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Transitional Pain Service: Optimizing Complex Surgical Patients.

Sophia Dunworth1,2, Atilio Barbeito1,2, Harika Nagavelli1,2

  • 1Department of Anesthesiology, Duke University School of Medicine, PO Box 3094, Durham, NC, 27701, USA.

Current Pain and Headache Reports
|December 20, 2023
PubMed
Summary
This summary is machine-generated.

Transitional pain services (TPS) show promise in managing complex postsurgical pain. Implementing a multidisciplinary TPS can decrease opioid use and improve patient outcomes.

Keywords:
Acute painOpioid-sparingPostsurgical painTransitional pain service

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Area of Science:

  • Pain Management
  • Anesthesiology
  • Healthcare Systems

Background:

  • Complex postsurgical pain presents a significant challenge for healthcare systems.
  • Transitional pain services (TPS) are an emerging model for perioperative pain care.
  • Adoption of TPS in the USA remains limited.

Purpose of the Study:

  • To explore the benefits and barriers associated with transitional pain services.
  • To describe the development and implementation of a TPS at a tertiary medical center.

Main Methods:

  • Development of a multidisciplinary TPS model involving anesthesiologists, pain psychologists, surgeons, and advanced practice providers.
  • Provision of longitudinal care: preoperative education and optimization, perioperative multimodal analgesia, and 90-day post-procedure follow-up.

Main Results:

  • Evidence suggests TPS reduces postsurgical opioid consumption in chronic opioid users.
  • TPS adoption is associated with a lower incidence of chronic opioid use in opioid-naïve patients.
  • Implementation at a tertiary center aims to improve outcomes for complex pain patients.

Conclusions:

  • Transitional pain services offer a structured approach to perioperative pain management.
  • Multidisciplinary, longitudinal care through TPS can potentially reduce long-term opioid dependence.
  • Further adoption of TPS may enhance functional outcomes for patients with complex postsurgical pain.