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Surgery pp 381-393 | Cite as

Management of Perioperative Pain

  • Susannah S. Wise

Abstract

Pain has always been linked with surgical intervention. Pain may occur because of the preexisting disease that led to the need for an operation, the surgical procedure itself (with the associated tissue trauma, instrumentation, or complications), or a combination of both the disease process and the intervention. Optimal management of acute pain during the perioperative period is increasingly recognized as reducing the risk of adverse perioperative events, in addition to providing comfort, relieving suffering, and aiding in return to normal function.

Keywords

Obstructive Sleep Apnea Postoperative Pain Pain Control Epidural Analgesia Transcutaneous Electrical Nerve Stimulation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Joint Commission on Accreditation of Healthcare Organizations Pain Management Standard. Available at: www.jcaho.org/accredited=organizations/hospitals/standards/revisions/2001/pain=managmentl.htm.Google Scholar
  2. 2.
    Stadler M, Schlander M, Braeckman M, et al. A cost-utility and cost-effectiveness analysis of an acute pain service. J Clin Anesth 2004;16:159–167.PubMedCrossRefGoogle Scholar
  3. 3.
    Ashbum M, Caplan R, Carr D, et al. Practice guidelines for acute pain management in the perioperative setting. Anesthesiology 2004;100:1573–1584.CrossRefGoogle Scholar
  4. 4.
    Roy R, Michael T. A survey of chronic pain in an elderly population. Can Fam Physician 1986;32:513.Google Scholar
  5. 5.
    Sengstaken EA, King SA. The problem of pain and its detection among geriatric nursing home residents. Am Geriatr Soc 1993;41:541.Google Scholar
  6. 6.
    Ferrell BA. Pain management in elderly people. J Am Geriatr Soc 1991;39:64–73.PubMedGoogle Scholar
  7. 7.
    Gloth FM. Principles of perioperative pain management in older adults. Clin Geriatr Med 2001;17:553–573.PubMedCrossRefGoogle Scholar
  8. 8.
    Gloth FM. Pain management in older adults. Prevention and treatment. J Am Geriatr Soc 2001;49:188–199.PubMedCrossRefGoogle Scholar
  9. 9.
    Wallace A. Prophylactic atenolol reduces postoperative myocardial ischemia. McSPI Research Group. Anesthesiology 1998;88:7–17.PubMedCrossRefGoogle Scholar
  10. 10.
    Khuri SF, Daley J, Hendeson W, et al. The National Veterans Administration Surgical Risk Study: risk adjustment for the comparative assessment of the quality of surgical care. J Am Coll Surg 1995;180:519–531.PubMedGoogle Scholar
  11. 11.
    Erskine RJ, Murphy PJ, Langton JA, et al. Effects of age on the sensitivity of upper airway reflexes. Br J Anaesth 1993;70:574–575.PubMedCrossRefGoogle Scholar
  12. 12.
    Pedersen T, Eliasen K, Henriksen E. A prospective study of risk factors and cardiopulmonary complications associated with anesthesia and surgery: risk indicators of cardiopulmonary morbidity. Acta Anaesthesiol Scand 1990;34:144–155.PubMedCrossRefGoogle Scholar
  13. 13.
    Schwieger I, Gamuliln Z, Suter PM. Lung function during anesthesia and respiratory insufficiency in the postoperative period: physiological and clinical implications. Acta Anaesthesiol Scand 1989;33:527–534.PubMedCrossRefGoogle Scholar
  14. 14.
    Mangano DT. Perioperative cardiac morbidity. Anesthesiology 1990;12:153–184.Google Scholar
  15. 15.
    Kannel WB, Belanger AJ. Epidemiology of heart failure. Am Heart J 2991;121:951–957.CrossRefGoogle Scholar
  16. 16.
    Franklon SS, Gustin WT, Wong ND, et al. Hemodynamic patterns of age-related changes in blood pressure: the Framingham Heart Study. Circulation 1997;96:308–315.Google Scholar
  17. 17.
    Landahl S, Bengtsson C, Sigurdsson JA, et al. Age-related changes in blood pressure. Hypertension 1986;8:1004–1009.Google Scholar
  18. 18.
    Matot I, Oppemheim-Eden A, Ratrot R. Preoperative cardiac events in elderly patients with hip fracture randomized to epidural or conventional analgesia. Anesthesiology 2003;98:156–163.PubMedCrossRefGoogle Scholar
  19. 19.
    Liu SS, Carpenter RL, Mackey DC. Effects of perioperative analgesic techniques on rate of recovery after colon surgery. Anesthesiology 1995;83:757–765.PubMedCrossRefGoogle Scholar
  20. 20.
