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Daring discourse
Lessons learnt in evidence-based perioperative pain medicine: changing the focus from the medication and procedure to the patient
  1. Philipp Lirk and
  2. Kristin L Schreiber
  1. Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA
  1. Correspondence to Dr Philipp Lirk, Department of Anesthesiology, Perioperative and Pain Medicine, Harvard Medical School, Boston, USA; plirk{at}bwh.harvard.edu

Abstract

Over time, the focus of evidence-based acute pain medicine has shifted, from a focus on drugs and interventions (characterized by numbers needed to treat), to an appreciation of procedure-specific factors (characterized by guidelines and meta-analyses), and now anesthesiologists face the challenge to integrate our current approach with the concept of precision medicine. Psychometric and biopsychosocial markers can potentially guide clinicians on who may need more aggressive perioperative pain management, or who would respond particularly well to a given analgesic intervention. The challenge will be to identify an easily assessable set of parameters that will guide perioperative physicians in tailoring the analgesic strategy to procedure and patient.

  • Pain, Postoperative
  • Pain Management
  • Pain Measurement

https://doi.org/10.1136/rapm-2023-105235

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    Footnotes

    • Contributors PL: conception or design of the work, drafting the article, critical revision of the article, final approval of the version to be published. KLS: critical revision of the article, final approval of the version to be published.

    • 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.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.