Acute Pain

2019 ◽  
pp. 241-258
Author(s):  
Nantthasorn Zinboonyahgoon ◽  
Kristin Schreiber
Keyword(s):  
Substance Use ◽  
Pain Management ◽  
Side Effects ◽  
Acute Pain ◽  
Multimodal Treatment ◽  
Treatment Plan ◽  
Multimodal Analgesia ◽  
Management Plan ◽  
Pain Pathways ◽  
Pain Care

Chapter 14 covers the essentials of acute pain care in the hospital and procedural setting. The chapter begins with an overview of the negative physiologic impacts of uncontrolled acute pain. Based on a foundational understanding of pain pathways and nociceptive signaling, it is possible to construct an acute pain management plan incorporating nonpharmacologic, systemic, and focal pharmacologic elements for an effective multimodal treatment plan. Acute opioid management, including analgesic equivalence, is discussed in detail. Benefits, precautions, side effects, and toxicities of opioids are addressed. Naloxone administration is described in detail. Obstetric, regional, nerve blockade, and multimodal analgesia are described. Adjustments to therapy for patients with substance use disorder are addressed in detail.

Pain Management in the Patient with Substance Use Disorder

2018 ◽  
Author(s):  
Thomas Hickey ◽  
Jessica Feinleib
Keyword(s):  
Substance Use ◽  
Pain Management ◽  
Side Effects ◽  
Postoperative Pain ◽  
Respiratory Depression ◽  
Substance Use Disorder ◽  
Multimodal Analgesia ◽  
Surgical Patient ◽  
Acute Postoperative Pain ◽  
Aggressive Communication

Managing pain in the patient with substance use disorder can be challenging. This chapter describes those challenges and provides strategies to address them. Specifically it discusses the prevalence and specific considerations for commonly abused substances, the need for aggressive communication among perioperative clinicians, and a strategy to decrease acute postoperative pain and associated complications using opioid-sparing, multimodal analgesia. It includes a discussion of the concept of equianalgesic opioid doses and management of opioid-related side effects including respiratory depression, with regard to buprenorphine, naltrexone, and methadone. Specific consideration is given to the surgical patient treated with buprenorphine, and a defined clinical plan is outlined.

scholarly journals POST-OPERATIVE PAIN RELIEF FOR LOWER ABDOMINAL SURGERY

2005 ◽  
Vol 12 (03) ◽  
pp. 340-345
Author(s):  
ROBINA FIRDOUS
Keyword(s):  
Pain Management ◽  
Side Effects ◽  
Pain Relief ◽  
Abdominal Surgery ◽  
Opioid Receptors ◽  
Acute Pain ◽  
Alternate Route ◽  
Parenteral Route ◽  
Group I ◽  
Post Operative Pain

The severity of post-operative pain and the lack of efforts in relievingit have led to the involvement of Anaesthesiologists in the management of post-operative and acute pain. Parenteralopiates have been utilized for post-operative pain management. The identification of the opioid receptors on substantiagelatinosa has provided an alternate route i.e 1 the epidural route - for administering opiates. Objectives: To evaluateand compare the efficacy and side effects of parenteral Buprenorphine with those of Extradural Buprenorphine.Setting: Department of Anaesthesia, District Headquarter Hospital, Faisalabad. Period: The data was collected duringthe last three and a half years. Materials and Methods: Sixty adult patients of either sex and ages ranging from 35-45years, who underwent lower abdominal surgery, were randomly selected for the study. They were equally divided intotwo groups. Group I patients were administered Buprenorphine 0.3 mg through the epidural catheter in extraduralspace. Group II patients were given Buprenorphine 0.3 mg intramuscularly. Results: Buprenorphine through theepidural route gives better analgesia with fewer side effects as compared with the parenteral route.

2022 ISFM Consensus Guidelines on the Management of Acute Pain in Cats

2021 ◽  
Vol 24 (1) ◽  
pp. 4-30
Author(s):  
Paulo V Steagall ◽  
Sheilah Robertson ◽  
Bradley Simon ◽  
Leon N Warne ◽  
Yael Shilo-Benjamini ◽  
...  
Keyword(s):  
Pain Management ◽  
Acute Pain ◽  
Pain Assessment ◽  
Multimodal Analgesia ◽  
Evidence Base ◽  
Pharmacological Therapy ◽  
Assessment Tools ◽  
Mental Wellbeing ◽  
Team Approach ◽  
Analgesic Drugs

Practical relevance: Increases in cat ownership worldwide mean more cats are requiring veterinary care. Illness, trauma and surgery can result in acute pain, and effective management of pain is required for optimal feline welfare (ie, physical health and mental wellbeing). Validated pain assessment tools are available and pain management plans for the individual patient should incorporate pharmacological and non-pharmacological therapy. Preventive and multimodal analgesia, including local anaesthesia, are important principles of pain management, and the choice of analgesic drugs should take into account the type, severity and duration of pain, presence of comorbidities and avoidance of adverse effects. Nursing care, environmental modifications and cat friendly handling are likewise pivotal to the pain management plan, as is a team approach, involving the cat carer. Clinical challenges: Pain has traditionally been under-recognised in cats. Pain assessment tools are not widely implemented, and signs of pain in this species may be subtle. The unique challenges of feline metabolism and comorbidities may lead to undertreatment of pain and the development of peripheral and central sensitisation. Lack of availability or experience with various analgesic drugs may compromise effective pain management. Evidence base: These Guidelines have been created by a panel of experts and the International Society of Feline Medicine (ISFM) based on the available literature and the authors’ experience. They are aimed at general practitioners to assist in the assessment, prevention and management of acute pain in feline patients, and to provide a practical guide to selection and dosing of effective analgesic agents.

