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
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Predictors of one year chronic post-surgical pain trajectories following thoracic surgery
Christopher W Liu,M. Gabrielle Pagé,Aliza Weinrib,Dorothy Wong,Alexander Huang,Alexander Huang,Karen McRae,Karen McRae,Joseph Fiorellino,Joseph Fiorellino,Diana Tamir,Diana Tamir,Michael Kahn,Michael Kahn,Rita Katznelson,Rita Katznelson,Karim S. Ladha,Faraj W. Abdallah,Marcelo Cypel,Kazuhiro Yasufuku,Vincent W. S. Chan,Monica Parry,James Khan,Joel Katz,Hance Clarke,Hance Clarke +25 more
TL;DR: In this paper, the authors describe the pain trajectories of patients undergoing thoracic surgery beginning preoperatively and up to 1-year after surgery using growth mixture modeling, and find that patients with moderate to severe postoperative pain intensity were much more likely to develop chronic post-surgical pain compared to patients with mild pain intensity.
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Effect of perioperative oral pregabalin on the incidence of post-thoracotomy pain syndrome
TL;DR: Perioperative pregabalin reduces the incidence of chronic post-thoracotomy pain, with less postoperative morphine consumption together with early hospital discharge, with no statistical difference was found inThe incidence of complications.
Journal ArticleDOI
Sleep Well and Recover Faster with Less Pain-A Narrative Review on Sleep in the Perioperative Period
Reetta Sipilä,Eija Kalso +1 more
TL;DR: In this article, the authors discuss why it is important to be aware of sleep disturbances both before and after surgery, to know how sleep disturbances should be assessed and monitored, and to understand how better sleep can be supported by both pharmacological and non-pharmacological interventions.
Journal ArticleDOI
The Effectiveness of Hand Massage on Pain in Critically Ill Patients After Cardiac Surgery: A Randomized Controlled Trial Protocol.
TL;DR: This study will be one of the first randomized controlled trials to examine the effect of hand massage on the pain levels of critically ill patients after cardiac surgery and to provide empirical evidence for the use of massage among this population.
Journal ArticleDOI
What Is the Latest in Pain Mechanisms and Management
TL;DR: In situations where patients do not have a major psychiatric disorder but where the psychiatrist thinks the patient is overly concerned about the pain, Katz et al3 support that adjustment disorder is the most appropriate diagnosis and will minimize stigmatization of people suffering with chronic pain.
References
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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
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