    Kehlet H. Modification of responses to surgery by neural blockade: clinical implications. In: Cousins MJ, Bridenbaugh PO, eds. Clinical Anesthesia and Management of Pain, 3rd ed. New York: Lippincott-Raven, 1998:129–175.Google Scholar
  21. 21.
    Rodgers A, Walker N, Schug S, et al. Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of randomised trials. BMJ 2000;321:1493.PubMedCrossRefGoogle Scholar
  22. 22.
    Inouye S. The dilemma of delirium; clinical and research controversies regarding diagnosis and evaluation of delirium in hospitalized elderly medical patients. Am J Med 1994;97:278–288.PubMedCrossRefGoogle Scholar
  23. 23.
    Lipowski Z. Delirium in the elderly patient. N Engl J Med 1989;320:278–288.Google Scholar
  24. 24.
    Lynch EP, Lazor MA, Gellis JE, Orav J, Goldman L, Marcantonio ER. The impact of postoperative pain on the development of postoperative delirium. Anesth Analg 1998;86:781–785.PubMedCrossRefGoogle Scholar
  25. 25.
    Marcantonio ER, Flacker JM, Wright RJ, et al. Reducing delirium after hip fracture: a randomized trial. J Am Geriatr Soc 2001;49:516–522.PubMedCrossRefGoogle Scholar
  26. 26.
    Meador K. Cognitive side effects of medication. Neurol Clin North Am 1998;16:141–155.Google Scholar
  27. 27.
    Moiniche S. A qualitative and quantitative systematic review of preemptive analgesia for postoperative pain relief. Anesthesiology 2002;96:725–742.PubMedCrossRefGoogle Scholar
  28. 28.
    Katz J, Cohen L, Schmidt R, et al. Postoperative morphine use and hyperalgesia are reduced by preoperative but not intraoperative epidural analgesia. Anesthesiology 2003;98:1449–1460.PubMedCrossRefGoogle Scholar
  29. 29.
    McLaren AD. Mortality studies. Reg Anesth 1982;7(suppl):172.Google Scholar
  30. 30.
    Yeager MP, Glass DD, Neff RK, et al. Epidural anesthesia and analgesia in high-risk surgical patients. Anesthesiology 1987;66:729.PubMedCrossRefGoogle Scholar
  31. 31.
    Roy RC. Choosing general versus regional anesthesia for the elderly. Anesthesiol Clin North Am 2000;18:90–104.CrossRefGoogle Scholar
  32. 32.
    Abrahm JL. Advances in pain management for older adult patients. Clin Geriatr Med 2000;16:269–311.PubMedCrossRefGoogle Scholar
  33. 33.
    Pedersen T, Eliasen K, Henriksen E. A prospective study of mortality associated with anaesthesia and surgery: risk indicators of mortality in hospital. Acta Anaesthesiol Scand 1990;34:176–182.PubMedCrossRefGoogle Scholar
  34. 34.
    Bell GM, Schnitzer TJ. COX-2 inhibitors and other nonsteroidal anti-inflammatory drugs in the treatment of pain in the elderly. Clin Geriatr Med 2001;17:489–502.PubMedCrossRefGoogle Scholar
  35. 35.
    Bjorkman D. Current status of nonsteroidal anti-inflammatory drug use in the United States: risk factors and frequent complications. Am J Med 1999;107(suppl 6A):3S.PubMedCrossRefGoogle Scholar
  36. 36.
    Hawkey C. Progress in prophylaxis against nonsteroidal antiinflammatory drug-associated ulcers and erosions. Am J Med 1998;104:67S.PubMedCrossRefGoogle Scholar
  37. 37.
    Whelton A. Nephrotoxicity of nonsteroidal anti-inflammatory drugs: physiologic foundations and clinical implications. Am J Med 1999;106(suppl 5B):13S.PubMedCrossRefGoogle Scholar
  38. 38.
    Etches DC, Warriner CB, Badner N, et al. Continuous intravenous administration of ketorolac reduces pain and morphine consumption after total hip replacement or knee arthroplasty. Anesth Analg 1995;81:1175–1180.PubMedCrossRefGoogle Scholar
  39. 39.
    Stouten E, Armbuster S, Houmes R, et al. Comparison of ketorolac and morphine for postoperative pain after major surgery. Acta Anesthesiol Scand 1992;336:716–721.CrossRefGoogle Scholar
  40. 40.
    Strom DL, Berlin JA, Kinman JL, et al. Parenteral ketorolac and risk of gastrointestinal and operative site bleeding: a postmarketing surveillance study. JAMA 1996;275:376–382.PubMedCrossRefGoogle Scholar
  41. 41.
