Building Capacity for Interprofessional Pain Education and Evidence-based Practice to Improve Perioperative Pain Care in China

Principal Investigator: Rosemary Polomano, PhD, RN, FAAN, Professor Pain Practice; Professor of Anesthesiology and Critical Care

Co-Principal Investigators: Renyu Liu, MD, PhD, Associate Professor of Anesthesiology and Critical Care, Co-Director, Penn-China Anesthesia Partnership Program; Joshua H. Atkins MD, PhD, Assistant Professor of Anesthesiology and Critical Care, Co-Director Penn-China Anesthesia Partnership Program

Lead School: School of Nursing

Penn Partners: Perelman School of Medicine (Department of Anesthesiology and Critical Care)

Chinese Partners: Peking University (School of Nursing); PKU Third Hospital; Peking Union Medical College

Project Abstract

At least 50% of patients worldwide undergoing surgery report significant pain. Moderate to severe pain after some surgical procedures can increase the risk for developing chronic post-surgical pain (CPSP) syndromes. CPSP can compromise quality of life, and is associated with increased utilization of health care and higher costs for health care. Perioperative multimodal analgesia is a rational approach to pain control that targets various mechanisms for pain and pain pathways, and has been shown to reduce risks for CPSP. This approach combines two or more classes of analgesics and/or techniques before, during and following surgery, and is associated with better postoperative outcomes. Multimodal analgesia demands knowledge of mechanisms of surgical pain and pharmacology of analgesics, and expertise in prescribing and administering complex pain regimens. This form of therapy also requires a high level of interdisciplinary collaboration, clinical decision-making, communication, and safe patient monitoring. The team will implement a 2-year project that engages Chinese colleagues in a partnership program to advance perioperative pain management and patient safety in China through interprofessional pain education and practice-based research. In summary, the project capitalizes on existing Penn-China partnerships and resources at the Penn Wharton China Center, and expands Penn’s global engagement in interprofessional pain education, practice, and clinical research.