recover better when the healthcare professionals resort to a blend of various means of pain relief instead of sticking to one particular approach. This argues the notion that individual and in-depth pain management regimen ought to become a rule in post-surgical care. The analysis results with the conclusion that combination of various pain control methods not only reduces pain but also contributes to the increased patient satisfaction and must be considered to achieve better results in the improvement of surgical care and outcome.
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References
1. Hinther, A., et al., Efficacy of multimodal analgesia for postoperative pain management in head and neck cancer patients. Cancers, 2021. 13(6): p. 1266.
https://doi.org/10.3390/cancers13061266
2. Joshi, G.P., Rational multimodal analgesia for perioperative pain management. Current pain and headache reports, 2023. 27(8): p. 227-237.
https://doi.org/10.1007/s11916-023-01137-y
3. Kianian, S., et al., Perioperative multimodal analgesia: a review of efficacy and safety of the treatment options. Anesthesiology and Perioperative Science, 2024. 2(1): p. 9.
https://doi.org/10.1007/s44254-023-00043-1
4. Li, Q., et al., Efficacy of bilateral catheter superficial parasternal intercostal plane blocks using programmed intermittent bolus for opioid-sparing postoperative analgesia in cardiac surgery with sternotomy: a randomized, double-blind, placebo-controlled trial. Journal of Clinical Anesthesia, 2024. 95: p. 111430.
https://doi.org/10.1016/j.jclinane.2024.111430
5. Niyonkuru, E., et al., Complementary approaches to postoperative pain management: a review of non-pharmacological interventions. Pain and therapy, 2025. 14(1): p. 121-144.
https://doi.org/10.1007/s40122-024-00688-1
6. Decker, H., C.L. Wu, and E. Wick, Multimodal pain control in surgery 2020. Advances in Surgery, 2021. 55: p. 147-157.
https://doi.org/10.1016/j.yasu.2021.05.011
7. Zhao, C., et al., Advances in perioperative pain management for total knee arthroplasty: a review of multimodal analgesic approaches. Journal of Orthopaedic Surgery and Research, 2024. 19(1): p. 843.
https://doi.org/10.1186/s13018-024-05324-4
8. Chunduri, A. and A.K. Aggarwal, Multimodal pain management in orthopedic surgery. Journal of clinical medicine, 2022. 11(21): p. 6386.
https://doi.org/10.3390/jcm11216386
9. Kay, A.B., et al., Less is more: a multimodal pain management strategy is associated with reduced opioid use in hospitalized trauma patients. Journal of Surgical Research, 2022. 278: p. 161-168.
10. Liechty, K.L., et al., A multimodal pain management strategy for burn patients. Pain Management Nursing, 2023. 24(1): p. 44-51.
https://doi.org/10.1016/j.pmn.2022.09.006
11. Cardinali, A., et al., Efficacy of transcutaneous electrical nerve stimulation for postoperative pain, pulmonary function, and opioid consumption following cardiothoracic procedures: a systematic review. Neuromodulation: Technology at the Neural Interface, 2021. 24(8): p. 1439-1450.
12. Rech, M.A., et al., Acute pain management in the emergency department: use of multimodal and non-opioid analgesic treatment strategies. The American Journal of Emergency Medicine, 2022. 58: p. 57-65.
https://doi.org/10.1016/j.ajem.2022.05.022
13. Shafeeq, H., et al., Perioperative multimodal pain management approach in older adults with polytrauma. Journal of Surgical Research, 2022. 275: p. 96-102.
14. Gupta, A.K., et al., Postoperative pain: a review of emerging therapeutic options. Expert review of neurotherapeutics, 2021. 21(10): p. 1085-1100.
https://doi.org/10.1080/14737175.2021.1974840
15. Xuan, C., et al., Efficacy of preemptive analgesia treatments for the management of postoperative pain: a network meta-analysis. British Journal of Anaesthesia, 2022. 129(6): p. 946-958.
16. Chen, Q., E. Chen, and X. Qian, A narrative review on perioperative pain management strategies in enhanced recovery pathways—The past, present and future. Journal of Clinical Medicine, 2021. 10(12): p. 2568.
https://doi.org/10.3390/jcm10122568
17. Hasan, M.N.-u., et al., Comparison of the efficacy of continuous femoral nerve block with epidural analgesia for postoperative pain relief after unilateral total knee replacement. Cureus, 2022. 14(4).
