학술논문
Considerations for Better Management of Postoperative Pain in Light of Chronic Postoperative Pain: A Narrative Review.
Document Type
Academic Journal
Author
Gómez M; Federación Latinoamericana de Asociaciones para el Estudio del Dolor, Hospital Universitario Nacional de Colombia, Bogotá, COL.; Izquierdo CE; Pain Management and Palliative Care, Instituto Nacional de Salud del Nino, San Borja, PER.; Mayoral Rojals V; Anesthesiology, Bellvitge Hospital, L'Hospitalet de Llobregat, ESP.; Pergolizzi J Jr; Pain Medicine and Critical Care Medicine, Nema Research, Inc., Naples, USA.; Plancarte Sanchez R; Anesthesiology, University Autonomous of Mexico, Mexico City, MEX.; Paladini A; Department of Life, Health and Environmental Sciences (MESVA), University of L'Aquila, L'Aquila, ITA.; Varrassi G; Pain Management, Paolo Procacci Foundation, Rome, ITA.
Source
Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE
Subject
Language
English
ISSN
2168-8184
Abstract
Chronic postoperative pain (CPOP) is prevalent, with particularly high rates in breast surgery, thoracotomy, and amputation. As the world emerges from the coronavirus disease 2019 (COVID-19) lockdowns, it is expected that there will be an increase in surgical procedures, elevating the importance of preventing CPOP in the coming years. Risk factors are emerging to better stratify patients at high risk for CPOP. Perioperative analgesia plays an important role in managing acute postoperative pain and in some cases may limit its transition to CPOP. Acute postoperative pain is adaptive, normal, expected, and has a well-defined trajectory, while CPOP is maladaptive and, as a form of chronic pain, is challenging to treat. Good analgesia, early ambulation, and rehabilitation efforts may be helpful in preventing CPOP following certain surgeries. Enhanced Recovery After Surgery (ERAS) protocols present guidance to help promote recovery and prevent CPOP.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2022, Gómez et al.)
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2022, Gómez et al.)