Operative Anesthesia and Postoperative Pain Control

ABSTRACT

Anesthesiology has evolved into the specialty of perioperative medicine because the anesthesiologist is involved in preoperative assessment, intraoperative management, postoperative care, and early pain management of the patient. New surgical therapeutic options bring forth challenges for the anesthesiologist to deal with before, during, and immediately after colorectal surgery.

KEYWORDS

Anesthesia - analgesia - postoperative pain

REFERENCES

• 1 Egbert L D, Battit G E, Turndorf H, Beecher H K. The value of the perioperative visit by an anesthesiologist. A study of doctor-patient rapport.  JAMA . 1963;  185 553-558
• 2 Anderson E A. Preoperative preparation for cardiac surgery facilities recovery, reduces psychological distress, and reduces the incidence of acute postoperative hypertension.  J Consult Clin Psychol . 1987;  55 513-516
• 3 Roizen M F. More preoperative assessment by physicians and less by laboratory tests.  N Engl J Med . 2000;  342 168-175
• 4 Mangano D T, Goldman L. Preoperative assessment of patients with known or suspected coronary disease.  N Engl J Med . 1995;  333 1750-1756
• 5 Harrison's Principles of Internal Medicine, 10th ed.  New York McGraw-Hill 1983: 435-459
• 6 Eagle K, Boucher C. Cardiac risk for noncardiac surgery.  N Engl J Med . 1989;  321 1330-1332
• 7 Consensus Conference. Perioperative red blood cell transfusion.  JAMA . 1988;  260 2700-2703
• 8 Senagore A J, Whalley D, Delaney C P, Mekhail N, Duepree H J, Fazio V W. Epidural anesthesia-analgesia shortens length of stay after laparoscopic segmental colectomy for benign pathology.  Surgery . 2001;  129 672-676
• 9 Barto W. Randomized study of the effectiveness of closing laparoscopic trocar wounds with octylcyanoacrylate, adhesive papertape or poliglecaprone.  Br J Surg . 2002;  89 1370-1375
• 10 Safwat A M. Pro: epidural anesthesia is a valuable adjunct to general anesthesia for abdominal vascular surgery.  J Cardiothorac Anesth . 1989;  3 505-508
• 11 Steinbrook R A. Epidural anesthesia and gastrointestinal motility.  Anesth Analg . 1998;  86 837-844
• 12 Liu S, Carpenter R L, Neal J M. Epidural anesthesia and analgesia: their role in postoperative outcome.  Anesthesiology . 1995;  82 1474-1506
• 13 Carli F, Trudel J L, Belliveau P. The effect of intraoperative thoracic epidural anesthesia and postoperative analgesia on bowel function after colorectal surgery: a prospective, randomized trial.  Dis Colon Rectum . 2001;  44 1083-1089