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Postoperative Pain Management

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Practical Trends in Anesthesia and Intensive Care 2018

Abstract

Pain is probably the sensation that most characterizes the postoperative course of patients who have undergone surgery. Inadequate treatment strongly worsens the patient’s judgment, may lengthen the duration of hospitalization, and may favor the chronicization of pain. The current setting of postoperative antalgic therapy is multimodal and multidisciplinary. An excellent organization and the allocation of adequate resources are necessary to get the best result.

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References

  1. Linee guida SIAARTI per il “Trattamento del dolore postoperatorio”. http://www.siaarti.it/Ricerca/Trattamento-del-dolore-postoperatorio.aspx.

  2. Chou R, Gordon DB, de Leon-Casasola OA, et al. Management of postoperative pain: a clinical practice guideline from the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists’ Committee on Regional Anesthesia, Executive Committee, and Administrative Council. J Pain. 2016;17:131–57.

    Article  Google Scholar 

  3. American Society of Anesthesiologists Task Force on Acute Pain Management. Practice guidelines for acute pain management in the perioperative setting: an updated report by the American Society of Anesthesiologists Task Force on Acute Pain Management. Anesthesiology. 2012;116:248–73.

    Article  Google Scholar 

  4. Conacher ID. Pain relief after thoracotomy. Br J Anaesth. 1990;65:806–12.

    Article  CAS  Google Scholar 

  5. Kolettas A, Lazaridis G, Baka S, et al. Postoperative pain management. J Thorac Dis. 2015;7:S62–72.

    PubMed  PubMed Central  Google Scholar 

  6. Tennant F. The physiologic effects of pain on the endocrine system. Pain Ther. 2013;2:75–86.

    Article  Google Scholar 

  7. Kaye AD, Patel N, Bueno FR, et al. Effect of opiates, anesthetic techniques, and other perioperative factors on surgical cancer patients. Ochsner J. 2014;14:216–28.

    PubMed  PubMed Central  Google Scholar 

  8. Snyder GL, Greenberg S. Effect of anaesthetic technique and other perioperative factors on cancer recurrence. Br J Anaesth. 2010;105:106–15.

    Article  CAS  Google Scholar 

  9. Humble SR, Dalton AJ, Li L. A systematic review of therapeutic interventions to reduce acute and chronic post-surgical pain after amputation, thoracotomy or mastectomy. Eur J Pain. 2015;19:451–65.

    Article  CAS  Google Scholar 

  10. Amaya F, Hosokawa T, Okamoto A, et al. Can acute pain treatment reduce postsurgical comorbidity after breast cancer surgery? A literature review. Biomed Res Int. 2015;2015, 641508

    Google Scholar 

  11. Carroll I, Hah J, Mackey S, et al. Perioperative interventions to reduce chronic postsurgical pain. J Reconstr Microsurg. 2013;29:213–22.

    Article  Google Scholar 

  12. Andreae MH, Andreae DA. Regional anaesthesia to prevent chronic pain after surgery: a Cochrane systematic review and meta-analysis. Br J Anaesthesia. 2013;111:711–20.

    Article  CAS  Google Scholar 

  13. Legge 15 marzo 2010, n. 38 concernente “Disposizioni per garantire l’accesso alle cure palliative e alla terapia del dolore” (Gazzetta Ufficiale n. 65 del 19 marzo 2010).

    Google Scholar 

  14. Buvanendran A, Kroin JS. Multimodal analgesia for controlling acute postoperative pain. Curr Opin Anaesthesiol. 2009;22:588–93.

    Article  Google Scholar 

  15. Crews JC. Multimodal pain management strategies for office-based and ambulatory procedures. JAMA. 2002;288:629–32.

    Article  Google Scholar 

  16. Garimella V, Cellini C. Postoperative pain control. Clin Colon Rectal Surg. 2013;26:191–6.

    Article  Google Scholar 

  17. Vadivelu N, Mitra S, Schermer E, Kodumudi V, Kaye AD, Urman RD. Preventive analgesia for postoperative pain control: a broader concept. Loc Reg Anesth. 2014;7:17–22.

