Chronic Post Surgical Pain
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Chronic Postsurgical Pain
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Author : Gérard Mick
language : en
Publisher: Springer Science & Business Media
Release Date : 2014-02-20
Chronic Postsurgical Pain written by Gérard Mick and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-02-20 with Medical categories.
Primum non nocere... The fact that a surgical procedure can leave any kind of pain casts a shadow over this tenet, which is seen as the basis of medical practice and anchor of its principle ethic... It is all the more surprising in that medicine has only paid attention to this paradoxical chronic pain situation for the past few years. Clarifying the knowledge acquired in this field has become all the more urgent for any care-giver today confronted by a legitimate request from patients: Why and how can a surgical procedure, which is supposed to bring relief, leave behind an unacceptable sequela? This is the approach which the contributors to this new subject of major clinical interest invite you to follow as you work your way through this book.
Chronic Postsurgical Pain
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Author : Gérard Mick
language : en
Publisher: Springer
Release Date : 2014-03-06
Chronic Postsurgical Pain written by Gérard Mick and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-03-06 with Medical categories.
Primum non nocere... The fact that a surgical procedure can leave any kind of pain casts a shadow over this tenet, which is seen as the basis of medical practice and anchor of its principle ethic... It is all the more surprising in that medicine has only paid attention to this paradoxical chronic pain situation for the past few years. Clarifying the knowledge acquired in this field has become all the more urgent for any care-giver today confronted by a legitimate request from patients: Why and how can a surgical procedure, which is supposed to bring relief, leave behind an unacceptable sequela? This is the approach which the contributors to this new subject of major clinical interest invite you to follow as you work your way through this book.
Characteristics Of Chronic Post Surgical Pain After Hernia Repair Data From The Gendolcat Study
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Author : Luis Moltu00f3
language : en
Publisher:
Release Date : 2017
Characteristics Of Chronic Post Surgical Pain After Hernia Repair Data From The Gendolcat Study written by Luis Moltu00f3 and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with categories.
Background and Aim: Inguinal hernia repair (IHR) is associated with chronic postsurgical pain (CPSP). We analyzed CPSP characteristics in the first 2 yr after IHR surgery. Materials and methods: Prospective multicenter cohort study (GENDOLCAT1) in 23 hospitals (2009-10) in patients aged over 18 yr undergoing elective IHR. Patients with pain were identified by telephone questionnaire 4 mo after surgery and referred to a hospital for diagnosis (pain history and examination). They were telephoned again at 12 and 24 mo to determine the incidence of CPSP, intensity on a numerical rating scale (NRS) and verbal categorical scale (VCS), pain location, characteristics (with the Douleur Neuropathique questionnaire (DN4)); interference with daily living, physical and mental health (Short Form Health Survey-12 [SF-12]), analgesics used, and return to work. Data were expressed as percentages or means (SD). Results: We included 1761 patients (mean age, 53.8 [14.5] yr). CPSP incidences at 4, 12, and 24 mo were 13.6%, 6.2% and 4.1%. The mean NRS score was 3.9 (2.0) at 4 mo; 4 (2.1) at 12 mo, and 4.2 (2.0) at 24 mo. Intense/excruciating pain (VCS) was reported by 9.6%, 16.1% and 16.9% at 4, 12, and 24 mo, respectively. Pain was in the groin in 66.9% and in the scar in 51.2%. At 4 mo, 38.7% had neuropathic pain with the following features: numbness (47.6% of those with neuropathic pain), pins and needles (47.0%), hypoesthesia (45.8%), electric shocks (29.2%), and burning (27.4%). CPSP interfered with activities (18%), work (15.6%), walking (15%) and mood (10.2%). The mean physical summary SF-12 scores of patients with CPSP were 44.5 (9.8) before surgery and 44.7 (9.5) at 4 mo; their pre- and postoperative (4 mo) mental summary scores were 53.9 (9.8) and 52.7 (9.1), respectively. At 2 yr 28.2% took analgesics (acetaminophen, 15.5%; nonsteroidal antiinflammatory drugs, 19.7%; opioids, 2.8%) and 3.8% had not returned to work. Conclusions: CPSP is common after IHR. The incidence of neuropathic pain in this prospective study was menor than other studies. Interference with activities of daily living was also high, and some were still not working after 2 yr. Surprisingly few patients took analgesics. ReferenceMontes A, Roca G, Sabatu00e9 S, Lao JI, Navarro A, Cantillo J, Canet J. Genetic and clinical factors associated with chronic postsurgical pain after hernia repair, hysterectomy, and thoracotomy: a two-year multicenter cohort study. Anesthesiology. 2015(122); 1123-41.