    Camu F, Lauwers MH, Vandersberghe C. Side effects of NSAIDs and dosing recommendations for ketorolac. Acta Anaesthesiol Belg 1996;47:143–149.PubMedGoogle Scholar
  42. 42.
    Malieka J, Elboim CM. Gastrointestinal complications associated with intramuscular ketorolac therapy in the elderly. Ann Pharmacother 1995;29:698–701.Google Scholar
  43. 43.
    Noor MG. Cycolooxygenase-2 inhibitors. Anesth Analg 2003;96:1720–1738.Google Scholar
  44. 44.
    Furst D. Pharmacology and efficacy or cyclooxygenase (COX) inhibitors. Am J Med 1999;107(suppl 6A):18S.PubMedCrossRefGoogle Scholar
  45. 45.
    Melzack R. The tragedy of needless pain. Sci Am 1990;262(2):27–33.PubMedGoogle Scholar
  46. 46.
    Evans C, Hammond D, Frederickson R. The opioid peptides. In: Pasternak G, ed. The Opiate Receptors. Clifton Park, NJ: Humana Press, 1988:23–71.Google Scholar
  47. 47.
    Porter J, Jick H. Addiction is rare in patients treated with narcotics [letter]. N Engl J Med 1980;302:123.PubMedGoogle Scholar
  48. 48.
    Fishbain D, Rosomoff H, Rosomoff R. Drug abuse, dependence, and addiction in chronic pain patients. Clin J Pain 1992;8:77–850.PubMedGoogle Scholar
  49. 49.
    Beaver WT. Impact of non-narcotic oral analgesics on pain management. Am J Med 1988;84:3–15.PubMedCrossRefGoogle Scholar
  50. 50.
    Morrison RS, Carney MT, Manfredi LM. Pain Management, Principles and Practice of Geriatric Surgery. New York: Springer, 2001:160–171.Google Scholar
  51. 51.
    Moore R, McQuay H. Single-patient data meta-analysis of 3453 postoperative patients: oral tramadol versus placebo, codeine, and combination analgesics. Pain 1997;69:287–294.PubMedCrossRefGoogle Scholar
  52. 52.
    Gagliese L, Jackson M, Ritvo P. Age is not an impediment to effective use of patient-controlled analgesia by surgical patients. Anesthesiology 2000;93:597–598.CrossRefGoogle Scholar
  53. 53.
    Aubrun F, Bunge D, Langeron O. Postoperative morphine consumption in the elderly patient. Anesthesiology 2003;99:160–174.PubMedCrossRefGoogle Scholar
  54. 54.
    Austrup ML, Korean G. Analgesic agents for the postoperative period. Surg Clin North Am 1999;79:253–273.PubMedCrossRefGoogle Scholar
  55. 55.
    Babul N, Darke A, Hagen N. Hydromorphone metabolite accumulation in renal failure. J Pain Symptom Manage 1995;10:184–186.PubMedCrossRefGoogle Scholar
  56. 56.
    Szeto H, Inturrisi C, Houde R, et al. Accumulation of normeperidine, an active metabolite of meperidine, in patients with renal failure and cancer. Ann Intern Med 1977;86:738–740.PubMedGoogle Scholar
  57. 57.
    Kaiko R, Foley K, Grabinski P, et al. Central nervous system excitatory effects of meperidine in cancer patients. Ann Neurol 1983;13:180–185.PubMedCrossRefGoogle Scholar
  58. 58.
    Garber K. Stopping pain. Technol Rev 2003;11:48–57.Google Scholar
  59. 59.
    Wu CT, Jao SW, Borel CO, et al. The effect of epidural clonidine on perioperative cytokine response, postoperative pain, and bowel function in patients undergoing colorectal surgery. Anesth Analg 2004;99:502–509.PubMedCrossRefGoogle Scholar
  60. 60.
    Brown SL, Morrison AE. Local anesthetic infusion pump systems adverse events reported to the Food and Drug Administration. Anesthesiology 2004;100:1305–1307.PubMedCrossRefGoogle Scholar
  61. 61.
    Sluka KA. Transcutaneous electrical nerve stimulation: basic science mechanisms and clinical effectiveness. J Pain 2003;4(3):109–121.PubMedCrossRefGoogle Scholar
  62. 62.
    Wallace A. American College of Surgeons 90th Clinical Congress 10/2004. Selected Topics in Perioperative Pain Management; p.29.Google Scholar
  63. 63.
    Benumof J. Sleep apnea. Anesthesiol Clin North Am 2002;20:789–811.CrossRefGoogle Scholar
  64. 64.
