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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Management of postoperative pain
TL;DR: Recovery room protocols to include pain as a fifth vital sign that needs to be addressed before patients are discharged to the ward are led, and the importance of an acute pain service in hospitals has been shown to be invaluable.
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Median sternotomy pain after cardiac surgery: To block, or not? A systematic review and meta‐analysis
Morgan Victoria King,T. Stambulic,Syed M. Ali Hassan,Patrick A Norman,K. R. Derry,Darrin Payne,Mohammad El Diasty +6 more
TL;DR: Parasternal intercostal block has emerged as part of a multimodal strategy to control pain after median sternotomy, but the effectiveness of this intervention on postoperative pain control and analgesic use has not been fully established.
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The Effect of Transversus Abdominis Plane Block in Inguinal Hernioplasty on Chronic Pain
TL;DR: The TAP block is an effective method to prevent chronic pain development after inguinal hernioplasty compared to the other two methods.
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The effect of low dose fentanyl as a premedication before induction of general anesthesia on the neonatal apgar score in cesarean section delivery: randomized, double-blind controlled trial.
TL;DR: Administration of 1μg/Kg intravenous Fentanyl before the induction of anesthesia for cesarean section delivery decreases maternal hemodynamic changes after intubation, and does not have any effect on Apgar scores of the neonate in the 1st and 5th minutes after birth.
Journal ArticleDOI
Medial open transversus abdominis plane (MOTAP) catheters for analgesia following open liver resection: study protocol for a randomized controlled trial.
Paul J. Karanicolas,Paul J. Karanicolas,Sean P. Cleary,Sean P. Cleary,Paul McHardy,Paul McHardy,Stuart A. McCluskey,Stuart A. McCluskey,Jason Sawyer,Salima S.J. Ladak,Calvin Law,Calvin Law,Alice C. Wei,Alice C. Wei,Natalie G. Coburn,Natalie G. Coburn,Raynauld Ko,Raynauld Ko,Joel Katz,Alex Kiss,James S. Khan,Srinivas Coimbatore,Jenny Lam-McCulloch,Hance Clarke,Hance Clarke +24 more
TL;DR: A modification of a regional technique called medial open transversus abdominis plane (MOTAP) catheter analgesia, which involves surgically placed catheters through the open surgical site into a plane between the internal oblique muscle and the transverse abdominis muscle superiorly is developed.
References
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Journal ArticleDOI
Comparison of Upper Gastrointestinal Toxicity of Rofecoxib and Naproxen in Patients with Rheumatoid Arthritis
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