Multi-modal Anaesthesia: The Significance of Integrating Regional and General Techniques in Contemporary Practice.

Abstract

The modern perioperative pathway is decisively shifting towards multimodal anaesthesia—namely, a synthesis of general anaesthesia or total intravenous anaesthesia alongside regional anaesthesia techniques aimed at ensuring stable intra operative conditions and enduring postoperative benefits. This approach is now regarded as a rational, evidence-based strategy for numerous patients when expertise and resources are accessible. When executed proficiently, this methodology enhances haemodynamic stability, diminishes perioperative opioid exposure, and may mitigate the progression towards persistent postsurgical pain (including phantom limb pain), all while facilitating rapid recovery and ensuring high patient satisfaction. The advancement of regional anaesthesia techniques, particularly through the implementation of ultrasound-guided approaches, has afforded enhanced precision and safety, thereby fostering its widespread clinical acceptance.