    Forrest J. Pharmacology of opioids. In: Forest J, ed. Acute Pain: Pathophysiology and Treatment. Grimsby, Ontario, Canada: Manticore, 1998:75–98.Google Scholar
  65. 65.
    Mann C, Pouzeratte Y, Boccara G. Comparison of intravenous or epidural patient-controlled analgesia in the elderly after major abdominal surgery. Anesthesiology 2000;92:433–441.PubMedCrossRefGoogle Scholar
  66. 66.
    Livingston E, Passaro E. Postoperative ileus. Dig Dis Sci 1990;35:121–132.PubMedCrossRefGoogle Scholar
  67. 67.
    Steinbrook RA. Epidural anesthesia and gastrointestinal motility. Anesth Analg 1998;86:837–844.PubMedCrossRefGoogle Scholar
  68. 68.
    U. S. Census. Available at: http://www.census.gov/population/nation/intfile2-1.txt.Google Scholar
  69. 69.
    Gustafsson I, Nyström E, Quiding H. Effect of preoperative paracetamol on pain after oral surgery. Eur J Clin Pharmacol 1983;24:63–65.PubMedCrossRefGoogle Scholar
  70. 70.
    Bridgman JB, Gillgrass TG, Zacharias M. The absence of any pre-emptive analgesic effect for non-steroidal antiinflammatory drugs. Br J Oral Maxillofac Surg 1996;34:428–431.PubMedCrossRefGoogle Scholar
  71. 71.
    Sisk AL, Grover BJ. A comparison of preoperative and postoperative naproxen sodium for suppression of postoperative pain. J Oral Maxillofac Surg 1990;48:674–678.PubMedCrossRefGoogle Scholar
  72. 72.
    Sisk AL, Mosley RO, Martin RP. Comparison of preoperative and postoperative diflunisal for suppression of postoperative pain. J Oral Maxillofac Surg 1989;47:464–468.PubMedCrossRefGoogle Scholar
  73. 73.
    Buggy DJ, Wall C, Carton EG. Preoperative or postoperative diclofenac for laparoscopic tubal ligation. Br J Anaesth 1994;73:767–770.PubMedCrossRefGoogle Scholar
  74. 74.
    Nordbladh I, Ohlander B, Bjorkman R. Analgesia in tonsillectomy: a double-blind study on pre-and post-operative treatment with diclofenac. Clin Otolaryngol 1991;16:554–558.PubMedCrossRefGoogle Scholar
  75. 75.
    Nelson WE, Henderson RC, Almekinders LC, et al. An evaluation of pre-and postoperative nonsteroidal antiinflammatory drugs in patients undergoing knee arthroscopy: a prospective, randomized, double-blind study. Am J Sport Med 1993;21:510–516.CrossRefGoogle Scholar
  76. 76.
    Bunemann L, Thorshauge H, Herlevsen P, et al. Analgesia for outpatient surgery: placebo versus naproxen sodium (a nonsteroidal anti-inflammatory drug) given before or after surgery. Eur J Anaesth 1994;11:461–464.Google Scholar
  77. 77.
    Flath RK, Hicks ML, Dionne RA, et al. Pain suppression after pulpectomy with preoperative flurbiprofen. J Endodontics 1987;13:339–347.CrossRefGoogle Scholar
  78. 78.
    Fletcher D, Zetlaoui P, Monin S, et al. Influence of timing on the analgesic effect of intravenous ketorolac after orthopedic surgery. Pain 1995;61:291–297.PubMedCrossRefGoogle Scholar
  79. 79.
    Rogers JE, Fleming BG, Macintoch KC, et al. Effect of timing of ketorolac administration on patient-controlled opioid use. Br J Anaesth 1995;75:15–18.PubMedGoogle Scholar
  80. 80.
    Rømsing J, Østergaard D, Walther-Larsen S, et al. Analgesic efficacy and safety of preoperative versus postoperative ketorolac in pediatric tonsillectomy. Acta Anaesthesiol Scand 1998;42:770–775.PubMedCrossRefGoogle Scholar
  81. 81.
    Parke TJ, Lowson SM, Uncles DR, et al. Pre-emptive versus post-surgical administration of ketorolac for hysterectomy. Eur J Anaesthesiol 1995;12:549–553.PubMedGoogle Scholar
  82. 82.
    Vanlersberghe C, Lauwers, Camu F. Preoperative ketorolac administration has no preemptive analgesic effect for minor orthopaedic surgery. Acta Anaesthesiol Scand 1996;40:948–952.PubMedCrossRefGoogle Scholar
  83. 83.