    Google Scholar 

  18. Hoffmann H, Kettelhack C. Fast-track surgery—conditions and challenges in postsurgical treatment: a review of elements of translational research in enhanced recovery after surgery. Surg Res. 2012;49:24–34.

    Article  CAS  Google Scholar 

  19. Pattinson KTS. Opioids and the control of respiration. Br J Anaesth. 2008;100:747–58.

    Article  CAS  Google Scholar 

  20. Koh W, Nguyen KP, Jahr JS. Intravenous non-opioid analgesia for peri- and postoperative pain management: a scientific review of intravenous acetaminophen and ibuprofen. Korean J Anesthesiol. 2015;68:3–12.

    Article  CAS  Google Scholar 

  21. Warner TD, Giuliano F, Vojnovic I, Bukasa A, Mitchell JA, Vane JR. Nonsteroid drug selectivities for cyclo-oxygenase-1 rather than cyclooxygenase-2 are associated with human gastrointestinal toxicity: a full in vitro analysis. Proc Natl Acad Sci U S A. 1999;96:7563–8.

    Article  CAS  Google Scholar 

  22. Jouguelet-Lacoste J, La Colla L, Schilling D, Chelly JE. The use of intravenous infusion or single dose of low-dose ketamine for postoperative analgesia: a review of the current literature. Pain Med. 2015;16:383–403.

    Article  Google Scholar 

  23. Mishriky BM, Waldronand NH, Habib AS. Impact of pregabalin on acute and persistent postoperative pain: a systematic review and meta-analysis. Br J Anaesthesia. 2015;114:10–31.

    Article  CAS  Google Scholar 

  24. Ballantyne JC, Carr DB, Chalmers TC, Dear KB, Angelillo IF, Mosteller F. Postoperative patient-controlled analgesia: meta-analyses of initial randomized control trials. J Clin Anesth. 1993;5:182–93.

    Article  CAS  Google Scholar 

  25. Hudcova J, McNicol E, Quah C, Lau J, Carr DB. Patient controlled opioid analgesia versus conventional opioid analgesia for postoperative pain. Cochrane Database Syst Rev. 2006;(4):CD003348.

    Google Scholar 

  26. Ren ZY, Xu XQ, Bao YP, et al. The impact of genetic variation on sensitivity to opioid analgesics in patients with postoperative pain: a systematic review and meta-analysis. Pain Physician. 2015;18:131–52.

    PubMed  Google Scholar 

  27. Dean L. Codeine therapy and CYP2D6 genotype. In: Pratt V, McLeod H, Dean L, Malheiro A, Rubinstein W, editors. Medical genetics summaries [Internet]. Bethesda, MD: National Center for Biotechnology Information (US); 2012. [Updated 16 Mar 2017]. https://www.ncbi.nlm.nih.gov/books/NBK100662/.

    Google Scholar 

  28. Hopkins PM. Does regional anaesthesia improve outcome? Br J Anaesth. 2015;115(Suppl 2):ii26–33.

    Article  Google Scholar 

  29. Barreveld A, Witte J, Harkirat Chahal V, Durieux ME, Strichartz VG. Preventive analgesia by local anesthetics: the reduction of postoperative pain by peripheral nerve blocks and intravenous drugs. Anesth Analg. 2013;116:1141–61.

    Article  CAS  Google Scholar 

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Correspondence to Franco Cavaliere .

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Cavaliere, F., Cavaliere, C. (2019). Postoperative Pain Management. In: Chiumello, D. (eds) Practical Trends in Anesthesia and Intensive Care 2018. Springer, Cham. https://doi.org/10.1007/978-3-319-94189-9_4

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  • DOI: https://doi.org/10.1007/978-3-319-94189-9_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-94188-2

  • Online ISBN: 978-3-319-94189-9

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