Pain management in ERAS® approach for abdominal surgery: A narrative review

Marco Di Muzio, Noemi Giannetta, Onofrio Calagna, Gloria Liquori, Andrea Gazzelloni, Emanuele Di Simone, Fabio Sollazzo, Alessandra Moriconi, Roberto Latina, Alessandra Moriconi, Sara Dionisi, Sofia Di Mario, Stefano Eleuteri

Accepted August 31, 2019

First published August 31, 2019

Abstract

Greater fear or distress prior to surgery is associated with a slower and more complicated postoperative
recovery. The main objective of this study is to examine the best evidence of the perioperative pain management in
patients candidated for abdominal surgery comparing the clinical outcomes achieved with the ERAS® protocol to
those achieved with traditional perioperative management. The studies showed that perioperative analgesia was more
effective with ERAS® protocol than with traditional treatments. The key element of the ERAS® protocol is to minimize the
psychophysical stress related to the surgical intervention, through a multimodal and multidisciplinary approach.

Pain management in ERAS® approach for abdominal surgery: A narrative review

References

AYYADHAH ALANAZI, A. (2014). Reducing anxiety in preoperativepatients: A systematic review. British Journal of Nursing, 23 (7),389-393.
doi.org/10.12968/bjon.2014.23.7.387
CARLISLE, J.B. & STEVENSON, C.A. (2006). Drugs for preventingpostoperative nausea and vomiting. The Cochrane Database ofSystematic Reviews, 19 (3), CD004125.
doi.org/10.1002/14651858.CD004125.pub2
CARMICHAEL, J.C., KELLER, D.S., BALDINI, G., BORDEIANOU,L., WEISS, E., LEE, L., … & STEELE, S.R. (2017). Clinicalpractice guidelines for Enhanced Recovery After Colon andRectal Surgery from the American Society of Colon andRectal Surgeons and Society of American Gastrointestinal andEndoscopic Surgeons. Diseases of the Colon & Rectum, 60 (8),761-784.
doi.org/10.1097/DCR.0000000000000883
CHIARINI, M., DI SIMONE, E., SCAFURO, C., AUDDINO,F., FABBRI, M., DELLI POGGI, A., … & DI MUZIO, M.(2017). Health self-perception in patient with Crohn’s disease:A web survey. Clinica Terapeutica, 168 (6), e401-e405.
doi.org/10.7417/T.2017.2042
DHANAPAL, B., SISTLA, S.C., BADHE, A.S., ALI, S.M.,RAVICHANDRAN, N.T. & GALIDEVARA, I. (2017).Effectiveness of continuous wound infusion of local anestheticsafter abdominal surgeries. Journal of Surgical Research, 212, 94-100. doi.org/https:/
doi.org/10.1016/j.jss.2016.12.027
DI MUZIO, M. (2014). Nozioni essenziali di nursing chirurgico. Roma:MB Edizioni.
DI MUZIO, M., GIANNETTA, N., FIGURA, M., SALDUCCI, M.,DI MUZIO, F., CIANCIULLI, A., MALANDRA, F., SACCO, L.,DIONISI, S. & CHIRLETTI, P. (2019). Perioperative nutritionalsupport or perioperative fasting? A narrative review. Giornale diChirurgia, 40 (5), 377-380.
DI MUZIO, M., MARINUCCI, A., DE BENEDICTIS, A. &TARTAGLINI, D. (2017). A comparative study of data collectionmethods in the process of nursing: Detection of chemotherapyside effects using a self-reporting questionnaire. Acta ClinicaCroatica, 56 (4), 765-772.
doi.org/10.20471/acc.2017.56.04.26
DIONIGI, R. (2016). Chirurgia. Basi teoriche e chirurgia generale(sesta edizione). Milano: Edra.