Advances In Postoperative Pain Management And Chronic Postoperative Pain
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Author : Marco Cascella
language : en
Publisher: Mdpi AG
Release Date : 2023-11-17
Advances In Postoperative Pain Management And Chronic Postoperative Pain written by Marco Cascella and has been published by Mdpi AG this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-11-17 with categories.
This Special Issue delves deeply into the intricate distinctions between acute and chronic pain. Crucially, chronic pain is more than a mere by-product of sensory input; it entails the activation of a complex brain network intertwined with biopsychosocial factors. As such, its management emerges as a formidable clinical challenge. Within the scope of this Special Issue, focused attention is given to postoperative pain (POP) and chronic postsurgical pain (CPSP). POP, characterized by its predictability, intensity, and short duration, contrasts starkly with the potentially persistent and troublesome nature of CPSP, which can endure for over three months if not adequately addressed. The prevention of CPSP takes on paramount importance, with regional anesthesia techniques emerging as promising tools for intervention. The pivotal role of multimodal analgesia and combined therapeutic strategies is underscored. The Special Issue also delves into the intriguing realm of gender differences in pain perception, advocating for further research to illuminate these disparities. Risk factors contributing to the development of chronic pain following surgery are meticulously identified. Lastly, this Special Issue explores the potential of new technologies in the field of telemedicine and artificial intelligence to optimize care delivery, opening new avenues for enhanced patient outcomes and treatment strategies.
Understanding The Transition From Acute To Chronic Post Surgical Pain In Youth
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Author : Brittany Nicole Rosenbloom
language : en
Publisher:
Release Date : 2021
Understanding The Transition From Acute To Chronic Post Surgical Pain In Youth written by Brittany Nicole Rosenbloom and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021 with categories.
Approximately 20% of youth develop chronic post-surgical pain (CPSP) that is associated with pain-related distress and co-morbid mental health outcomes, such as anxiety and depression. This dissertation examines youth and parent risk/protective factors associated with the development and maintenance of pediatric CPSP, including functional limitations. The three studies which comprise this dissertation (Rosenbloom et al., 2019; Rosenbloom et al., 2020; Rosenbloom et al., 2021) use data collected from a large sample of youth aged 8 to 17 years undergoing major orthopedic or general surgery and their parents (n = 264). Youth completed questionnaires at four time points over the course of 12 months (pre-surgery, in-hospital, 6- and 12-months after surgery). In-hospital physical activity was monitored using actigraphy. Youth and parents completed pain and psychological questionnaires. Study 1 results show that 12 months after surgery, over a third of youth report moderate-to-severe post-surgical pain. Trajectory analyses of youth before and through to 12 months after surgery show that youth can be categorized into two main pain intensity and pain unpleasantness groups: high pain and low pain. Further this study revealed that pre-surgical general functional disability is the best predictor of post-surgical functioning, over and above psychosocial and surgery-related factors. Study 2 examined differential risk factors for pain-specific and general functional limitations 12 months after major pediatric surgery. Hierarchical regression analysis showed that youth 12-month pain-specific functional limitations were predicted presurgical youth (pain-related anxiety and worry factor) and parent factors (anxiety sensitivity, state-trait anxiety, pain anxiety). Youth 12-month general functional limitations were predicted by youth general functional limitations and parent anxiety sensitivity. Study 3 examined the validity of the Tampa Scale of Kinesiophobia (TSK) for use in youth after surgery. Results showed that the original 17-item TSK is not a valid measure for youth undergoing surgery, but a modified 13-item TSK has promising psychometric properties for this population. Taken together, these three studies advance our understanding of youth and parent risk/protective factors associated with the development and maintenance of pediatric chronic post-surgical pain and functional limitations.
Topics In Postoperative Pain
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Author : Víctor M. Whizar-Lugo
language : en
Publisher: BoD – Books on Demand
Release Date : 2023-11-08
Topics In Postoperative Pain written by Víctor M. Whizar-Lugo and has been published by BoD – Books on Demand this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-11-08 with Medical categories.
