Procedure-Specific Pain Management (PROSPECT) – An update

Publication date: June 2018Source: Best Practice & Research Clinical Anaesthesiology, Volume 32, Issue 2Author(s): Brian Lee, Stephan A. Schug, Girish P. Joshi, Henrik Kehlet, Helene Beloeil, Francis Bonnet, Patricia Lavand’Homme, Philipp Lirk, Esther Pogatzki-Zahn, Johan Raeder, Narinder Rawal, Marc van der VeldePost-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 po...
Source: Best Practice and Research Clinical Anaesthesiology - Category: Anesthesiology Source Type: research