Related Experiment Video
Updated: Aug 8, 2025
06:04
Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
Published on: July 4, 2018
8.9K
Pain Management in the Post-COVID Era-An Update: A Narrative Review
Salah N El-Tallawy1,2, Joseph V Perglozzi3, Rania S Ahmed4
1Anesthesia and Pain Department, College of Medicine, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia. salaheltallawy@yahoo.com.
Pain and Therapy
|February 28, 2023
Summary
Post-COVID conditions frequently involve chronic pain, affecting individuals even after acute COVID-19 infection resolves. This review examines long COVID
Area of Science:
- Pain Medicine
- Infectious Diseases
- Public Health
Background:
- COVID-19 infection can lead to prolonged health issues, known as post-COVID conditions or long COVID.
- Chronic pain is a frequently reported symptom in the post-COVID and long COVID periods.
- The pandemic has highlighted the significant impact of chronic pain on individuals and healthcare systems.
Purpose of the Study:
- To provide a comprehensive overview of post-COVID pain.
- To explore the impact of long COVID on individuals with chronic pain.
- To report on the prevalence, risk factors, mechanisms, presentations, and management of post-COVID pain.
Main Methods:
- A systematic review of literature was conducted.
- Computerized searches were performed across major databases (PubMed, Scopus, MEDLINE, Web of Science, EMBASE) from January 2020 to January 2023.
- Fifty-eight articles meeting predefined criteria were included in the analysis.
Main Results:
- Post-COVID conditions can manifest with a wide range of symptoms, including shortness of breath, fatigue, and various types of pain.
- A high incidence of chronic pain syndromes of diverse localization was observed in the post-COVID and long COVID periods.
- Chronic pain can be newly developed, worsened from pre-existing conditions, or de novo in previously healthy individuals post-COVID-19.
Conclusions:
- Chronic pain is a significant and prevalent issue in post-COVID and long COVID patients.
- Effective and individualized treatment strategies are crucial for managing chronic pain in this population.
- Further research into the mechanisms and management of post-COVID pain is warranted.
Related Concept Videos
01:23Peripheral Artery Disease V: Postoperative Nursing Management
16
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
16
01:25Analgesia and Pain Management
705
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
705
01:29Chronic Obstructive Pulmonary Disease-V: Management
2.7K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.7K
01:29Chronic Pancreatitis II: Collaborative Care
122
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
122
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
21
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
21
01:28Acute Coronary Syndrome IV: Interprofessional Care
19
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
19