Je viens d'être opéré en ambulatoire et j'ai très mal la nuit même, que faire ?

Anticipating the treatment of pain is one of the keys to allow relief from prolonged pain. Analgesic protocol should be initiated preoperatively, favoring synergistic combinations. It is mandatory not to interrupt chronic analgesic treatments if any. A prescription must be issued before the procedure with clear and detailed explanations of the oral doses, time of administration, and rescue medication. Peripheral nerve blocks and/or infiltration with a long-acting local anaesthetic combined with multimodal analgesia prolong analgesia beyond the immediate perioperative period. Dexamethasone, whatever the route of administration, prolongs the duration of analgesia produced by local anaesthetics. Antihyperalgesics, such as gabapentinoids or ketamine, are useful, but associated with side effects. Intravenous lidocaine is effective but has been little evaluated during ambulatory surgery. The development of a monitoring system for ambulatory patients is one way to determine the effectiveness of outpatient process. These networks can also integrate the feedback provided from continuous perineural analgesia and help increase the number of surgical and ambulatory patients.