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Contempo Updates
Clinician's Corner
August 7, 2002

Multimodal Pain Management Strategies for Office-Based and Ambulatory Procedures

Author Affiliations

Author Affiliation: Department of Anesthesiology, Acute Pain Service, Wake Forest University School of Medicine, Winston-Salem, NC.


Contempo Updates Section Editor: Janet M. Torpy, MD, Contributing Editor.

JAMA. 2002;288(5):629-632. doi:10.1001/jama.288.5.629

Office-based surgical procedures account for up to 25% of all elective surgical procedures performed in the United States.1 Ambulatory surgical procedures now make up 70% of the total volume of hospital-based elective surgical procedures.2 More major surgical procedures are being performed on an ambulatory or 23-hour hospital stay basis including intra-abdominal, intrathoracic, and major orthopedic procedures. Postoperative pain, nausea, and vomiting are the most common factors leading to delays in outpatient discharge and admissions to the hospital following ambulatory surgery.3,4 An understanding of the pharmacologic concepts and pain management techniques for those office-based procedures performed within the scope of a primary care practice, and for patients undergoing hospital-based ambulatory (outpatient) surgical procedures, is a crucial component in the continuing education of the primary care physician.