    Peduto VA, Toscano A, D’Uva R, et al. Profilassi con ketorolac del dolore acuto postoperatorio. Minerva Anestesiol 1995;61:367–372.PubMedGoogle Scholar
  84. 84.
    Cabell CA. Does ketorolac produce preemptive analgesic effect in laparoscopic ambulatory surgery patients. AANA J 2000;68:343–349.PubMedGoogle Scholar
  85. 84A.
    Likar R, Krumpholz R, Mathiaschitz K, et al. The preemptive action of ketoprofen: randomized, double-blind study with gynecologic operation. Anaesthesist 1997;46:186–190.PubMedCrossRefGoogle Scholar
  86. 85.
    Likar R, Krumpholz, Pipam W, et al. Randomized, double-blind study with ketoprofen in gynecologic patients: preemptive analgesia study following the Breivik-Stubhaug design. Anaesthesist 1998;47:303–310.PubMedCrossRefGoogle Scholar
  87. 86.
    Vogel RI, Desjardins PJ, Major KV. Comparison of presurgical and immediate postsurgical ibuprofen on postoperative periodontal pain. J Periodontol 1992;63:914–918.PubMedGoogle Scholar
  88. 87.
    Richmond CE, Bromley LM, Woolf CJ. Preoperative morphine pre-empts postoperative pain. Lancet 1993;342:73–75.PubMedCrossRefGoogle Scholar
  89. 88.
    Mansfield MD, James KS, Kinsella J. Influence of dose and timing of administration of morphine on postoperative pain and analgesic requirements. Br Anaesth 1996;76:358–361.Google Scholar
  90. 89.
    Millar AY, Mansfield MD, Kinsella J. Influence of timing of morphine administration on postoperative pain and analgesic consumption. Br J Anaesth 1998;81:373–376.PubMedGoogle Scholar
  91. 90.
    Fassoulaki A, Sarantopoulos C, Zotou M, et al. Preemptive opioid analgesia does not influence pain after hysterectomy. Can J Anaesth 1995;42:109–113.PubMedGoogle Scholar
  92. 91.
    Griffin MJ, Hughes D, Knaggs A, et al. Late-onset preemptive analgesia associated with preincisional large-dose alfentanil. Anesth Analg 1999;85:1317–1321.CrossRefGoogle Scholar
  93. 92.
    Wilson RJ, Leith S, Jackson IJ, et al. Pre-emptive analgesia from intravenous administration of opioids. Anaesthesia 1994;49:591–593.PubMedCrossRefGoogle Scholar
  94. 93.
    Sarantopoulos C, Fassoulaki A. Sufentanil does not preempt pain after abdominal hysterectomy. Pain 1996;65:273–276.PubMedCrossRefGoogle Scholar
  95. 94.
    Nagasaka H, Taguchi M, Mizumoto Y, et al. Pre-emptive analgesia from intravenous administration of opioid: no effect with pentazocine. Masui 1996;45:750–755.PubMedGoogle Scholar
  96. 95.
    Fu ES, Miguel R, Scharf JE. Preemptive ketamine decreases postoperative narcotic requirements in patients undergoing abdominal surgery. Anesth Analg 1997;84:1086–1090.PubMedCrossRefGoogle Scholar
  97. 96.
    Adam F, Libier M, Oszustowicz T, et al. Preoperative small-dose ketamine has no preemptive analgesic effect in patients undergoing total mastectomy. Anesth Analg 1999;89:444–447.PubMedCrossRefGoogle Scholar
  98. 97.
    Heinke VW, Grimm D. Preemptive effekte durch ko-analgesie mit ketamin bei gynakologischen laparotomien? Anesthesiol Reanim 1999;24:60–64.Google Scholar
  99. 98.
    Menigaux C, Fletcher D, Dupont X, et al. The benefit of intraoperative small-dose ketamine on postoperative pain after anterior cruciate ligament repair. Anesth Analg 2000;90:129–135.PubMedCrossRefGoogle Scholar
  100. 99.
    Dahl V, Ernoe PE, Steen T, et al. Does ketamine have preemptive effects in women undergoing abdominal hysterectomy procedures? Anesth Analg 2000;90:1419–1422.PubMedCrossRefGoogle Scholar
  101. 100.
    Mathisen LC, Aasbø, Raeder J. Lack of pre-emptive analgesic effect of (R)-ketamine in laparoscopic cholecystectomy. Acta Anaesthesiol Scand 1999;43:220–224.PubMedCrossRefGoogle Scholar
  102. 101.
    Chia Y, Liu K, Chow L, et al. The preoperative administration of intravenous dextromethorphan reduces postoperative morphine consumption. Anesth Analg 1999;89:748–752.PubMedCrossRefGoogle Scholar
  103. 102.
