Utility of multimodal analgesia with fascia iliaca blockade for acute pain management following hip arthroscopy

• • Acute pain management remains a challenge in opioid dependent patients, and it has been recognised that these patients are commonly under-treated. • Chronic opioid exposure leads to widespread adaptations both at cellular and synaptic level. • Physical dependence is a neuropharmacological phenomenon as a result of neuroadaptation and neuroplasticity, in contrast to addiction that is both neuropharmacological and behavioural. • While providing the patient's pre-existing opioid requirement, the acute pain episode should be managed using additional multimodal analgesia: non-opioid medications in combination with local anaesthetic techniques and as required, short-acting opioid titrated to effect. • Patients on long term buprenorphine and methadone with acute pain episode should be continued with their maintenance therapy and an additional short-acting opioid analgesic titrated to achieve therapeutic effect.

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Acute pain management in trauma: anatomy, ultrasound-guided peripheral nerve blocks and special considerations

Minerva Anestesiologica ◽

10.23736/s0375-9393.19.13145-8 ◽

2019 ◽

Vol 85 (7) ◽

Cited By ~ 4

Author(s):

Theodosios Saranteas ◽

Iosifina Koliantzaki ◽

Olga Savvidou ◽

Marina Tsoumpa ◽

Georgia Eustathiou ◽

...

Keyword(s):

Pain Management ◽

Peripheral Nerve ◽

Acute Pain ◽

Ultrasound Guided ◽

Acute Pain Management ◽

Nerve Blocks ◽

Peripheral Nerve Blocks

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Role of Paracetamol in Acute Pain Management

Drugs ◽

10.2165/00003495-200363992-00004 ◽

2003 ◽

Vol 63 (Special Issue 2) ◽

pp. 15-21 ◽

Cited By ~ 20

Author(s):

Henrik Kehlet ◽

Mads Utke Werner

Keyword(s):

Pain Management ◽

Acute Pain ◽

Acute Pain Management

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Manual of Acute Pain Management in Children.

Archives of Disease in Childhood ◽

10.1136/adc.79.4.380a ◽

1998 ◽

Vol 79 (4) ◽

pp. 380-380

Author(s):

D. SOUTHALL

Keyword(s):

Pain Management ◽

Acute Pain ◽

Acute Pain Management

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Knowledge, attitudes, and practices of Cameroonian physicians with regards to acute pain management in the emergency department: a multicenter cross-sectional study

BMC Emergency Medicine ◽

10.1186/s12873-019-0260-3 ◽

2019 ◽

Vol 19 (1) ◽

Author(s):

Paul Owono Etoundi ◽

Junette Arlette Metogo Mbengono ◽

Ferdinand Ndom Ntock ◽

Joel Noutakdie Tochie ◽

Dominique Christelle Anaba Ndom ◽

...

Keyword(s):

Emergency Department ◽

Pain Management ◽

Acute Pain ◽

Cross Sectional Study ◽

Sectional Study ◽

Acute Pain Management ◽

Cross Sectional ◽

Attitudes And Practices ◽

Knowledge Attitudes And Practices

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Percutaneous Cryoneurolysis for Acute Pain Management: Current Status and Future Prospects

Expert Review of Medical Devices ◽

10.1080/17434440.2021.1927705 ◽

2021 ◽

Author(s):

John J. Finneran IV ◽

Brian M. Ilfeld

Keyword(s):

Pain Management ◽

Acute Pain ◽

Current Status ◽

Future Prospects ◽

Acute Pain Management

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Assessment for acute pain management in post-total knee replacement (TKR): a prospective cohort study in two Saudi Arabian medical centers

Ain-Shams Journal of Anesthesiology ◽

10.1186/s42077-020-00111-9 ◽

2020 ◽

Vol 12 (1) ◽

Author(s):

Mariam Ahmad Alameri ◽

Syed Azhar bin Syed Sulaiman ◽

Abdullah Moh’d Talaat Ashour ◽

Ma’ad Faisal Al-Saati

Keyword(s):

Cohort Study ◽

Pain Management ◽

Total Knee Replacement ◽

Acute Pain ◽

Joint Replacement ◽

Acute Pain Management ◽

Analgesic Treatment ◽

Pain Management Index ◽

Medical Centers ◽

Total Knee

Abstract Background Acute pain in post joint replacement surgeries is common, which makes the management of acute pain following joint replacement surgeries to be very important. Thus, this study was conducted to evaluate acute pain management of post TKR surgeries. Results Patients with negative pain management index (PMI) scores were classified as receiving inadequate analgesic treatment for their pain. Zero PMI was the most frequent score among the others with 195 (80.6%). The rest were − 1 (11 (4.5%)), 1 (27 (11.2%)), and 2 (9 (3.7%)), respectively. Only 4.5% (11/242) patients have negative PMI score, which could be considered as inadequate pain management in which these patients received inadequate analgesic treatment. Conclusion Acute pain management in post-TKR surgeries in both medical centers achieved an acceptable level, and majority of patients received an adequate analgesia in post-TKR surgeries.

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