18. Bongiovanni, T., T.S. Anderson, and Z.A. Marcum, Perioperative gabapentin use in older adults: revisiting multimodal pain management. JAMA internal medicine, 2022. 182(11): p. 1127-1128.
https://doi.org/10.1001/jamainternmed.2022.3757
19. Uribe, A.A., et al., Efficacy of PECS block in addition to multimodal analgesia for postoperative pain management in patients undergoing outpatient elective breast surgery: A retrospective study. Frontiers in medicine, 2022. 9: p. 975080.
20. Lee, J.E., et al., Comparison of a non-opioid multimodal analgesia protocol with opioid-based patient-controlled analgesia for pain control following robot-assisted radical prostatectomy: a randomized, non-inferiority trial. Journal of Pain Research, 2023: p. 563-572.
https://doi.org/10.2147/jpr.s397529
21. Scifo, S., et al., Comparative effectiveness of continuous subcostal transversus abdominis plane block versus thoracic epidural analgesia in postoperative pain management following major open abdominal surgery: a prospective observational study. Advances in Anesthesia, 2025. 1: p. 53.
22. Fang, L., et al., The effectiveness of using a nurse-led pain relief model for pain management among abdominal surgical patients: a single-center, controlled before-after study in China. Pain Management Nursing, 2021. 22(2): p. 198-204.
https://doi.org/10.1016/j.pmn.2020.08.004
23. Salwan, A., et al., A review on the efficacy of extraosseous local infiltration of multimodal drug cocktail for pain management after total knee or hip arthroplasty. Cureus, 2022. 14(10).
24. Niyonkuru, E., et al., Nerve blocks for post-surgical pain management: a narrative review of current research. Journal of Pain Research, 2024: p. 3217-3239.
https://doi.org/10.2147/jpr.s476563
25. Fernandes, R.M., et al., Multimodal analgesia strategies for cardiac surgery: a literature review. Hearts, 2024. 5(3): p. 349-364.
26. Daghmouri, M.A., et al., Efficacy and safety of intraperitoneal ropivacaine in pain management following laparoscopic digestive surgery: a systematic review and meta-analysis of RCTs. Medicine, 2024. 103(29): p. e38856.
https://doi.org/10.1097/md.0000000000038856
27. Inchingolo, A.M., et al., Advancing postoperative Pain management in oral Cancer patients: a systematic review. Pharmaceuticals, 2024. 17(4): p. 542.
https://doi.org/10.3390/ph17040542
28. Jain, Y., et al., Evaluation of different approaches for pain management in postoperative general surgery patients: a comprehensive review. Cureus, 2023. 15(11).
https://doi.org/10.7759/cureus.48573
29. Wang, Q., et al., Efficacy of preemptive multimodal analgesia initiated at various time points before total knee arthroplasty: a prospective, double-blind randomized controlled trial. Archives of orthopaedic and trauma surgery, 2024. 145(1): p. 23.
https://doi.org/10.1007/s00402-024-05621-x
30. Asar, S., et al., Efficacy of erector spinae plane block on postoperative pain in patients undergoing lumbar spine surgery. European Spine Journal, 2022. 31(1): p. 197-204.
https://doi.org/10.1007/s00586-021-07056-z
31. Passias, B.J., et al., Preemptive multimodal analgesia and post-operative pain outcomes in total hip and total knee arthroplasty. Archives of Orthopaedic and Trauma Surgery, 2023. 143(5): p. 2401-2407.
https://doi.org/10.1007/s00402-022-04450-0
32. Sifaki, F., et al., The effectiveness of Ultrasound-Guided, continuous, bilateral Erector Spinae Plane Block in Perioperative Pain Management of patients undergoing colorectal surgery: a Randomized, controlled, double blind, prospective trial. Journal of clinical medicine, 2023. 12(23): p. 7465.
https://doi.org/10.3390/jcm12237465
33. Ramjit, S., et al., Evaluating analgesia strategies in patients who have undergone oesophagectomy—a systematic review and network meta-analysis of randomised clinical trials. Diseases of the Esophagus, 2024. 37(5): p. doad074.
https://doi.org/10.1093/dote/doad074
34. Ding, X., et al., Efficacy of nonopioid analgesics and regional techniques for perioperative pain management in laparoscopic gynecological surgery: a systematic review and network meta-analysis. International Journal of Surgery, 2023. 109(11): p. 3527-3540.
https://doi.org/10.1097/js9.0000000000000630
35. Stamenkovic, D.M., et al., Updates on wound infiltration use for postoperative pain management: a narrative review. Journal of clinical medicine, 2021. 10(20): p. 4659.
https://doi.org/10.3390/jcm10204659
36. Gao, T., et al., Quadratus lumborum block vs. transversus abdominis plane block for postoperative pain control in patients with nephrectomy: A systematic review and network meta-analysis. Journal of clinical anesthesia, 2024. 95: p. 111453.
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