    Wu CT, Yu JC, Yeh CC, et al. Preincisional dextromethorphan treatment decreases postoperative pain and opioid requirement after laparoscopic cholecystectomy. Anesth Analg 1999;88:1331–1334.PubMedCrossRefGoogle Scholar
  104. 103.
    Rockemann MG, Seeling W, Bischof C, et al. Prophylactic use of epidural mepivacaine/morphine, systemic diclofenac and metamizole reduces postoperative morphine consumption after major abdominal surgery. Anesthesiology 1996;84:1027–1034.PubMedCrossRefGoogle Scholar
  105. 104.
    Katz J, Kavanagh BP, Sandler AN, et al. Preemptive analgesia: clinical evidence of neuroplasticity contributing to postoperative pain. Anesthesiology 1992;77:439–446.PubMedCrossRefGoogle Scholar
  106. 105.
    Katz J, Clairoux M, Kavanagh BP, et al. Pre-emptive lumbar epidural anaesthesia reduces postoperative pain and patientcontrolled morphine consumption after lower abdominal surgery. Pain 1994;59:395–403.PubMedCrossRefGoogle Scholar
  107. 106.
    Kundra P, Gurnani A, Bhattacharya A. Preemptive epidural morphine for postoperative pain relief after lumbar laminectomy. Anesth Analg 1997;85:135–138.PubMedCrossRefGoogle Scholar
  108. 107.
    Espinet A, Henderson DJ, Faccenda KA, et al. Does preincisional thoracic extradural block combined with diclofenac reduce postoperative pain after abdominal hysterectomy. Br J Anaesth 1996;76:209–213.PubMedGoogle Scholar
  109. 108.
    Gil GM, Aguado RG, Rosso MT, et al. Estudio comparative entre morfina epidural lumbar preventiva o postincisional en cirugia resectiva pulmonar: informe preliminar. Rev Esp Anesthesiol Reanim 1998;45:384–388.Google Scholar
  110. 109.
    Richards JT, Read JRM, Chambers WA. Epidural anaesthesia as a method of pre-emptive analgesia for abdominal hysterectomy. Anaesthesia 1998;53:296–298.PubMedCrossRefGoogle Scholar
  111. 110.
    Choe H, Choi YS, Kim YH, et al. Epidural morphine plus ketamine for upper abdominal surgery: improved analgesia from preincisional administration. Anesth Analg 1997;84:560–563.PubMedCrossRefGoogle Scholar
  112. 111.
    Subramaniam B, Pawar DK, Kashyap L. Pre-emptive analgesia with epidural morphine or morphine and bupivacaine. Anaesth Intensive Care 2000;28:392–398.PubMedGoogle Scholar
  113. 112.
    Wong CS, Lu CC, Cherng CH, et al. Pre-emptive analgesia with ketamine, morphine and epidural lidocaine prior to total knee replacement. Can J Anaesth 1997;44:31–37.PubMedGoogle Scholar
  114. 113.
    Aguilar JL, Rincón R, Domingo V, et al. Absence of an early pre-emptive effect after thoracic extradural bupivacaine in thoracic surgery. Br J Anaesth 1996;76:72–76.PubMedGoogle Scholar
  115. 114.
    Dahl JB, Hansen BL, Hjortso NC, et al. Influence of timing on the effect of continuous extradural analgesia with bupivacaine and morphine after major abdominal surgery. Br J Anaesth 1992;69:4–8.PubMedCrossRefGoogle Scholar
  116. 115.
    Dahl JB, Daugaard JJ, Rasmussen B, et al. Immediate and prolonged effects of pre-versus postoperative epidural analgesia with bupivacaine and morphine on pain at rest and during mobilisation after total knee arthroplasty. Acta Anaesthesiol Scand 1994;38:557–561.PubMedCrossRefGoogle Scholar
  117. 116.
    Nonaka A, Kashimoto S. Does pre-operative epidural buprenor-phine improve postoperative pain? Pain Clin 1996;9:41–48.Google Scholar
  118. 117.
    Obata H, Saito S, Fujita N, et al. Epidural block with mepivacaine before surgery reduces long-term post-thoracoctomy pain. Can J Anaesth 1999;46:1127–1132.PubMedGoogle Scholar
  119. 118.
    Flisberg P, Törnebrandt K, Walther B. A comparison of the effects on postoperative pain relief of epidural analgesia started before or after surgery. Eur J Anaesthesiol 2000;17:627–633.PubMedGoogle Scholar
  120. 119.
    Nakamura T, Yokoo H, Hamakawa T. Preemptive analgesia produced with epidural analgesia administered prior to surgery. Masui 1994;43:1024–1028.PubMedGoogle Scholar
  121. 120.
