Expert group and process
Q1: What is the definition of optimal analgesia for colorectal surgery?
Q2: Why should opioid use be minimized for colorectal surgery patients?
Q3: How can optimal analgesia be achieved while minimizing opioid use in the preoperative and intraoperative period for colorectal surgery?
Q4: How does pain vary based upon the surgical approach in colorectal surgery?
Q5: What is the role of education in achieving optimal analgesia after CRS?
Summary and future directions
• Analgesia is a key component in enhanced recovery pathways.
• Optimal analgesia addresses patient pain while restoring function and minimizing side effects.
• Minimizing opioid use and its side effects is a cornerstone of analgesia practice within ERPs.
• Intraoperative opioid-sparing techniques and postoperative early oral multimodal analgesia are the backbone for providing analgesia within ERPs.
• Open, laparoscopic, and robotic surgical approaches need different analgesic strategies.
• There are many different analgesic combinations that are efficacious.
• Hospitals should adopt at least two or three analgesic strategies for colorectal surgery to allow for individual patient variation or failure of the primary choice of analgesia.
• Hospitals should have a troubleshooting pathway in place for breakthrough pain to minimize the negative impact of intravenous opioid use.
• Audit of compliance of analgesia and restoration of function can lead to improvement of patient experience.