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Overview of management options

  • Michael Serpell

Abstract

The processing of nociception involves multiple neural pathways, transmitters and receptors. All this suggests that there will never be a single ‘magic bullet’ analgesic drug. Optimum pain control will therefore require a multimodal approach using several analgesic therapies.

Keywords

Chronic Pain Neuropathic Pain Inguinal Hernia Surgery Regional Analgesia Integrate Care Pathway 
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.
    Moskowitz RW, Abramson SB, Berenbaum F, et al. Coxibs and NSAID s — is the air any clearer? Osteoarthritis Cartilage 2007; 15:849–56.PubMedCrossRefGoogle Scholar
  2. 2.
    Recommendations for the Appropriate Use of Opioids for Non-cancer Pain. London: British Pain Society, 2004 (available from http://www.britishpainsociety.org/book_opioid_main.pdf). Last accessed 8 January 2008.Google Scholar
  3. 3.
    Finnerup NB, Otto M, McQuay HJ, Jensen TS, Sindrup SH. Algorithm for neuropathic pain treatment: an evidence-based proposal. Pain 2005; 118:289–305.PubMedCrossRefGoogle Scholar
  4. 4.
    Gilron I, Bailey JM, Tu D, et al. Morphine, gabapentin, or their combination for neuropathic pain. N Engl J Med 2005; 352:1324–34.PubMedCrossRefGoogle Scholar
  5. 5.
    National Health and Medical Research Council. Acute Pain Management: Scientific Evidence, 2nd edn. Canberra: NHMRC, 2005 (available from http://www.nhmrc.gov.au/publications/synopses/_files/cp104.pdf). Last accessed 8 January 2008.Google Scholar
  6. 6.
    Perkins FM, Kehlet H. Chronic pain as an outcome of surgery. A review of predictive factors. Anesthesiology 2000; 93:1123–33.PubMedCrossRefGoogle Scholar
  7. 7.
    Morley S, Eccleston C, Williams, A. Systematic review and meta-analysis of randomized controlled trials of cognitive behaviour therapy and behaviour therapy for chronic pain in adults, excluding headache. Pain 2000; 80:1–13.CrossRefGoogle Scholar
  8. 8.
    Foley KM. Acute and chronic cancer pain syndromes. In: Doyle D, Hanks G, Cherny N, Calman K (eds). Oxford Textbook of Palliative Medicine, 3rd edn. Oxford: Oxford University Press, 2004.Google Scholar

Copyright information

© Current Medicine Group, a part of Springer Science+Business Media 2008

Authors and Affiliations

  • Michael Serpell
    • 1
  1. 1.University Department of AnaesthesiaGartnavel General HospitalGlasgowScotland

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