Postoperative Recommendations for Laparoscopic Cholecystectomy

POSTOPERATIVE RECOMMENDED	NOT RECOMMENDED
Systemic analgesia   Conventional NSAIDs              –          (Grade A)     COX-2-selective inhibitors –          (Grade A)   ·         Strong opioids –          for high-intensity pain in addition to other agents (Grade D)   ·         Weak opioids –          for rescue analgesia with medium-to-low-intensity pain in addition to other agents (Grade D)   ·         Paracetamol –          (Grade A)	Systemic analgesia   NMDA antagonist –          ketamine (Grade D) –          magnesium (Grade B)   Strong opioids –          for routine analgesia (Grade B)   Weak opioids –          for routine analgesia (Grade B)
	REGIONAL ANALGESIA   PCA IP LA –          (Grade D)
EPIDURAL ANALGESIA   Epidural analgesia –          for high-risk pulmonary patients (Grade D)	EPIDURAL ANALGESIA   Epidural strong opioid + LA –          for routine analgesia (Grade D)
PATIENT MANAGEMENT   Early discharge –          (Grade D)