ESRA PROSPECT 25+ Procedures

Procedure Analgesia

Evidence-based perioperative pain management by surgical procedure. Select a procedure to see recommended regional blocks, multimodal analgesia, and PROSPECT evidence grades.

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e.g. "knee", "thoracotomy", "mastectomy"
25+
Procedures
18
PROSPECT Guidelines
6
Surgical Categories
2024
Latest Update
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🦴 Orthopaedic Surgery

Lower and upper limb procedures — hip, knee, shoulder, foot. Generally high pain intensity with strong evidence for regional anaesthesia.

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🫁 Thoracic Surgery

High pain intensity procedures with strong evidence for neuraxial and regional techniques to support respiratory recovery.

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🔬 Abdominal Surgery

General and colorectal procedures. TAP block, ESP, and epidural are key regional techniques depending on incision type and approach.

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🩺 Breast & Obstetric

Fascial plane blocks (PECS, serratus, paravertebral) for breast surgery; spinal morphine and TAP for caesarean section.

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🧠 Neuro & Spine

Craniotomy, spinal procedures — opioid-sparing strategies essential. ESP and paravertebral blocks for spinal surgery.

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👂 ENT, Urology & Other

Tonsillectomy, prostatectomy, and other procedures with specific PROSPECT recommendations.

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Legend

PROSPECT guideline available Partial / extrapolated evidence No specific PROSPECT guideline Blue tags= Regional blocks Grey tags= Systemic agents