Elvir-Lazo Ofelia Loani, White Paul F
Department of Anesthesiology, Cedars Sinai Medical Center, Los Angeles, CA, USA.
Anesthesiol Clin. 2010 Jun;28(2):217-24. doi: 10.1016/j.anclin.2010.02.011.
Multimodal (or balanced) analgesia represents an increasingly popular approach to preventing postoperative pain. The approach involves administering a combination of opioid and nonopioid analgesics. Nonopioid analgesics are increasingly being used as adjuvants before, during, and after surgery to facilitate the recovery process after ambulatory surgery. Early studies evaluating approaches to facilitating the recovery process have demonstrated that the use of multimodal analgesic techniques can improve early recovery as well as other clinically meaningful outcomes after ambulatory surgery. The potential beneficial effects of local anesthetics, NSAIDs, and gabapentanioids in improving perioperative outcomes continue to be investigated.
多模式（或平衡）镇痛是预防术后疼痛越来越常用的方法。该方法包括联合使用阿片类和非阿片类镇痛药。非阿片类镇痛药越来越多地在手术前、手术中和手术后用作辅助药物，以促进门诊手术后的恢复过程。早期评估促进恢复过程方法的研究表明，多模式镇痛技术的使用可以改善门诊手术后的早期恢复以及其他具有临床意义的结果。局部麻醉药、非甾体抗炎药和加巴喷丁类药物在改善围手术期结果方面的潜在有益作用仍在研究中。
