Department of Anaesthesia and Pain Medicine, Royal Perth Hospital, Perth, Australia.
Department of Anaesthesia and Pain Medicine, Royal Perth Hospital, Perth, Australia; Anaesthesiology and Pain Medicine, Medical School, University of Western Australia, Perth, Australia.
Best Pract Res Clin Anaesthesiol. 2018 Jun;32(2):101-111. doi: 10.1016/j.bpa.2018.06.012. Epub 2018 Jul 3.
Post-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 possibly leading to a closing of some of these gaps.
通过检查特定手术的证据和结果，可以优化术后疼痛管理方案。这一认识促使麻醉师和外科医生成立了特定手术疼痛管理（PROSPECT）合作组织。PROSPECT 的目标是提供实用且基于证据的建议，以预防和治疗特定手术后的术后疼痛，从而克服通用、非特定指南的局限性。2017 年 PROSPECT 方法的更新更加注重研究的临床相关性，包括关注多模式镇痛策略背景下的干预措施，以及考虑特定手术环境中干预措施的风险和益处。PROSPECT 合作组织已经完成了对镇痛措施的循证审查，包括对不同手术程序后的手术技术和辅助药物的建议，并在网站（www.postoppain.org）上提供，同时也发表在同行评议的文献中。这些综述继续发现术后镇痛的临床相关研究中存在显著差距，并可能导致其中一些差距的缩小。