Currently, two-thirds of patients undergoing surgery experience acute postoperative pain (POP), which increases the possibility of immediate postoperative complications and facilitates the development of chronic POP. Post-surgical pain does not have a useful biological function, so it must be prevented, avoided, and/or eliminated. The objective of the rational management of acute pain after surgery is to facilitate the rapid recovery of patients with a prompt integration into their usual preoperative activities. The global crisis of opioid abuse has forced us to use other analgesic drugs as well as regional analgesia techniques that are part of effective multimodal analgesia. The non-pharmacological approach has also gained importance in the comprehensive management of acute POP. This book reviews advances in the understanding, management, and complications of POP.
Pain Management In Special Circumstances
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Author : Nabil Shallik
language : en
Publisher: BoD – Books on Demand
Release Date : 2018-11-21
Pain Management In Special Circumstances written by Nabil Shallik and has been published by BoD – Books on Demand this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-11-21 with Medical categories.
Like management of disease, management of pain is as old as the human race. When patients come to us with their pain, they present us with a wonderful opportunity: the chance to understand them, to understand how their pain is affecting their lives, the challenge of discovering what is causing their pain, and finally the opportunity to prescribe medications and lifestyle changes to help them gain relief from their pain. It is hoped that this book will provide the latest evidence-based updates on pain management in special circumstances and will serve as a ready reference for those embarking on pain management. Its intent is not to be a heavy book that can only be stored on a bookshelf, but a pocket-sized reference that can be carried, be easily navigated, and be available whenever a conceptual gap compromises pain physicians and their ability to treat their patients.
Postoperative Pain Management
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Author : F. Michael Ferrante
language : en
Publisher:
Release Date : 1993
Postoperative Pain Management written by F. Michael Ferrante and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1993 with Medical categories.
Chronic Post Surgical Pain
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Author : Gérard Mick
language : en
Publisher: Springer
Release Date : 2014-03-14
Chronic Post Surgical Pain written by Gérard Mick and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-03-14 with Medical categories.
Primum non nocere... That a surgical procedure can leave any kind of pain casts a shadow over this phrase which is held to form the basis of medical practice and anchor its principle ethic... It is all the more surprising in that medicine has only paid attention to this paradoxical chronic pain situation for the past few years. Clarifying the knowledge acquired in this field has become all the more urgent for any care-giver today confronted by a legitimate request from patients: Why and how can a surgical procedure, which is supposed to bring relief, leave an unacceptable sequela? This is the approach which contributors to this new theme of major clinical interest invite you to follow as you work your way through this book.
Preoperative Optimization Of The Chronic Pain Patient
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Author : Heath B. McAnally
language : en
Publisher: Oxford University Press
Release Date : 2019-08-26
Preoperative Optimization Of The Chronic Pain Patient written by Heath B. McAnally and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-08-26 with Medical categories.
The literature increasingly supports the position that elective surgery on poorly prepared chronic pain patients is not smart and ultimately in no-one's best interest. Just as patients with ischemic heart disease, obstructive lung disease, or diabetes can and need to be optimized prior to surgery, so too should chronic pain patients. The complex dynamics of chronic pain require a priori intervention - targeting enhanced recovery before surgery. Preoperative Optimization of the Chronic Pain Patient is a groundbreaking collaborative effort written by medical and psychological experts in the field of pain management with a specific interest in the perioperative arena. The modern emphasis on biopsychosocial-spiritual care is as important here as anywhere in medicine as comprehensive mind-body preparation is essential to optimize outcomes. That preparation entails replacing toxic thoughts (e.g., anxiety and pain catastrophizing) and behaviors (e.g., tobacco and opioid dependence; poor sleep, nutrition and exercise patterns) with beneficial ones. Such replacement of maladaptive cognitive-behavioral patterns requires the enhancement of patients' motivation and the cultivation of healthy habits. This book provides the framework for an evidence-based synthesis of counseling and intervention for preoperative optimization of chronic pain patients. Clinicians will learn to improve health and economic outcomes affecting their patient, health care team, and institution; to identify and target relevant issues, utilizing a holistic yet focused approach to optimization; and to collaborate with the patient and requisite multidisciplinary care team in a streamlined, efficient, and effective manner.