Acute postoperative pain as a risk factor for chronic pain after surgery

2009 ◽  
Vol 3 (S2) ◽  
pp. 29-32 ◽  
Author(s):  
Lone Nikolajsen ◽  
Cristina E. Minella
Keyword(s):  
Chronic Pain ◽  
Risk Factor ◽  
Postoperative Pain ◽  
Acute Postoperative Pain

Acute postoperative pain predicts chronic pain after breast surgery for cancer

2007 ◽  
Vol 24 (Supplement 39) ◽  
pp. 174-175
Author(s):  
A. Fassoulaki ◽  
A. Melemeni ◽  
C. Staikou ◽  
A. Triga ◽  
C. Sarantopoulos
Keyword(s):  
Chronic Pain ◽  
Postoperative Pain ◽  
Breast Surgery ◽  
Acute Postoperative Pain

scholarly journals Abdominal Hernia Pain: Chronification Mechanisms after Hernia Surgery

2021 ◽  
Author(s):  
Roberto Sanisidro Torre
Keyword(s):  
Chronic Pain ◽  
Postoperative Pain ◽  
Groin Pain ◽  
The Other ◽  
Abdominal Hernia ◽  
Acute Postoperative Pain ◽  
Hernia Surgery ◽  
Common Cause ◽  
Pain Chronification ◽  
The One

Groin pain is the most common cause of surgical intervention. There are 3 parameters that increase the chances of chronic pain. On the one hand, starting the surgery with high intensity pain that has not been previously controlled. On the other, insufficient anesthetic and analgesic control during the surgical procedure. Finally, an inadequate management of acute postoperative pain. The presence of groin pain and its poor control before the intervention predisposes to difficulties during the perioperative process. Thus, the appearance of acute postoperative pain not adequately controlled will prevent its remission in a natural way in the usual period (approximately 1 month) and will cause it to progress in intensity and continuity (from 1 month to 3 months after surgery), transforming into a chronic pain (from 3 months after the intervention). In this process of chronification, in which pain goes from nociceptive to neuropathic, different physiological sensitization mechanisms are involved, both peripheral and central. The chronification of the painful process and, ultimately, the therapeutic approach that we will have to use to try to prevent this process depends to a large extent on these modifications that facilitate the change in the nature of pain.

scholarly journals Acute postoperative pain

2016 ◽  
Vol 11 (3) ◽  
pp. 231-233
Author(s):  
Adriana Alexandra BRĂDIŞ ◽  
◽  
Adrian Daniel TULIN ◽  
Erick NESTIANU ◽  
Ioana Anca BĂDĂRĂU ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Postoperative Pain ◽  
Postoperative Morbidity ◽  
Emotional Experience ◽  
Multimodal Analgesia ◽  
Postoperative Recovery ◽  
Psychological Effects ◽  
Acute Postoperative Pain ◽  
Pain Scales

Acute postoperative pain is a personal unpleasant sensory and emotional experience with negative physiological and psychological effects. Severe acute pain may increase postoperative morbidity and mortality and is a risk factor for chronic pain incidence. We evaluate pain intensity using pain scales. Pain management includes preventive analgesia who interacts and modulates central sensitization response and multimodal analgesia which uses two or more different analgesic mechanisms agents for a superior analgesic effect. Effective pain management provide early postoperative recovery and decrease the incidence of chronic pain.

scholarly journals Pain in 1,000 Women Treated for Breast Cancer

2013 ◽  
Vol 119 (6) ◽  
pp. 1410-1421 ◽  
Author(s):  
Mari A. Kaunisto ◽  
Ritva Jokela ◽  
Minna Tallgren ◽  
Oleg Kambur ◽  
Emmi Tikkanen ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Chronic Pain ◽  
Postoperative Pain ◽  
Postoperative Analgesia ◽  
Pain Sensitivity ◽  
Experimental Pain ◽  
Interindividual Variation ◽  
Weak Correlation ◽  
Acute Postoperative Pain ◽  
Cold Pain

Abstract Background: This article describes the methods and results of the early part (experimental pain tests and postoperative analgesia) of a study that assesses genetic and other factors related to acute pain and persistent pain after treatment of breast cancer in a prospective cohort of 1,000 women. Methods: One thousand consenting patients were recruited to the study. Before surgery (breast resection or mastectomy with axillary surgery), the patients filled in questionnaires about health, life style, depression (Beck Depression Inventory), and anxiety (State-Trait Anxiety Inventory). They were also exposed to experimental tests measuring heat (43° and 48°C, 5 s) and cold (2-4°C) pain intensity and tolerance. Anesthesia was standardized with propofol and remifentanil, and postoperative analgesia was optimized with i.v. oxycodone. Results: The patients showed significant interindividual variation in heat and cold pain sensitivity and cold pain tolerance. There was a strong correlation between the experimental pain measures across the tests. Presence of chronic pain, the number of previous operations, and particularly state anxiety were related to increased pain sensitivity. Previous smoking correlated with decreased heat pain sensitivity. These factors explained 4–5% of the total variance in pain sensitivity in these tests. Oxycodone consumption during 20 h was significantly higher in patients who had axillary clearance. Oxycodone consumption had only a weak correlation with the experimental pain measures. Conclusions: Contact heat and cold pressure tests identify variability in pain sensitivity which is modified by factors such as anxiety, chronic pain, previous surgery, and smoking. High levels of anxiety are connected to increased pain sensitivity in experimental and acute postoperative pain. In a study of 1,000 women undergoing breast surgery for cancer, a small portion of the variance in preoperative response to noxious heat and cold testing could be explained by anxiety, the presence of chronic pain, and the number of previous operations. There was a weak correlation between response to experimental pain testing and acute postoperative pain, with largely similar predictive factors across both.

scholarly journals Commentary: Management of Refractory Pain After Total Joint Replacement

2021 ◽  
Vol 2 (3) ◽  
pp. 4-7
Author(s):  
Jamie Heimroth ◽  
Max L. Willinger ◽  
Nipun Sodhi ◽  
Luke J. Garbarino ◽  
Peter A. Gold ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Postoperative Pain ◽  
Pain Relief ◽  
Joint Replacement ◽  
Pain Control ◽  
Total Joint Replacement ◽  
Case Reports ◽  
Treatment Options ◽  
Acute Postoperative Pain ◽  
Refractory Pain

Chronic refractory pain after total joint replacement is debilitating and a source of dissatisfaction for patients. The management of pain following total joint replacement varies during the acute postoperative period compared to the 3 months postoperative at which point the pain is considered chronic pain. Acute postoperative pain relief programs have seen promising results with multimodal pain control through the use of combinations of opioids, acetaminophen, nonsteroidal anti-inflammatory drugs, gabapentinoids and ketamine. The addition of regional blocks to the multimodal regimen has improved acute postoperative pain control following total joint replacements. On the other hand, chronic pain can be successfully managed with options including genicular nerve radioablation therapy (GN-RFA), neuromuscular electrical stimulation (NMES), transcutaneous electrical nerve stimulation (TENS), and peripheral subcutaneous field stimulation (PSFS). While there is still minimal data on chronic pain relief regimens, meta-analyses and case reports have demonstrated the effectiveness and promising outcomes. This paper aims to evaluate the current medications and treatment options for managing refractory pain following TJA.

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