Evidence map›Paper›PMID 36131311›Full record

ReviewWorld journal of emergency surgery : WJES2022

Postoperative pain management in non-traumatic emergency general surgery: WSES-GAIS-SIAARTI-AAST guidelines.

Federico Coccolini, Francesco Corradi, Massimo Sartelli, Raul Coimbra, Igor A Kryvoruchko, Ari Leppaniemi, Krstina Doklestic, Elena Bignami, Giandomenico Biancofiore, Miklosh Bala and 54 more

Open access · goldAbstract readReview
In one paragraph

Review in World journal of emergency surgery : WJES, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
8.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
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  8. Article
  9. A Review of Chronic Post-Sternotomy Pain Syndrome.Current pain and headache reports · 2026
    Review
  10. [A compulsory course in clinical treatment of burn patients: pain and analgesia].Zhonghua shao shang yu chuang mian xiu fu za zhi · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

64 authors at 20 institutions in 17 countries.

Federico CoccoliniGeneral, Emergency and Trauma Surgery Department, Pisa University Hospital, Via Paradisa, 2, 56124, Pisa, Italy. federico.coccolini@gmail.com.
Francesco CorradiICU Department, Pisa University Hospital, Pisa, Italy.
Massimo SartelliGeneral Surgery Department, Macerata Hospital, Macerata, Italy.
Raul CoimbraTrauma Surgery Department, Riverside University Health System Medical Center, Loma Linda, CA, USA.
Igor A KryvoruchkoDepartment of Surgery No2, Kharkiv National Medical University, Kharkiv, Ukraine.
Ari LeppaniemiGeneral Surgery Department, Helsinki University Hospital, Helsinki, Finland.
Krstina DoklesticClinic of Emergency Surgery, University Clinical Center of Serbia, Belgrade, Serbia.
Elena BignamiICU Department, Parma University Hospital, Parma, Italy.
Giandomenico BiancofioreTransplant ICU Department, Pisa University Hospital, Pisa, Italy.
Miklosh BalaTrauma and Acute Care Surgery Unit Hadassah, Hebrew University Medical Center, Jerusalem, Israel.
Ceresoli MarcoGeneral Surgery Department, Monza University Hospital, Monza, Italy.
Dimitris DamaskosGeneral and Emergency Surgery, Royal Infirmary of Edinburgh, Edinburgh, UK.
Walt L BifflTrauma/Acute Care Surgery, Scripps Clinic Medical Group, La Jolla, CA, USA.
Paola FugazzolaGeneral Surgery Department, Pavia University Hospital, Pavia, Italy.
Domenico SantonastasoICU Department, Bufalini Hospital, Cesena, Italy.
Vanni AgnolettiICU Department, Bufalini Hospital, Cesena, Italy.
Catia SbarbaroICU Department, Pisa University Hospital, Pisa, Italy.
Mirco NacotiICU Department Papa Giovanni XXIII Hospital, Bergamo, Italy.
Timothy C HardcastleTrauma and Burn Service, Inkosi Albert Luthuli Central Hospital, Mayville, Durban, South Africa.
Diego MarianiGeneral Surgery Department, Legnano Hospital, Legnano, Milano, Italy.
Belinda De SimoneEmergency and Colorectal Surgery, Poissy and Saint Germain en Laye Hospitals, Poissy, France.
Matti TolonenEmergency Surgery, HUS Helsinki University Hospital, Meilahti Tower Hospital, Helsinki, Finland.
Chad BallTrauma and Acute Care Surgery, Foothills Medical Center, Calgary, AB, Canada.
Mauro PoddaDepartment of Surgical Science, University of Cagliari, Cagliari, Italy.
Isidoro Di CarloGeneral Surgery, Cannizzaro University Hospital, Catania, Italy.
Salomone Di SaverioGeneral Surgery Department, San Benedetto del Tronto Hospital, San Benedetto del Tronto, Italy.
Pradeep NavsariaTrauma Center, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa.
Luigi BonavinaGeneral Surgery Department, San Donato Hospital, Milan, Italy.
Fikri Abu-ZidanDepartment of Surgery, College of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates.
Kjetil SoreideDepartment of Gastrointestinal Surgery, Stavanger University Hospital, University of Bergen, Bergen, Norway.
Gustavo P FragaDivision of Trauma Surgery, School of Medical Sciences, University of Campinas, Campinas, Brazil.
Vanessa Henriques CarvalhoICU Department, School of Medical Sciences, University of Campinas, Campinas, Brazil.
Sergio Faria BatistaAnesthesia Department, School of Medical Sciences, Campinas, Brazil.
Andreas HeckerGeneral Surgery, Giessen University Hospital, Giessen, Germany.
Alessandro CucchettiDepartment of Medical and Surgical Sciences - DIMEC, Alma Mater Studiorum - University of Bologna, General Surgery of the Morgagni - Pierantoni Hospital, Forlì, Italy.
Giorgio ErcolaniDepartment of Medical and Surgical Sciences - DIMEC, Alma Mater Studiorum - University of Bologna, General Surgery of the Morgagni - Pierantoni Hospital, Forlì, Italy.
Dario TartagliaGeneral, Emergency and Trauma Surgery Department, Pisa University Hospital, Via Paradisa, 2, 56124, Pisa, Italy.
Joseph M GalanteGeneral Surgery Department, UCLA Davis University Hospital, Los Angeles, CA, USA.
Imtiaz WaniGeneral Surgery Department, Government Gousiua Hospital, Srinagar, India.
Hayato KuriharaEmergency and Trauma Surgery Department, Milano University Hospital, Milan, Italy.
Edward TanEmergency Department, Nijmegen Hospital, Nijmegen, The Netherlands.
