Expert consensus for comprehensive goal-directed perioperative analgesia management in China (2021)
Zhang Xiaoguang, Qie Wenbin, Tu Weifeng, Cao Hanzhong, Deng Xiaoming, Fang Hao, Geng Zhilong, He Renliang, Hei Ziqing, Huang Xiongqing, Jin Sanqing, Li Yalan, Lin Chunshui, Lyu Xin, Wang Hanbing, Wang Sheng, Xu Lixin, Xu Shiyuan, Zhang Hui, Zhang Liangqing, Zhao Gaofeng
Abstract
The postoperative analgesia has developed more than 20 years, but insufficient analgesia is still very common. Comprehensive effective pain control can achieve seamless connection for the perioperative analgesia, including reducing the patient's noxious stress response, enhancing recovery after surgery (ERAS) and preventing postoperative chronic pain. This expert consensus on the management of comprehensive goal-directed perioperative analgesia (CGPA) aims to improve perioperative analgesia satisfaction, reduce the incidence of moderate to severe pain, and decrease analgesia-related complications. Adopting information technology, internet platform, intelligent analgesia and remote monitoring of important vital signs to achieve individual and full time perioperative analgesia, we can improve the quality and safety of perioperative analgesia, enhance postoperative safety, comfort and rapid recovery for the surgical patients.
Key words:
Pain, postoperative; Comprehensive goal-directed perioperative analgesia; Acute pain service team; Chronic pain; Preventive analgesia
Contributor Information
Zhang Xiaoguang
Department of Anesthesiology, Beijing Jishuitan Hospital, Beijing City 100035, China
Qie Wenbin
Department of Anesthesiology, PLA General Hospital of the Eastern Theater Command, Guangzhou City, Guangdong Province 210002, China
Tu Weifeng
Department of Anesthesiology, Shenzhen Hyzen Hospital, Shenzhen City, Guangdong Province 518055, China
Cao Hanzhong
Department of Anesthesiology, Cancer Hospital Affiliated to Nantong University, Nantong City, Jiangsu Province 226361, China
Deng Xiaoming
Department of Anesthesiology, Plastic Surgery Hospital of Chinese Academy of Medical Sciences, Beijing City 100000, China
Fang Hao
Department of Anesthesiology, Zhongshan Hospital of Fudan University, Shanghai City 200032, China
Geng Zhilong
Department of Anesthesiology, the 940th Hospital of Joint Logistic Support Force of Chinese People's Liberation Army, Lanzhou City, Gansu Province 730050, China
He Renliang
Department of Anesthesiology, the Third People's Hospital of Shenzhen, Shenzhen City, Guangdong Province 518000, China
Hei Ziqing
Department of Anesthesiology, the Third Affiliated Hospital, Sun Yet-sen University, Guangzhou City, Guangdong Province 510000, China
Huang Xiongqing
Department of Anesthesiology, The First Affiliated Hospital, Sun Yet-sen University, Guangzhou City, Guangdong Province 510080, China
Jin Sanqing
Department of Anesthesiology, the Sixth Affiliated Hospital, Sun Yet-sen University, Guangzhou City, Guangdong Province 510000, China
Li Yalan
Department of Anesthesiology, the First Affiliated Hospital of Jinan University (Guangzhou Overseas Chinese Hospital), Guangzhou City, Guangdong Province 510632, China
Lin Chunshui
Department of Anesthesiology, Nanfang Hospital Affiliated to Southern Medical University, Guangzhou City, Guangdong Province 510515, China
Lyu Xin
Department of Anesthesiology, Shanghai Pulmonary Hospital, Shanghai City 200433, China
Wang Hanbing
Department of Anesthesiology, First People's Hospital of Foshan, Foshan City, Guangdong Province 528000, China
Wang Sheng
Department of Anesthesiology, Guangdong Provincial People's Hospital, Guangzhou City, Guangdong Province 510080, China
Xu Lixin
Department of Anesthesiology, Guangzhou First People's Hospital, Guangzhou City, Guangdong Province 510180, China
Xu Shiyuan
Department of Anesthesiology, Zhujiang Hospital of Southern Medical University, Guangzhou City, Guangdong Province 510252, China
Zhang Hui
Department of Anesthesiology, the Second People's Hospital of Guangdong Province, Guangzhou City, Guangdong Province 510317, China
Zhang Liangqing
Department of Anesthesiology, Affiliated Hospital of Guangdong Medical University, Zhanjiang City, Guangdong Province 524000, China
Zhao Gaofeng
Department of Anesthesiology, Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou City, Guangdong Province 510120, China