Asian Journal of Anesthesiology 2021 1 Asian Journal of Anesthesiology: 1-7, 2021 DOI:10.6859/aja.202101/PP.0007 Practice Guideline Pain Management Recommendation for Indonesian COVID-19 Patients by Indonesian Society of Anesthesiology for Pain Management (ISAPM) Ristiawan Muji Laksono 1 , AM Takdir Musba 2 , Dedi Susila 3 , Andi Husni Tanra 2 1 Department of Anesthesiology and Intensive Care, Faculty of Medicine, Brawijaya University, Malang, Indonesia 2 Department of Anesthesiology and Intensive Care, Hasanuddin University, Makassar, Indonesia 3 Department of Anesthesiology and Reanimation, Airlangga University, Surabaya, Indonesia Pain management is one of the main focuses on coronavirus disease 2019 (COVID-19) patients treatment. Based on the review, we make some pain management recommendations for Indonesian COVID-19 patients based on the Indonesian Society of Anesthesiology for Pain Management meeting. We follow some recommendations by health organizations and make some recommendations for general pain management and postoperative pain management for Indonesian COVID-19 patients including, the choice of analgesic, pain management post-operative, and personal protective equipment. Keywords: analgesic, COVID-19, ISAPM, pain management, post-operative, PPE Received: 31 July 2020; Received in revised form: 28 August 2020; Accepted: 7 September 2020. Corresponding Author: Ristiawan Muji Laksono, MD, Department of Anesthesiology and Intensive Care, Faculty of Medicine, Brawijaya University, Jl. Jaksa Agung Suprapto no. 2, Malang, East Java, Indonesia (ristiawanm@ub.ac.id). Introduction Pain management is one of the main focuses on coronavirus disease 2019 (COVID-19) patients treat- ment. The information regarding drug choices or pain management techniques for COVID-19 patients is still needed due to the minimal number of publications. Below is some review regarding pain management on COVID-19 patients and the recommendation of pain management in Indonesian COVID-19 patients based on the Indonesian Society of Anesthesiology for Pain Management (ISAPM) meeting. Literature Review American Society of Regional Anesthesia and Pain Medicine (ASRA) and European Society of Re- gional Anesthesia and Pain Therapy (ESRA) recom- mendation: 1 General recommendation: (1) All elective schedules, direct patient visits must be canceled. If possible, telemedicine facilities can be used. (2) Elective pain management procedures must be postponed, except for semi-urgent procedures. Pain management actions are classifed into elec- tive, urgent, and emergent categories (Table 1). 2 (3) Although most chronic pain interventions are elec- tive, there are several conditions in which actions can be categorized as urgent or emergent. (4) Regional anesthesia is preferred over general an- esthesia to reduce the risk of transmission. (5) Use block that reduce respiratory interference (e.g., peripheral nerve block [axillary or infraclavicular brachial plexus block]). (6) Risk-benefit should be considered for perineural adjuvants and continuous perineural catheters.