Considerations for Better Management of Postoperative Pain in Light of Chronic Postoperative Pain: A Narrative Review

Chronic postoperative pain (CPOP) is prevalent, with particularly high rates in breast surgery, thoracotomy, and amputation. As the world emerges from the coronavirus disease 2019 (COVID-19) lockdowns, it is expected that there will he an increase in surgical procedures, elevating the importance of...

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Autores: Gómez, Maria, Izquierdo, Cesar E., Mayoral Rojals, Victor, Pergolizzi, Joseph, Plancarte Sanchez, Ricardo, Paladini, Antonella, Varrassi, Giustino
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/185583
Acceso en línea:https://hdl.handle.net/2445/185583
Access Level:acceso abierto
Palabra clave:Dolor postoperatori
Dolor crònic
Postoperative pain
Chronic pain
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spelling Considerations for Better Management of Postoperative Pain in Light of Chronic Postoperative Pain: A Narrative ReviewGómez, MariaIzquierdo, Cesar E.Mayoral Rojals, VictorPergolizzi, JosephPlancarte Sanchez, RicardoPaladini, AntonellaVarrassi, GiustinoDolor postoperatoriDolor crònicPostoperative painChronic painChronic postoperative pain (CPOP) is prevalent, with particularly high rates in breast surgery, thoracotomy, and amputation. As the world emerges from the coronavirus disease 2019 (COVID-19) lockdowns, it is expected that there will he an increase in surgical procedures, elevating the importance of preventing CPOP in the coming years. Risk factors are emerging to better stratify patients at high risk for CPOP. Perioperative analgesia plays an important role in managing acute postoperative pain and in some cases may limit its transition to CPOP. Acute postoperative pain is adaptive, normal, expected, and has a well-defined trajectory, while CPOP is maladaptive and, as a form of chronic pain, is challenging to treat. Good analgesia, early ambulation, and rehabilitation efforts may be helpful in preventing CPOP following certain surgeries. Enhanced Recovery After Surgery (ERAS) protocols present guidance to help promote recovery and prevent CPOP.Cureus2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/185583Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.7759/cureus.23763Cureus, 2022https://doi.org/10.7759/cureus.23763cc by (c) Gómez, Maria et al, 2022http://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1855832026-05-27T06:46:51Z
dc.title.none.fl_str_mv Considerations for Better Management of Postoperative Pain in Light of Chronic Postoperative Pain: A Narrative Review
title Considerations for Better Management of Postoperative Pain in Light of Chronic Postoperative Pain: A Narrative Review
spellingShingle Considerations for Better Management of Postoperative Pain in Light of Chronic Postoperative Pain: A Narrative Review
Gómez, Maria
Dolor postoperatori
Dolor crònic
Postoperative pain
Chronic pain
title_short Considerations for Better Management of Postoperative Pain in Light of Chronic Postoperative Pain: A Narrative Review
title_full Considerations for Better Management of Postoperative Pain in Light of Chronic Postoperative Pain: A Narrative Review
title_fullStr Considerations for Better Management of Postoperative Pain in Light of Chronic Postoperative Pain: A Narrative Review
title_full_unstemmed Considerations for Better Management of Postoperative Pain in Light of Chronic Postoperative Pain: A Narrative Review
title_sort Considerations for Better Management of Postoperative Pain in Light of Chronic Postoperative Pain: A Narrative Review
dc.creator.none.fl_str_mv Gómez, Maria
Izquierdo, Cesar E.
Mayoral Rojals, Victor
Pergolizzi, Joseph
Plancarte Sanchez, Ricardo
Paladini, Antonella
Varrassi, Giustino
author Gómez, Maria
author_facet Gómez, Maria
Izquierdo, Cesar E.
Mayoral Rojals, Victor
Pergolizzi, Joseph
Plancarte Sanchez, Ricardo
Paladini, Antonella
Varrassi, Giustino
author_role author
author2 Izquierdo, Cesar E.
Mayoral Rojals, Victor
Pergolizzi, Joseph
Plancarte Sanchez, Ricardo
Paladini, Antonella
Varrassi, Giustino
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Dolor postoperatori
Dolor crònic
Postoperative pain
Chronic pain
topic Dolor postoperatori
Dolor crònic
Postoperative pain
Chronic pain
description Chronic postoperative pain (CPOP) is prevalent, with particularly high rates in breast surgery, thoracotomy, and amputation. As the world emerges from the coronavirus disease 2019 (COVID-19) lockdowns, it is expected that there will he an increase in surgical procedures, elevating the importance of preventing CPOP in the coming years. Risk factors are emerging to better stratify patients at high risk for CPOP. Perioperative analgesia plays an important role in managing acute postoperative pain and in some cases may limit its transition to CPOP. Acute postoperative pain is adaptive, normal, expected, and has a well-defined trajectory, while CPOP is maladaptive and, as a form of chronic pain, is challenging to treat. Good analgesia, early ambulation, and rehabilitation efforts may be helpful in preventing CPOP following certain surgeries. Enhanced Recovery After Surgery (ERAS) protocols present guidance to help promote recovery and prevent CPOP.
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/185583
url https://hdl.handle.net/2445/185583
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.7759/cureus.23763
Cureus, 2022
https://doi.org/10.7759/cureus.23763
dc.rights.none.fl_str_mv cc by (c) Gómez, Maria et al, 2022
http://creativecommons.org/licenses/by/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by (c) Gómez, Maria et al, 2022
http://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Cureus
publisher.none.fl_str_mv Cureus
dc.source.none.fl_str_mv Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,300724

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