Multimodal management of postoperative pain in abdominal surgery: a comparative analysis of the ERAS, APS, and PROSPECT guidelines

Fernando Raúl Carou and Fátima Bergalli
Additional contact information
Fernando Raúl Carou: Universidad Abierta Interamericana, Facultad de Medicina y Ciencias de la Salud. Buenos Aires, Argentina
Fátima Bergalli: Universidad Abierta Interamericana, Facultad de Medicina y Ciencias de la Salud. Buenos Aires, Argentina

International Journal of Neurology, 2025, vol. 59, 102

Abstract: Introduction: a large majority of patients undergoing abdominal surgery experience pain, which can be attributed to poor management. This leads to a decreased quality of life, increased morbidity and mortality, prolonged hospital stays, and higher costs. Inadequate postoperative pain management remains a significant healthcare problem. Various strategies and protocols exist for controlling pain, but it is currently unclear which is most effective for these types of procedures. Methods: a research protocol is carried out for the subsequent preparation of a systematic review of the literature by collecting selected articles on scientific research platforms: PubMed, Embase, Scopus and Scielo in order to provide sustainable information about the application of multimodal protocols for the management of postoperative pain in adult patients undergoing abdominal surgery, evaluating and comparing the efficacy, safety and cost-benefit to improve the quality of care and clinical outcomes. Results: multimodal analgesia is gaining ground as a first-line strategy, but significant rates of poorly controlled pain persist. Population studies report between 30 % and 75 % of patients with moderate to severe postoperative pain. This leads to limitations in early mobilization and postoperative rehabilitation, and increases the incidence of respiratory, gastrointestinal, and cardiovascular complications. Conclusion: the management of acute postoperative pain remains a challenge in today’s world. Many patients report moderate to severe pain after abdominal surgery, which can lead to chronic pain. Further studies are needed to establish an appropriate protocol and identify the factors that limit its implementation.

Keywords: Postoperative Pain; Abdominal Surgery; Analgesia; Multimodal; Multimodal pain management; Enhanced Recovery After Surgery; American Pain Society guidelines; Procedure-Specific Postoperative Pain Management (search for similar items in EconPapers)
Date: 2025
References: Add references at CitEc
Citations:

Downloads: (external link)
https://ijneurology.org/index.php/ijn/article/view/102 Abstract page (text/html)
https://ijneurology.org/index.php/ijn/article/download/102/116 Full text (application/pdf)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:cwh:ijneur:v:59:y:2025:id:102

DOI: 10.62486/ijn2025102

Access Statistics for this article

More articles in International Journal of Neurology from International Journal of Neurology
Bibliographic data for series maintained by Dr. Andrew Alberto López Sánchez ().