EGBERT, L.D., BATTIT, G.E., WELCH, C.E. & BARLETT, M.K.(1964). Reduction of postoperative pain by encouragementand instruction of patients. A study of doctor-patient rapport.The New England Journal of Medicine, 16 (270), 825-827.
doi.org/10.1056/NEJM196404162701606
FAVUZZA, J., BRADY, K. & DELANEY, C.P. (2013). Transversusabdominis plane blocks and enhanced recovery pathways:Making the 23-h hospital stay a realistic goal after laparoscopiccolorectal surgery. Surgical Endoscopy, 27 (7), 2481-2486.
doi.org/10.1007/s00464-012-2761-y
FEARON, K.C., LJUNGQVIST, O., VON MEYENFELDT, M.,REVHAUG, A., DEJONG, C.H., LASSEN, K., … & KEHLEHT,H. (2005). Enhanced recovery after surgery: A consensus reviewof clinical care for patients undergoing colonic resection. ClinicalNutrition, 24, 466-477.
doi.org/10.1016/j.clnu.2005.02.002
GRECO, M., CAPRETTI, G., BERETTA, L., GEMMA, M.,PECORELLI, N. & BRAGA, M. (2014). Enhanced recoveryprogram in colorectal surgery: A meta-analysis of randomizedcontrolled trials. World Journal of Surgery, 38 (6), 1531-1541.
JENSEN, K.K., BRONDUM, T.L., HARLING, H., KEHLET, H. &JORGENSEN, L.N. (2016). Enhanced recovery after giant ventralhernia repair. Hernia: The Journal of Hernias and Abdominal WallSurgery, 20 (2), 249-256.
doi.org/10.1007/s10029-016-1471-0
KAHOKEHR, A., SAMMOUR, T., SRINIVASA, S. & HILL, A.G.(2011). Systematic review and meta-analysis of intraperitoneallocal anaesthetic for pain reduction after laparoscopic gastricprocedures. The British Journal of Surgery, 98 (1), 29-36.
doi.org/10.1002/bjs.7293
KEHLET, H. (1997). Multimodal approach to control postoperativepathophysiologyandrehabilitation.BritishJournalofAnaesthesia,78 (5), 606-617.
doi.org/10.1093/bja/78.5.606
KEHLET, H. & MOGENSEN, T. (1999). Hospital stay of 2 daysafter open sigmoidectomy with a multimodal rehabilitationprogramme. The British Journal of Surgery, 86 (2), 227-230.
doi.org/10.1046/j.1365-2168.1999.01023.x
KELLER, D.S., ERMLICH, B.O., SCHILTZ, N., CHAMPAGNE, B.J.,REYNOLDS, H.L. JR., STEIN, S.L. & DELANEY, C.P. (2014). Theeffect of transversus abdominis plane blocks on postoperativepain in laparoscopic colorectal surgery: A prospective,randomized, double-blind trial. Disease of the Colon and Rectum,57 (11), 1290-1297.
doi.org/10.1097/DCR.0000000000000211
KELLER, D.S., TANTCHOU, I., FLORES-GONZALEZ, J.R. &GEISLER, D.P. (2017). Predicting delayed discharge in amultimodal Enhanced Recovery Pathway. American Journal ofSurgery, 214 (4), 604-609.
doi.org/10.1016/j.amjsurg.2017.06.008
KIECOLT-GLASER, J.K., PAGE, G.G., MARUCHA, P.T.,MacCALLUM, R.C. & GLASER, R. (1998). Psychologicalinfluences on surgical recovery. Perspectives from psychoneuro-immunology. The American Psychologist, 53 (11), 1209-1218.
LASSEN, K., COOLSEN, M.M., SLIM, K., CARLI, F., DE AGUILAR-NASCIMENTO, J.E., SCHÄFER, M., … & BRAGA, M. (2012).Guidelines for perioperative care for pancreaticoduodenectomy:Enhanced Recovery After Surgery (ERAS®) Societyrecommendations. Clinical Nutrition, 31 (6), 817-830.
LEVY, B.F., SCOTT, M.J., FAWCETT, W., FRY, C. & ROCKALL, T.A.(2011). Randomized clinical trial of epidural, spinal or patient-controlled analgesia for patients undergoing laparoscopiccolorectal surgery. British Journal of Surgery, 98 (8), 1068-1078.
