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Anesthesiology & Pain Management

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While this review will focus on postoperative pain management, it is important that we acknowledge the critical perioperative elements that lay the foundation for ideal patient pain management. Pain control needs to be in place before the surgeon's blade contacts skin in order to minimize central and peripheral sensitization. Without adequate pre-emptive analgesia, the nociceptive process ramps up unabated by general anesthesia. Receptor sensitivity increases and structural rewiring can occur.