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Related Concept Videos

Analgesia and Pain Management01:25

Analgesia and Pain Management

614
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...
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SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

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SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
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Dynamic Quantitative Sensory Testing to Characterize Central Pain Processing
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Transitional Pain Service: An Update.

Ruben Klimke1, Alexander Ott1, Carolina S Romero2,3

  • 1Department of Anaesthesiology Rescue- and Pain Medicine, Cantonal Hospital of St. Gallen, St. Gallen, Switzerland.

Current Pain and Headache Reports
|March 26, 2024
PubMed
Summary
This summary is machine-generated.

Transitional Pain Service (TPS) helps reduce opioid use and improve function after surgery. More research is needed to confirm if TPS prevents chronic postsurgical pain (CPSP).

Keywords:
Chronic painOpioidsPerioperative painPostsurgical pianTransitional pain service

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Area of Science:

  • Pain Medicine
  • Surgical Outcomes
  • Healthcare Management

Background:

  • Chronic postsurgical pain (CPSP) and opioid dependency are significant risks after major surgery.
  • Transitional Pain Service (TPS) offers an interdisciplinary approach to perioperative pain management.
  • TPS aims to prevent acute pain from becoming chronic through continuous, patient-centered care.

Purpose of the Study:

  • To review the framework, principles, and evidence for Transitional Pain Service (TPS).
  • To summarize interventions for managing postoperative pain within a TPS model.
  • To identify future research directions for TPS.

Main Methods:

  • Review of existing literature on Transitional Pain Service (TPS).
  • Synthesis of evidence regarding TPS effectiveness and interventions.
  • Discussion of current gaps and future research needs in TPS.

Main Results:

  • Studies indicate TPS can reduce perioperative and post-discharge opioid consumption.
  • Evidence suggests TPS improves functional outcomes, with patients reporting less pain severity and interference.
  • Direct evidence linking TPS to a reduction in the incidence of chronic postsurgical pain (CPSP) is still lacking.

Conclusions:

  • Transitional Pain Service (TPS) shows promise in managing postoperative pain and reducing opioid use.
  • Further research is required to establish TPS's definitive impact on preventing chronic postsurgical pain (CPSP).
  • Evaluation of TPS cost-effectiveness and expansion via digital health is warranted.