doi.org/10.1002/bjs.7545
MENDONÇA, F.T., REIS, M.C., AGUIAR, J.A. & CALVANO,L.C. (2015). Systemic lidocaine for perioperative analgesia: Aliterature review. Journal of Anesthesia & Intensive Care Medicine,1 (1), 1-8.
doi.org/10.19080/JAICM.2015.01.555551
PEDZIWIATR, M., MAŁCZAK, P., PISARSKA, M., MAJOR, P.,WYSOCKI, M., STEFURA, T. & BUDZYNSKI, A. (2017).Minimally invasive versus open pancreatoduodenectomy-systematic review and meta-analysis. Langenbeck’s Archives ofSurgery, 402 (5), 841-851.
SARIN, A., LITONIUS, E.S., NAIDU, R., SPENCER YOST, C.,VARMA, M.G. & CHEN, L. (2016). Successful implementationof an Enhanced Recovery After Surgery program shortens lengthof stay and improves postoperative pain, and bowel and bladderfunction after colorectal surgery. BMC Anesthesiology, 16 (1), 55. doi.org/https:/
doi.org/10.1186/s12871-016-0223-0
SPANJERSBERG,W.R.,REURINGS,J.,KEUS,F.&vanLAARHOVEN,C.J. (2011). Fast track surgery versus conventional recoverystrategies for colorectal surgery. Cochrane Database of SystematicReviews, 2.
doi.org/10.1002/14651858.CD007635.pub2.
STOKES, A.L., ADHIKARY, S.D., QUINTILI, A., PULEO, F.J., CHOI,C.S., HOLLENBEAK, C.S. & MESSARIS, E. (2017). Liposomalbupivacaine use in transversus abdominis plane blocks reducespain and postoperative intravenous opioid requirement aftercolorectal surgery. Diseases of the Colon and Rectum, 60 (2), 170-177.
doi.org/10.1097/DCR.0000000000000747
STURGEON,A.J.(2014).Psychologicaltherapiesforthemanagementof chronic pain. Psychology Research and Behavior Management,7, 115-124.
doi.org/10.2147/PRBM.S44762
TEIXEIRA,M.B.,vanLOON,Y.,WASOWICZ,D.K.,LANGENHOFF,B.S., van IEPEREN, R.P. & ZIMMERMAN, D.D.E. (2018). Use ofepidural analgesia in sigmoidectomy: Is there any advantage inthe era of minimally invasive surgery? Journal of GastrointestinalSurgery, 22 (10), 1779-1784.
doi.org/10.1007/s11605-018-3836-4
WONGYINGSINN, M., BALDINI, G., STEIN, B., CHARLEBOIS,P., LIBERMAN, S. & CARLI, F. (2012). Spinal analgesia forlaparoscopic colonic resection using an enhanced recoveryafter surgery programme: Better analgesia, but no benefits onpostoperative recovery: A randomized controlled trial. BritishJournal of Anaesthesia, 108 (5), 850-856.
doi.org/10.1093/bja/aes028
XU, Y., TAN, Z., CHEN, J., LOU, F. & CHEN, W. (2008). Intravenousflurbiprofenaxetil accelerates restoration of bowel function aftercolorectal surgery. Canadian Journal of Anaesthesia, 55 (7), 414-422.
doi.org/10.1007/BF03016307
YU, Z., ZHUANG, C.L., YE, X.Z., ZHANG, C.J., DONG, Q.T. &CHEN, B.C. (2014). Fast-track surgery in gastrectomy for gastriccancer: A systematic review and meta-analysis. Langenbeck’sArchives of Surgery, 399 (1), 85-92.

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Di Muzio Marco . Giannetta Noemi . Calagna Onofrio . Liquori Gloria . Gazzelloni Andrea . Di Simone Emanuele . Sollazzo Fabio . Moriconi Alessandra . Latina Roberto . Moriconi Alessandra . Dionisi Sara . Di Mario Sofia . Eleuteri Stefano . Pain management in ERAS® approach for abdominal surgery: A narrative review. BPA Applied Psychology Bulletin. 2019;285(1):2-12.

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