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Author Spotlight: Regenerative Peripheral Nerve Interface (RPNI) Surgery in Postamputation Pain Management
Published on: March 15, 2024
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Perioperative Pain Management Strategies for Amputation: A Topical Review
Michael L Kent1, Hung-Lun John Hsia2, Thomas J Van de Ven2
1Department of Anesthesiology, Walter Reed National Military Medical Center, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
Pain Medicine (Malden, Mass.)
|July 13, 2016
Summary
Effective acute pain management after amputation requires tailored, catheter-based techniques and a multidisciplinary approach. This strategy is crucial for alleviating residual limb and phantom limb pain in the immediate postoperative setting.
Area of Science:
- Pain Management
- Surgical Recovery
- Amputation Care
Background:
- Amputation patients experience significant acute residual limb and phantom limb pain.
- Existing research often prioritizes long-term pain prevention over immediate postoperative outcomes.
- Perioperative pharmacologic agents and interventional techniques have been explored for pain relief.
Purpose of the Study:
- To review acute pain management strategies for amputation patients.
- To consider preoperative factors, pharmacologic/interventional modalities, and multidisciplinary care.
- To alleviate immediate post-amputation suffering.
Main Methods:
- Focused literature review.
- Examination of pharmacologic agents (gabapentin, ketamine, calcitonin).
- Evaluation of interventional modalities (neuraxial and perineural catheters).
Main Results:
- Pharmacologic agents showed inconsistent efficacy.
- Neuraxial analgesia offered opioid-sparing and analgesic benefits.
- Perineural catheters showed mixed results, with potential benefits from prolonged use and improved techniques.
Conclusions:
- Patient-tailored, catheter-based analgesic regimens are essential for acute post-amputation pain.
- A multidisciplinary approach is necessary for optimal patient care.
- Future research should compare effective analgesic regimens and improve acute pain measurement.
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