Andrey LitvinDepartment of Surgical Disciplines, Immanuel Kant Baltic Federal University, Regional Clinical Hospital, Kaliningrad, Russia.
Rita Maria MelottiBologna University, Bologna, Italy.
Gabriele SgangaFondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.
Tamara ZoroICU Department, Pisa University Hospital, Pisa, Italy.
Alessandro IsirdiICU Department, Pisa University Hospital, Pisa, Italy.
Nicola De'AngelisService de Chirurgie Digestive Et Hépato-Bilio-Pancréatique, Hôpital Henri Mondor, Université Paris Est, Créteil, France.
Dieter G WeberDepartment of General Surgery, Royal Perth Hospital, Perth, Australia.
Adrien M HodonouFaculty of Medicine of Parakou, University of Parakou, Parakou, Benin.
Richard tenBroekGeneral Surgery Department, Nijmegen Hospital, Nijmegen, The Netherlands.
Dario PariniGeneral Surgery Department, Santa Maria Della Misericordia Hospital, Rovigo, Italy.
Jim KhanUniversity of Portsmouth, Portsmouth Hospitals University NHS Trust UK, Portsmouth, UK.
Giovanni SbranaICU-HEMS Department, Arezzo Hospital, Arezzo, Italy.
Carlo ConiglioICU Department, Maggiore Hospital, Bologna, Italy.
Antonino GiarratanoICU Department, P. Giaccone Hospital, Palermo, Italy.
Angelo GratarolaICU Department, San Martino Hospital, Genoa, Italy.
Claudia ZaghiGeneral, Emergency and Trauma Surgery Department, Vicenza Hospital, Vicenza, Italy.
Oreste RomeoTrauma and Surgical Critical Care, East Medical Center Drive, University of Michigan Health System, Ann Arbor, MI, USA.
Michael KellyDepartment of General Surgery, Albury Hospital, Albury, Australia.
Francesco ForforiICU Department, Pisa University Hospital, Pisa, Italy.
Massimo ChiarugiGeneral, Emergency and Trauma Surgery Department, Pisa University Hospital, Via Paradisa, 2, 56124, Pisa, Italy.
Ernest E MooreE. Moore Shock and Trauma Centre, Denver, CO, USA.
Fausto CatenaGeneral, Emergency and Trauma Surgery Department, Bufalini Hospital, Cesena, Italy.
Manu L N G MalbrainFirst Department Anaesthesiology Intensive Therapy, Medical University Lublin, Lublin, Poland.
Ospedale “M. Bufalini” di Cesena · ITHelsinki University Hospital · FIOspedale G.B. Morgagni - L.Pierantoni · ITUniversidade Estadual de Campinas (UNICAMP) · BRAlbury Wodonga Health · AUAzienda Ospedaliera Ospedale Civile di Legnano · ITAzienda Usl 8 Arezzo · ITCentre Hospitalier Intercommunal de Poissy · FREdinburgh Royal Infirmary · GBFoothills Medical Centre · CAHadassah Medical Center · ILImmanuel Kant Baltic Federal University · RUInternational Renal Research Institute of Vicenza · ITKharkiv National Medical University · UAMedical University of Lublin · PLMichigan Medicine · USOspedale Cannizzaro · ITOspedale di MacerataOspedale Papa Giovanni XXIII · ITOspedale Policlinico San Martino · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNon-traumatic emergency general surgery involves a heterogeneous population that may present with several underlying diseases. Timeous emergency surgical treatment should be supplemented with high-quality perioperative care, ideally performed by multidisciplinary teams trained to identify and handle complex postoperative courses. Uncontrolled or poorly controlled acute postoperative pain may result in significant complications. While pain management after elective surgery has been standardized in perioperative pathways, the traditional perioperative treatment of patients undergoing emergency surgery is often a haphazard practice. The present recommended pain management guidelines are for pain management after non-traumatic emergency surgical intervention. It is meant to provide clinicians a list of indications to prescribe the optimal analgesics even in the absence of a multidisciplinary pain team. MATERIAL AND

methodsAn international expert panel discussed the different issues in subsequent rounds. Four international recognized scientific societies: World Society of Emergency Surgery (WSES), Global Alliance for Infection in Surgery (GAIS), Italian Society of Anesthesia, Analgesia Intensive Care (SIAARTI), and American Association for the Surgery of Trauma (AAST), endorsed the project and approved the final manuscript.

conclusionDealing with acute postoperative pain in the emergency abdominal surgery setting is complex, requires special attention, and should be multidisciplinary. Several tools are available, and their combination is mandatory whenever is possible. Analgesic approach to the various situations and conditions should be patient based and tailored according to procedure, pathology, age, response, and available expertise. A better understanding of the patho-mechanisms of postoperative pain for short- and long-term outcomes is necessary to improve prophylactic and treatment strategies.

Indexed as

AnesthesiaPostoperative PainAbdomenAnalgesicsHumansPerioperative CareUnited StatesAnalgesicsAcuteEmergencyMorbidityPainSurgeryTreatment

Identifiers

PMID36131311
PMCPMC9494880
OpenAlexW4296558831

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.