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Published on: March 1, 2024
Chronic postsurgical pain: current evidence for prevention and management
Parineeta Thapa1, Pramote Euasobhon2
1Department of Anaesthesiology and Critical Care, B. P. Koirala Institute of Health Sciences, Dharan, Nepal.
Preventing chronic postsurgical pain (CPSP) involves tailored strategies for high-risk operations. Management focuses on pharmacological treatments, interventions, and therapies to alleviate patient suffering and improve outcomes.
Area of Science:
- Pain Management
- Surgical Outcomes
- Anesthesiology
Background:
- Chronic postsurgical pain (CPSP) is a significant adverse event impacting patient function and well-being.
- Effective prevention and management strategies are crucial for high-risk surgical procedures.
- CPSP often involves neuropathic pain components, guiding treatment approaches.
Purpose of the Study:
- To review and highlight preventive strategies for CPSP.
- To outline current recommendations for pharmacological and interventional management of CPSP.
- To emphasize the importance of addressing psychosocial risk factors.
Main Methods:
- Review of existing literature on CPSP prevention and management.
- Analysis of pharmacological treatments based on neuropathic pain data.
- Exploration of interventional and non-pharmacological therapeutic options.
Main Results:
- Preventive strategies include surgical technique modification, perioperative pain control, and preoperative psychological interventions.
- Pharmacological treatments focus on voltage-dependent calcium channel antagonists, antidepressants, and topical agents.
- Interventional options and supportive therapies like physical and cognitive behavioral therapy are vital for refractory cases.
Conclusions:
- A multimodal approach is essential for preventing and managing CPSP effectively.
- Timely identification of risk factors and tailored interventions improve patient outcomes.
- Addressing both the physical and psychological aspects of pain is key to reducing patient suffering.
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