A multisociety organizational consensus process to define guiding principles for acute perioperative pain management

Edward R. Mariano, David M. Dickerson, Joseph W. Szokol, Michael Harned, Jeffrey T. Mueller, Beverly K. Philip, Jaime L. Baratta, Padma Gulur, Jennifer Robles, Kristopher M. Schroeder, Karla E.K. Wyatt, Jason M. Schwalb, Eric S. Schwenk, Richa Wardhan, Todd S. Kim, Kent K. Higdon, Deepak G. Krishnan, Ashley M. Shilling, Gary Schwartz, Lisa WiechmannLisa V. Doan, Nabil M. Elkassabany, Stephen C. Yang, Iyabo O. Muse, Jean D. Eloy, Vikas Mehta, Shalini Shah, Rebecca L. Johnson, Michael J. Englesbe, Amanda Kallen, S. Bobby Mukkamala, Ashley Walton, Asokumar Buvanendran

Research output: Contribution to journalArticlepeer-review

82 Scopus citations

Abstract

The US Health and Human Services Pain Management Best Practices Inter-Agency Task Force initiated a public-private partnership which led to the publication of its report in 2019. The report emphasized the need for individualized, multimodal, and multidisciplinary approaches to pain management that decrease the over-reliance on opioids, increase access to care, and promote widespread education on pain and substance use disorders. The Task Force specifically called on specialty organizations to work together to develop evidence-based guidelines. In response to this report's recommendations, a consortium of 14 professional healthcare societies committed to a 2-year project to advance pain management for the surgical patient and improve opioid safety. The modified Delphi process included two rounds of electronic voting and culminated in a live virtual event in February 2021, during which seven common guiding principles were established for acute perioperative pain management. These principles should help to inform local action and future development of clinical practice recommendations.

Original languageEnglish
Article number103083
Pages (from-to)118-127
Number of pages10
JournalRegional Anesthesia and Pain Medicine
Volume47
Issue number2
DOIs
StatePublished - 2022

Bibliographical note

Publisher Copyright:
© 2022 BMJ Publishing Group. All rights reserved.

Funding

Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors. Logistical support was provided by the American Society of Anesthesiologists. Michigan; research funding from Neuros Medical (Willoughby, OH, USA), Setpoint Medical (Valencia, CA, USA), and Medtronic (Dublin, Ireland; legal consulting for Yates, McLamb and Weyher, LLP (Raleigh, NC, USA). KKKH is a consultant for True Digital Surgery (Goleta, CA, USA). GS is an advisory board member for Dorsal Health (New York, NY, USA) and consultant for Pacira Biosciences (Parsippany-Troy Hills, NJ, USA). SS is a consultant for Masimo (Irvine, CA, USA), Allergan (Dublin, Ireland), and SPR Therapeutics (Cleveland, OH, USA). These companies had absolutely no input into any aspect of the project design, Pain Summit, or manuscript preparation. None of the other authors has any financial interests to declare.

FundersFunder number
Medtronic
American Society of Anesthesiologists

    Keywords

    • acute pain
    • analgesics
    • opioid
    • pain
    • pain management
    • postoperative

    ASJC Scopus subject areas

    • Anesthesiology and Pain Medicine

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