    Rice LJ, Pudimat MA, Hannallah RS. Timing of caudal block placement in relation to surgery does not affect duration of postoperative analgesia in paediatric ambulatory patients. Can J Anaesth 1990;37:429–431.PubMedCrossRefGoogle Scholar
  122. 121.
    Holthausen H, Eichwede F, Stevens M, et al. Preemptive analgesia: comparison of preoperative with postoperative caudal block on postoperative pain in children. Br J Anaesth 1994;73:440–442.CrossRefGoogle Scholar
  123. 122.
    Ho JW, Khambatta HJ, Pang LM, et al. Preemptive analgesia in children: does it exist? Reg Anesth 1997;22:125–130.PubMedCrossRefGoogle Scholar
  124. 123.
    Kundra P, Deepalakshmi K, Ravishankar M. Preemptive caudal bupivacaine and morphine for postoperative analgesia in children. Anesth Analg 1998;87:52–56.PubMedCrossRefGoogle Scholar
  125. 124.
    Goodarzi M. The effect of perioperative and postoperative caudal block on pain control in children. Paediatr Anaesth 1996;6:475–477.PubMedCrossRefGoogle Scholar
  126. 125.
    Dakin MJ, Osinubi OYO, Carli F. Preoperative spinal bupivacaine does not reduce postoperative morphine requirement in women undergoing total abdominal hysterectomy. Reg Anesth 1996;21:99–102.PubMedGoogle Scholar
  127. 126.
    Ejlersen E, Andersen H, Eliasen K, et al. A comparison between pre-and postincisional lidocaine infiltration on postoperative pain. Anesth Analg 1992;74:495–498.PubMedCrossRefGoogle Scholar
  128. 127.
    Dierking G, Dahl J, Kanstrup J, et al. The effect of pre-versus postoperative inguinal field block on postoperative pain after herniotomy. Br J Anaesth 1992;68:344–348.PubMedCrossRefGoogle Scholar
  129. 128.
    Turner GA, Chalkiadis G. Comparison of preoperative with postoperative lignocaine infiltration on postoperative analgesic requirements. Br J Anaesth 1994;72:541–543.PubMedCrossRefGoogle Scholar
  130. 129.
    Ørntoft S, Løngren A, Møiniche S. A comparison of pre-and postoperative tonsillar infiltration with bupivacaine on pain after tonsillectomy: a pre-emptive effect? Anaesthesia 1994;94:151–154.CrossRefGoogle Scholar
  131. 130.
    Victory RA, Gajraj NM, Van Elstraete A, et al. Effect of preincision versus postincision infiltration with bupivacaine on postoperative pain. J Clin Anesth 1995;7:192–196.PubMedCrossRefGoogle Scholar
  132. 131.
    Dahl V, Ræder JC, Ernø PE, et al. Pre-emptive effect of pre-incisional infiltration of local anaesthesia on children undergoing hernioplasty. Acta Anaesthesiol Scand 1996;40:847–851.PubMedCrossRefGoogle Scholar
  133. 132.
    Badner NH, Bourne RB, Rorabeck CH, et al. Intra-articular injection of bupivacaine in knee-replacement operations: results of use for analgesia and for preemptive blockade. J Bone Joint Surg 1996;78:734–738.PubMedGoogle Scholar
  134. 133.
    Bourget JL, Clark J, Joy N. Comparing preincisional with postincisional bupivacaine infiltration in the management of postoperative pain. Arch Surg 1997;132:766–769.PubMedGoogle Scholar
  135. 134.
    Campbell WI, Kendrick RW. Pre-emptive analgesia using local anaesthesia: a study in bilaterally symmetrical surgery. Br J Anaesth 1997;79:657–659.PubMedGoogle Scholar
  136. 135.
    Campbell WI, Kendrick RW, Ramsay-Baggs P, et al. The effect of pre-operative administration of bupivacaine compared with its postoperative use. Anaesthesia 1997;52:1212–1216.PubMedCrossRefGoogle Scholar
  137. 136.
    O’Hanlon DM, Colbert ST, Keane PW. Preemptive bupivacaine offers no advantage to postoperative wound infiltration in analgesia for outpatient breast biopsy. Am J Surg 2000;180:29–32.PubMedCrossRefGoogle Scholar
  138. 137.
    Molliex S, Haond P, Baylot D, et al. Effect of pre-versus postoperative tonsillar infiltration with local anesthetics on postoperative pain after tonsillectomy. Acta Anaesthesiol Scand 1996;40:1210–1215.PubMedGoogle Scholar
  139. 138.
