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Chronic postsurgical pain: prevention and management.

Deepak Ravindran

    Journal of Pain & Palliative Care Pharmacotherapy
    |February 21, 2014
    PubMed
    Summary

    Chronic postsurgical pain (CPSP) affects up to one-third of patients after surgery. Prevention involves managing acute pain, using gabapentin or pregabalin, and considering surgical necessity.

    Area of Science:

    • Pain Medicine
    • Surgical Outcomes
    • Anesthesiology

    Background:

    • Chronic postsurgical pain (CPSP) is a prevalent complication following surgery.
    • Up to 33% of patients experience persistent or intermittent pain one year post-operation.
    • CPSP is defined as pain developing after surgery, lasting at least two months, with other causes excluded.

    Purpose of the Study:

    • To define chronic postsurgical pain (CPSP).
    • To identify contributing factors to CPSP.
    • To outline preventive strategies for CPSP.

    Main Methods:

    • Literature review of factors contributing to CPSP.
    • Analysis of proposed definitions for CPSP.
    • Synthesis of evidence-based preventive strategies.

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    Main Results:

    • CPSP definition: pain ≥2 months post-surgery, excluding other causes.
    • Preoperative, intraoperative, and postoperative factors influence CPSP development.
    • Effective acute pain management is crucial for prevention.

    Conclusions:

    • Multifactorial approach is needed for CPSP prevention.
    • Pharmacological interventions like gabapentin/pregabalin show promise.
    • Careful consideration of surgical necessity and alternatives is recommended.