scholarly journals Postoperative Pain Management

2021 ◽  
Vol 16 (SP1) ◽  
pp. 5-17
Author(s):  
Yusuke Mazda ◽  
Sandra Jadin ◽  
James S. Kahn

ABSTRACTAfter surgery, over 80% of people experience moderate-to-severe acute pain. Poorly controlled postoperative pain limits recovery and is associated with detrimental short- and long-term morbidity. While surgeons have traditionally been responsible for postoperative pain management, all clinicians providing care for surgical patients have a basic understanding of common pharmacologic and interventional pain management strategies. In this review, we discuss the consequences of acute pain, approaches to pain assessment, and an overview of commonly used therapies to manage postoperative pain. RÉSUMÉAprès une opération, plus de 80 % des gens ressentent des douleurs aiguës modérées à intenses. Une douleur postopératoire mal maîtrisée limite le rétablissement et est associée à une morbidité défavorable à court et à long terme. Bien que les chirurgiens soient habituellement responsables du traitement de la douleur postopératoire, il est impératif que tous les cliniciens qui soignent des patients ayant subi une intervention chirurgicale aient une connaissance de base des stratégies pharmacologiques et interventionnelles courantes relatives au traitement de la douleur. Dans cette revue, nous abordons les conséquences de la douleur aiguë, les approches de l’évaluation de la douleur et un aperçu des traitements couramment utilisés pour traiter la douleur postopératoire.

Author(s):  
Tom G. Hansen

Paediatric pain management has made great strides in the past few decades in the understanding of developmental neurobiology, developmental pharmacology, the use of analgesics in children, the use of regional techniques in children, and of the psychological needs of children in pain. The consequences of a painful experience on the young nervous system are so significant that long-term effects can occur, resulting in behavioural changes and a lowered pain threshold for months after a painful event. Accurate assessment of pain in different age groups and the effective treatment of postoperative pain are constantly being refined, with newer drugs being used alone and in combination with other drugs, and continue to be explored. Systemic opioids, paracetamol, non-steroidal anti-inflammatories, and regional anaesthesia alone or combined with additives are currently used to provide effective postoperative analgesia. These modalities are often best utilized when combined as a multimodal approach to treat acute pain in the perioperative setting. The safe and effective management of pain in children includes the prevention, recognition, and assessment of pain; early and individualized treatment; and evaluation of the efficacy of treatment. This chapter discusses selected topics in paediatric acute pain management, with more specific emphasis placed on pharmacology and regional anaesthesia in the treatment of acute postoperative pain management.


2019 ◽  
Vol 12 (4) ◽  
pp. 479-485 ◽  
Author(s):  
Collin LaPorte ◽  
Michael D. Rahl ◽  
Olufemi R. Ayeni ◽  
Travis J. Menge

2011 ◽  
Vol 28 ◽  
pp. 194
Author(s):  
G. Garufi ◽  
D. Caristi ◽  
T. Bigolin ◽  
L. Pasa ◽  
B. Presello ◽  
...  

Author(s):  
Nihar Patel

Age-appropriate pain assessment and management is vital in the care of children with acute pain. Pain in children should be routinely and regularly assessed, documented, treated and reassessed with clear documentation. Poor pain management in the acute and postoperative setting can result in both short- and long-term consequences. The most effective analgesia plans are multimodal. This chapter focuses on the variety of treatment options for pain in the acute setting. Topics covered include age-appropriate pain assessment tools for children; the basics of age-appropriate pain management in children; as well as the role of opioids, nonsteroidal anti-inflammatory drugs, and patient-controlled analgesia in acute and postoperative pain management in children.


1995 ◽  
Vol 83 (5) ◽  
pp. 1090-1094 ◽  
Author(s):  
Carol A. Warfield ◽  
Cynthia H. Kahn

Abstract Background The objective of the survey was to assess the status of acute pain management in U.S. hospitals and attitudes of adults in the U.S. toward postoperative pain management, information that has not been previously available.


2015 ◽  
Vol 34 (2) ◽  
pp. 113-116 ◽  
Author(s):  
Brandy Zeller ◽  
Jeanne Giebe

AbstractNeonates are exposed to repetitive pain and stress during their stay in a NICU, which can lead to chronic complications related to their neurodevelopment and neurobehavior. Approximately 20 percent of all neonates in a NICU are intubated, mechanically ventilated, and require suctioning, which can cause both acute and chronic pain. Pain management in the neonate can be challenging. Nurses and other caregivers need to be well trained to assess pain in the neonate to effectively identify and provide appropriate pain management strategies. There is a lack of evidence to support routine administration of opiates in the neonate. As with any medication, the possibility of short- and long-term adverse reactions must be considered. Nonpharmacologic therapy should be used as much as possible.


Author(s):  
Richard F. Howard

Postoperative pain management begins prior to surgery and includes not only the prevention and pharmacological treatment of pain, but also a holistic and well-coordinated strategy that allays fears and anxieties, and allows children and their carers to participate in the selection and implementation of safe and suitable analgesia. Admission to hospital for surgery is a significant and potentially traumatic event. Coping with a strange and unknown environment, fear of separation, anticipation of painful procedures, and postoperative pain or adverse effects such as nausea are all prominent causes of anxiety and stress that can increase the perception of pain and impact on the quality of perioperative care. Therefore, a successful postoperative pain management programme will include: ongoing training of hospital staff, adequate preparation of children and families that provides timely verbal and written information, and the development and implementation of audited institutional analgesic protocols that ensure the safety and efficacy of pain management strategies in a child-friendly and secure environment.


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