Anesthesiology in Multimodal Pain Management for Orthopedic Patients

• DOI: 10.70789/jmse.v2i2.11
• Publication Date: 2025-01-18T14:14:32Z
• Authors: Victor Goya Machado; Aryane Cristina d...; Bia Priscila Silv...; João Francisco Me...; Matheus Teodoro H...; Luana De Queiroz ...; Eduardo Tiveron; Isabela Magosso d...; Henrique Bosso; Lucas Saraiva Gon...; Shalline Hermes S...; Mateus Fonseca Fr...; Celso Henrique De...
• Keywords: Pain medicine; Multimodal therapy

INTRODUCTION Multimodal pain management has emerged as a critical approach in orthopedic surgery, offering comprehensive control by integrating pharmacological and non-pharmacological methods. This strategy addresses the limitations of single-agent approaches targets multiple pathways to optimize perioperative care. Regional anesthesia techniques, including nerve blocks continuous catheters, have become central multimodal protocols, enhancing relief while minimizing systemic side effects opioid consumption. OBJETIVE To evaluate role effectiveness strategies focusing on their impact control, patient outcomes, opioid-sparing benefits. METHODS is narrative review which included studies MEDLINE – PubMed (National Library Medicine, National Institutes Health), COCHRANE, EMBASE Google Scholar databases, using descriptors: “Multimodal analgesia” OR “Orthopedic management” “Regional blocks” “Non-opioid analgesics” “Anesthesiology advancements” last 5 years. RESULTS AND DISCUSSION The results demonstrate that significantly reduce postoperative intensity, dependency, hospital length stay, improving satisfaction early mobilization. Non-opioid medications such acetaminophen NSAIDs, when combined with regional anesthesia, show synergistic managing effectively. However, challenges disparities access, variability implementation, resource remain barriers widespread adoption. analysis also highlights cost-effectiveness these approaches, contribute better outcomes reduced healthcare expenditures. CONCLUSION In conclusion, cornerstone modern anesthesiology, providing safe, effective, patient-centered By reducing reliance recovery address public health set new standard for surgery. Continued research innovation are essential further refine protocols expand applicability diverse populations.