Designing an evidence-based guideline for acute pain management in orthopedic surgeries

Aims and T he present study has been performed to design a guideline for acute pain management after orthopedic surgeries, and also this study has a role in improving patient satisfaction and quality of life, and at the same time aiding hospital to reach a higher level of available pain control service. In this study which is a developmental research, first of all the databases such as Google Scholar, PubMed, Cochrane, Scopus, Elsevier, and Springer were searched on the key words such as Orthopedic Surgery, Acute Post-Operative Pain, Acute Pain Management, and Post-Operative Pain Management in the last five years. Articles in the form of Clinical trial, systematic review and meta-analysis about acute pain control after orthopedic surgery, with high quality were entered into the study. The evaluation of quality of articles was done by Jadad Score questionnaire, which is one of the most reliable questionnaires in the world for evaluating the quality of articles. Articles receiving a score less than 4 were excluded from the study. The clinical care guideline was designed based on Stetler model in evidence-based approaches. Seventy seven articles in the field of analgesia after orthopedic surgery were selected. Within these articles, 51 with a score> 4 according to Jadad questionnaire were assessed in the expert panel sessions. Three sessions were organized and finally the guideline was approved by the members attending the sessions. Multi-modal approach to pain management after orthopedic surgery, is one of the most valid protocols based on recent evidence. The Preemptive dosing of analgesic drugs, particularly non steroidal anti-inflammatory drugs such as Celecoxib, was especially effective in the articles.