Transition from acute to chronic postsurgical pain: risk factors and protective factors
Joel Katz,Ze'ev Seltzer +1 more
TLDR
It is argued that a focus on the transition from acute to chronic pain may reveal important cues that will help to predict who will go on to develop chronic pain and who will not and how to identify the risk factors and protective factors that predict the course of recovery.Abstract:
Most patients who undergo surgery recover uneventfully and resume their normal daily activities within weeks. Nevertheless, chronic postsurgical pain develops in an alarming proportion of patients. The prevailing approach of focusing on established chronic pain implicitly assumes that information generated during the acute injury phase is not important to the subsequent development of chronic pain. However, a rarely appreciated fact is that every chronic pain was once acute. Here, we argue that a focus on the transition from acute to chronic pain may reveal important cues that will help us to predict who will go on to develop chronic pain and who will not. Unlike other injuries, surgery presents a unique set of circumstances in which the precise timing of the physical insult and ensuing pain are known in advance. This provides an opportunity, before surgery, to identify the risk factors and protective factors that predict the course of recovery. In this paper, the epidemiology of chronic postsurgical pain...read more
Citations
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Proceedings Article
Acceptability of a Web-Based and Tailored Intervention for the Self-Management of Pain after Cardiac Surgery: The Perception of Women and Men
TL;DR: In this article, a computer-tailored and web-based intervention (SOULAGE-TAVI) for self-management of pain was developed for adults undergoing cardiac surgery.
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TL;DR: In this issue of Scandinavian Journal of Pain a multidisciplinary roup of authors presents an interesting systematic review on rismus in head and neck cancer including an illustrative case eport.
Journal ArticleDOI
Ethics of treating postoperative pain
TL;DR: You received a call advising that Mr H. Irk was in the emergency room having considerable wound pain following an above-knee amputation you performed 6 months ago, and you admitted him with orders for analgesics.
Journal ArticleDOI
An Interactive Pain Application (MServ) Improves Postoperative Pain Management.
Richard Gordon-Williams,Andreia Trigo,Paul Bassett,Amanda C. de C. Williams,Stephen Cone,Martin Lees,Brigitta Brandner +6 more
TL;DR: In this paper, the authors investigated the efficacy of multifunction pain management software (MServ) in improving postoperative pain control and reducing opioid prescription at discharge, and found that patients with a device were three times less likely to be prescribed strong opioids on discharge (OR 0.35, 95% CI 0.13 to 0.95).
Dissertation
Análisis de las trayectorias de dolor posoperatorio, primera hora vs. 24 horas. estudio observacional en 234 pacientes.
Jairo Moyano Acevedo,María Claudia Quiroga Garzón,Yuri Alejandra Tellez,Daniel Benitez Avila,Sebastián Duque Yemail,David Espitia Palacio +5 more
TL;DR: In this article, the dolor posoperatorio no controlado is an indicator of dolor severo, i.e., when a patient experiences dolor in the first day of recuperación.
References
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Journal ArticleDOI
Measuring the thickness of the human cerebral cortex from magnetic resonance images
Bruce Fischl,Anders M. Dale +1 more
TL;DR: An automated method for accurately measuring the thickness of the cerebral cortex across the entire brain and for generating cross-subject statistics in a coordinate system based on cortical anatomy is presented.
Journal ArticleDOI
A peripheral mononeuropathy in rat that produces disorders of pain sensation like those seen in man.
Gary J. Bennett,Y.-K. Xie +1 more
TL;DR: A peripheral mononeuropathy was produced in adult rats by placing loosely constrictive ligatures around the common sciatic nerve and the postoperative behavior of these rats indicated that hyperalgesia, allodynia and, possibly, spontaneous pain were produced.
Book
Classification of Chronic Pain: Descriptions of Chronic Pain Syndromes and Definitions of Pain Terms
Journal ArticleDOI
Comparison of Upper Gastrointestinal Toxicity of Rofecoxib and Naproxen in Patients with Rheumatoid Arthritis
Claire Bombardier,Loren Laine,Alise S. Reicin,Deborah R. Shapiro,Ruben Burgos-Vargas,Barry R. Davis,Richard O. Day,Marcos Bosi Ferraz,Christopher J. Hawkey,Marc C. Hochberg,Tore K Kvien,Thomas J. Schnitzer +11 more
TL;DR: In patients with rheumatoid arthritis, treatment with rofecoxib, a selective inhibitor of cyclooxygenase-2, is associated with significantly fewer clinically important upper gastrointestinal events than treatment with naproxen, a nonselective inhibitor.
Journal ArticleDOI
Neuronal plasticity: increasing the gain in pain.
TL;DR: Here, a conceptual framework for the contribution of plasticity in primary sensory and dorsal horn neurons to the pathogenesis of pain is developed, identifying distinct forms of Plasticity, which are term activation, modulation, and modification, that by increasing gain, elicit pain hypersensitivity.