Assessment of the Effectiveness of Standardized Pain Management Protocols in Improving Postoperative Recovery Outcomes among Surgical Patients

Background: Postoperative pain remains a significant clinical challenge, affecting up to ۸۰% of surgical patients and impeding recovery. Standardized pain management protocols, including Enhanced Recovery after Surgery (ERAS) pathways and opioid-sparing analgesia strategies, have developed to address this issue through systematic, multimodal approaches.Objective: This study aims to assess the effectiveness of standardized pain management protocols in improving postoperative recovery outcomes among surgical patients.Methods: A systematic review and meta-analysis conducted following PRISMA guidelines. PubMed, Embase, Web of Science, and Cochrane Library searched for randomized controlled trials and comparative studies evaluating standardized pain protocols versus conventional care. Primary outcomes included postoperative pain scores, opioid consumption, and length of hospital stay, opioid-related adverse effects, and patient satisfaction. ۵۸ studies (۵,۶۱۴ patients) were included in the final analysis.Results: Standardized pain protocols were associated with significantly reduced ۲۴-hour morphine consumption (MD: -۹.۴۷ mg, ۹۵% CI: -۱۳.۰۰ to -۵.۹۵), lower pain scores at ۲۴ hours (MD: -۰.۷۲, ۹۵% CI: -۰.۹۷ to -۰.۴۷), reduced PONV incidence (OR: ۰.۷۳, ۹۵% CI: ۰.۵۹-۰.۹۰), and improved patient satisfaction (MD: ۰.۸۸, ۹۵% CI: ۰.۳۶-۱.۴۰). Length of stay showed a reduction from ۳.۰ to ۲.۱ days (p

کلیدواژه ها:

Postoperative pain ، enhanced recovery after surgery ، opioid-sparing analgesia ، multimodal analgesia ، recovery outcomes