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Practical strategies for the prevention and management of chronic postsurgical painopen access

Authors
Kim, Bo RimYoon, Soo-HyukLee, Ho-Jin
Issue Date
Apr-2023
Publisher
대한통증학회
Keywords
Acute pain; Chronic Pain; Neuralgia; Pain Management; Pain; Postoperative; Perioperative Medicine; Postoperative Complications; Surgical Procedures; Operative
Citation
The Korean Journal of Pain, v.36, no.2, pp 149 - 162
Pages
14
Indexed
SCIE
SCOPUS
KCI
Journal Title
The Korean Journal of Pain
Volume
36
Number
2
Start Page
149
End Page
162
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2021.sw.kumedicine/62911
DOI
10.3344/kjp.23080
ISSN
2005-9159
2093-0569
Abstract
Chronic postsurgical pain (CPSP) is a multifactorial condition that affects a significant proportion of patients undergoing surgery. The prevention and management of CPSP require the identification of preoperative risk factors to screen high-risk patients and establish appropriate perioperative pain management plans to prevent its development. Active postoperative pain management should be provided to prevent CPSP in patients with severe pain following surgery. These tasks have become important for perioperative team members in the management of CPSP. This review article provides a comprehensive overview of the latest research on the role of perioperative team members in preventing and managing CPSP. Additionally, it highlights practical strategies that can be employed in clinical practice, covering the definition and risk factors for CPSP, including preoperative, intraoperative, and postoperative factors, as well as a risk prediction model. The article also explores various treatments for CPSP, as well as preventive measures, including preemptive analgesia, regional anesthesia, pharmacological interventions, psychoeducational support, and surgical technique modification. This article emphasizes the importance of a comprehensive perioperative pain management plan that includes multidisciplinary interventions, using the transitional pain service as an example. By adopting a multidisciplinary and collaborative approach, perioperative team members can improve patient outcomes, enhance patient satisfaction, and reduce healthcare costs. However, further research is necessary to establish targeted interventions to effectively prevent and manage CPSP.
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2. Clinical Science > Department of Anesthesiology and Pain Medicine > 1. Journal Articles

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