    Likar R, Morianz U, Wieser S, et al. Präemptive analgesie mit ropivacain bei tonsillektomien im erwachsenealter. Anaesthe-sist 1999;48:373–378.CrossRefGoogle Scholar
  140. 139.
    Elhakim M, Abdel Hay H. Comparison of preoperative with postoperative topical lidocaine spray on pain after tonsillectomy. Acta Anaesthesiol Scand 1995;39:1032–1035.PubMedCrossRefGoogle Scholar
  141. 140.
    Ke RW, Portera SG, Bagous W, et al. A randomized, doubleblinded trial of preemptive analgesia in laparoscopy. Obstet Gynecol 1998;92:972–975.PubMedCrossRefGoogle Scholar
  142. 141.
    Huffnagle HJ, Norris MC, Leighton BL, Arkoosh VA. Ilioinguinal iliohypogastric nerve blocks: before or after cesarean delivery under spinal anesthesia? Anesth Analg 1996;82:8–12.PubMedCrossRefGoogle Scholar
  143. 142.
    Altintas F, Bozkurt P, Ipek N, et al. The efficacy of pre-versus postsurgically axillary block on postoperative pain in paediatric patients. Paediatr Anaesth 2000;10:23–28.PubMedCrossRefGoogle Scholar
  144. 143.
    Doyle E, Bowler GMR. Pre-emptive effect of multimodal analgesia in thoracic surgery. Br J Anaesth 1998;80:147–151.PubMedGoogle Scholar
  145. 144.
    Pasqualucci A, De Angelis V, Contardo R. Preemptive analgesia: intraperitoneal local anesthetic in laparoscopic cholecystectomy. Anesthesiology 1996;85:11–20.PubMedCrossRefGoogle Scholar
  146. 145.
    White PF, Rawal S, Latham P, et al. Use of a continuous local anesthetic infusion for pain management after median sternotomy. Anesthesiology 2003;99:918–923.PubMedCrossRefGoogle Scholar
  147. 146.
    Oakley MJ, Smith JS, Anderson JR, et al. Randomized placebo-controlled trial of local anaesthetic infusion in day-case inguinal hernia repair. Br J Surg 1998;85:797–799.PubMedCrossRefGoogle Scholar
  148. 147.
    Savoie FH, Field LD, Jenkins RN, et al. The pain control infusion pump for postoperative pain control in shoulder surgery. Arthroscopy 2000;16:339–342.PubMedCrossRefGoogle Scholar
  149. 148.
    Joels CS, Mostafa G, Matthews BD, et al. Factors affecting intravenous analgesic requirements after colectomy. J Am Coll Surg 2003;197:780–785.PubMedCrossRefGoogle Scholar
  150. 149.
    Hendolin HI, Paakonen ME, Alhava EM, et al. Laparoscopic or open cholecystectomy: a prospective randomised trial to compare postoperative pain, pulmonary function, and stress response. Eur J Surg 2000;166:394–399.PubMedCrossRefGoogle Scholar
  151. 150.
    Long KH, Bannon MP, Zietlow SP, et al. A prospective randomized comparison of laparoscopic appendectomy with open appendectomy: clinical and economic analyses. Surgery 2001;129:390–400.PubMedGoogle Scholar
  152. 151.
    Nilsson G, Larsson S, Johnsson F. Randomized clinical trial of laparoscopic versus open fundoplication: blind evaluation of recovery and discharge period. Br J Surg 2000;87:873–878.PubMedCrossRefGoogle Scholar
  153. 152.
    Flisberg P. Pain relief and safety after major surgery. A prospective study of epidural and intravenous analgesia in 2696 patients. Acta Anaesthesiol Scand 2003;47:457–465.PubMedCrossRefGoogle Scholar
  154. 153.
    Senagore AJ. Randomized clinical trial comparing epidural anaesthesia and patient-controlled analgesia after laparoscopic segmental colectomy. Br J Surg 2003;90:1195–1199.PubMedCrossRefGoogle Scholar
  155. 154.
    American College of Surgeons 89th Clinical Congress 10/2003. Acute pain Management in Patients with Chronic Nonmalignant Pain; p. 45.Google Scholar

Suggested Reading

  1. Karanikolas M. Current trends in perioperative pain management. Anesthesiol Clin North Am 2000;18:575–599.CrossRefGoogle Scholar
  2. Schecter WP, Bongard FS, Gainor BJ. Pain control in outpatient surgery. J Am Coll Surg 2002;195:95–104.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Susannah S. Wise
    • 1
  1. 1.Department of SurgeryUniversity of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical SchoolNew BrunswickUSA

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