A multisociety organizational consensus process to define guiding principles for acute perioperative pain management

Edward R. Mariano, David M. Dickerson, Joseph W. Szokol, Michael Harned, Jeffrey T. Mueller, Beverly K. Philip, Jaime L. Baratta, Padma Gulur, Jennifer Robles, Kristopher M. Schroeder, Karla E.K. Wyatt, Jason M. Schwalb, Eric S. Schwenk, Richa Wardhan, Todd S. Kim, Kent K. Higdon, Deepak G. Krishnan, Ashley M. Shilling, Gary Schwartz, Lisa WiechmannLisa V. Doan, Nabil M. Elkassabany, Stephen C. Yang, Iyabo O. Muse, Jean D. Eloy, Vikas Mehta, Shalini Shah, Rebecca L. Johnson, Michael J. Englesbe, Amanda Kallen, S. Bobby Mukkamala, Ashley Walton, Asokumar Buvanendran

Research output: Contribution to journalArticlepeer-review


The US Health and Human Services Pain Management Best Practices Inter-Agency Task Force initiated a public-private partnership which led to the publication of its report in 2019. The report emphasized the need for individualized, multimodal, and multidisciplinary approaches to pain management that decrease the over-reliance on opioids, increase access to care, and promote widespread education on pain and substance use disorders. The Task Force specifically called on specialty organizations to work together to develop evidence-based guidelines. In response to this report's recommendations, a consortium of 14 professional healthcare societies committed to a 2-year project to advance pain management for the surgical patient and improve opioid safety. The modified Delphi process included two rounds of electronic voting and culminated in a live virtual event in February 2021, during which seven common guiding principles were established for acute perioperative pain management. These principles should help to inform local action and future development of clinical practice recommendations.

Original languageEnglish (US)
Article number103083
Pages (from-to)118-127
Number of pages10
JournalRegional anesthesia and pain medicine
Issue number2
StatePublished - 2022


  • acute pain
  • analgesics
  • opioid
  • pain
  • pain management
  • postoperative

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine


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