Israel

2018 ◽  
Author(s):  
Elon Eisenberg ◽  
Silviu Brill
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Cancer Pain ◽  
End Of Life ◽  
Acute Pain ◽  
Later Life ◽  
Recent Innovation ◽  
History Of ◽  
Prevalence Of Pain ◽  
Pain Care

Israel is a member of the European Pain Federation (EFIC). The national pain society works to support the needs of patients with pain, including those with acute pain, chronic pain, cancer pain, pain in later life, and at the end of life. In this chapter of European Pain Management we describe first the geography and history of the country as it relates to the recent demographics of the population, the prevalence of pain and needs for pain management, the pain workforce and its organization, the system pain specialists work within, and specific issues that have been tackled to improve the delivery of pain care. An example of recent innovation is also described.

France

2018 ◽  
Author(s):  
Didier Bouhassira ◽  
Nadine Attal
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Cancer Pain ◽  
End Of Life ◽  
Acute Pain ◽  
Later Life ◽  
Recent Innovation ◽  
History Of ◽  
Prevalence Of Pain ◽  
Pain Care

France is a member of the European Pain Federation (EFIC). The national pain society works to support the needs of patients with pain, including those with acute pain, chronic pain, cancer pain, pain in later life, and at the end of life. In this chapter of European Pain Management we describe first the geography and history of the country as it relates to the recent demographics of the population, the prevalence of pain and needs for pain management, the pain workforce and its organization, the system pain specialists work within, and specific issues that have been tackled to improve the delivery of pain care. An example of recent innovation is also described.

Finland

2018 ◽  
Author(s):  
Juha Nevantaus
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Cancer Pain ◽  
End Of Life ◽  
Acute Pain ◽  
Later Life ◽  
Recent Innovation ◽  
History Of ◽  
Prevalence Of Pain ◽  
Pain Care

Finland is a member of the European Pain Federation (EFIC). The national pain society works to support the needs of patients with pain, including those with acute pain, chronic pain, cancer pain, pain in later life, and at the end of life. In this chapter of European Pain Management we describe first the geography and history of the country as it relates to the recent demographics of the population, the prevalence of pain and needs for pain management, the pain workforce and its organization, the system pain specialists work within, and specific issues that have been tackled to improve the delivery of pain care. An example of recent innovation is also described.

Bulgaria

2018 ◽  
Author(s):  
Atanas Temelkov
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Cancer Pain ◽  
End Of Life ◽  
Acute Pain ◽  
Later Life ◽  
Recent Innovation ◽  
History Of ◽  
Prevalence Of Pain ◽  
Pain Care

Bulgaria is a member of the European Pain Federation (EFIC). The national pain society works to support the needs of patients with pain, including those with acute pain, chronic pain, cancer pain, pain in later life, and at the end of life. In this chapter of European Pain Management we describe first the geography and history of the country as it relates to the recent demographics of the population, the prevalence of pain and needs for pain management, the pain workforce and its organization, the system pain specialists work within, and specific issues that have been tackled to improve the delivery of pain care. An example of recent innovation is also described.

United Kingdom

2018 ◽  
Author(s):  
Ann Taylor
Keyword(s):  
Chronic Pain ◽  
United Kingdom ◽  
Pain Management ◽  
Cancer Pain ◽  
Acute Pain ◽  
Later Life ◽  
Recent Innovation ◽  
History Of ◽  
Prevalence Of Pain ◽  
Pain Care

Ukraine is a member of the European Pain Federation (EFIC). The national pain society works to support the needs of patients with pain, including those with acute pain, chronic pain, cancer pain, pain in later life, and at the end of life. In this chapter of European Pain Management we describe first the geography and history of the country as it relates to the recent demographics of the population, the prevalence of pain and needs for pain management, the pain workforce and its organization, the system pain specialists work within, and specific issues that have been tackled to improve the delivery of pain care. An example of recent innovation is also described.

The Netherlands

2018 ◽  
Author(s):  
Gertie Filippini ◽  
Kris Vissers ◽  
Michiel Reneman
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
The Netherlands ◽  
Cancer Pain ◽  
Acute Pain ◽  
Later Life ◽  
Recent Innovation ◽  
History Of ◽  
Prevalence Of Pain ◽  
Pain Care

The Netherlands is a member of the European Pain Federation (EFIC). The national pain society works to support the needs of patients with pain, including those with acute pain, chronic pain, cancer pain, pain in later life, and at the end of life. In this chapter of European Pain Management we describe first the geography and history of the country as it relates to the recent demographics of the population, the prevalence of pain and needs for pain management, the pain workforce and its organization, the system pain specialists work within, and specific issues that have been tackled to improve the delivery of pain care. An example of recent innovation is also described.

Spain

2018 ◽  
Author(s):  
Rafael Galvez Mateos ◽  
Juan Perez Cajaraville
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Cancer Pain ◽  
End Of Life ◽  
Acute Pain ◽  
Later Life ◽  
Recent Innovation ◽  
History Of ◽  
Prevalence Of Pain ◽  
Pain Care

Spain is a member of the European Pain Federation (EFIC). The national pain society works to support the needs of patients with pain, including those with acute pain, chronic pain, cancer pain, pain in later life, and at the end of life. In this chapter of European Pain Management we describe first the geography and history of the country as it relates to the recent demographics of the population, the prevalence of pain and needs for pain management, the pain workforce and its organization, the system pain specialists work within, and specific issues that have been tackled to improve the delivery of pain care. An example of recent innovation is also described.

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