Developing expert international consensus statements for opioid-sparing analgesia using the Delphi method
Year: 2023
Type: article
Abstract: INTRODUCTION: The management of postoperative pain in anaesthesia is evolving with a deeper understanding of associating multiple modalities and analgesic medications. However, the motivations and barriers regarding the adoption of opioid-sparing analgesia are not well known. METHODS: We designed a modified Delphi survey to explore the perspectives and opinions of expert panellists with regard to opioid-sparing multimodal analgesia. 29 anaesthetists underwent an evolving three-round questionnaire to determine the level of agreement on certain aspects of multimodal analgesia, with the last round deciding if each statement was a priority. RESULTS: The results were aggregated and a consensus, defined as achievement of over 75% on the Likert scale, was reached for five out of eight statements. The panellists agreed there was a strong body of evidence supporting opioid-sparing multimodal analgesia. However, there existed multiple barriers to widespread adoption, foremost the lack of training and education, as well as the reluctance to change existing practices. Practical issues such as cost effectiveness, increased workload, or the lack of supply of anaesthetic agents were not perceived to be as critical in preventing adoption. CONCLUSION: Thus, a focus on developing specific guidelines for multimodal analgesia and addressing gaps in education may improve the adoption of opioid-sparing analgesia.
Source: BMC Anesthesiology
Authors: Daniel Da Der Sng, Giulia Uitenbosch, Hans D. de Boer, Hugo Nogueira Carvalho, Juan P. Cata, Gabor Erdoes, Luc Heytens, Fernande Jane Lois, Paolo Pelosi, Anne-Françoise Rousseau, Patrice Forget, David Nesvadba, Sadegh Abdolmohammadi, Gebrehiwot Asfaw, Daniel Benhamou, Gilbert Blaise, Philippe Cuvillon, Mohamed El Tahan, Emmanuel Feldano, Paul Fettes, Gabriele Finco, Michael Fitzpatrick, Atul Kapila, Callum Kaye, Vikas Kaura, Helen May, Patrick Meybohm, Ulrike Stamer, Daniel Taylor, Marc Van De Velde, Benoit Van Pee
Institutions: University of Aberdeen, Martini Ziekenhuis, Vrije Universiteit Brussel, Universitair Ziekenhuis Brussel, The University of Texas MD Anderson Cancer Center, University of Bern, University Hospital of Bern, University of Antwerp, Institute Born-Bunge, Centre Hospitalier Universitaire de Liège, Ospedale Policlinico San Martino, NHS Grampian, European Society of Anaesthesiology, National Health Service
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,790
Award: G3162981748
OpenAlex ID: W4322501784