Present-day challenges and future solutions in postoperative pain management : results from PainForum 2014

Show full item record



Permalink

http://hdl.handle.net/10138/173104

Citation

Kuusniemi , K & Pöyhiä , R 2016 , ' Present-day challenges and future solutions in postoperative pain management : results from PainForum 2014 ' , Journal of pain research , vol. 9 , pp. 25-36 . https://doi.org/10.2147/JPR.S92502

Title: Present-day challenges and future solutions in postoperative pain management : results from PainForum 2014
Author: Kuusniemi, Kristiina; Pöyhiä, Reino
Contributor: University of Helsinki, Clinicum
Date: 2016
Language: eng
Number of pages: 12
Belongs to series: Journal of pain research
ISSN: 1178-7090
URI: http://hdl.handle.net/10138/173104
Abstract: This paper is a summary of presentations on postoperative pain control by the authors at the 2014 PainForum meeting in People's Republic of China. Postoperative pain is often untreated or undertreated and may lead to subsequent chronic pain syndromes. As more procedures migrate to the outpatient setting, postoperative pain control will become increasingly more challenging. Evidence-based guidelines for postoperative pain control recommend pain assessment using validated tools on a consistent basis. In this regard, consistency may be more important than the specific tool selected. Many hospitals have introduced a multidisciplinary acute pain service (APS), which has been associated with improved patient satisfaction and fewer adverse events. Patient education is an important component of postoperative pain control, which may be most effective when clinicians chose a multimodal approach, such as paracetamol (acetaminophen) and opioids. Opioids are a mainstay of postoperative pain control but require careful monitoring and management of side effects, such as nausea, vomiting, dizziness, and somnolence. Opioids may be administered using patient-controlled analgesia systems. Protocols for postoperative pain control can be very helpful to establish benchmarks for pain management and assure that clinicians adhere to evidence-based standards. The future of postoperative pain control around the world will likely involve more and better established APSs and greater communication between patients and clinicians about postoperative pain. The changes necessary to implement and move forward with APSs is not a single step but rather one of continuous improvement and ongoing change.
Subject: pain control
postoperative pain
acute pain
pain assessment
analgesia
NONSTEROIDAL ANTIINFLAMMATORY DRUGS
PATIENT-CONTROLLED ANALGESIA
LOCAL INFILTRATION ANALGESIA
OXYCODONE VS. FENTANYL
AMBULATORY SURGERY
INTRAVENOUS OXYCODONE
CANCER PAIN
LAPAROSCOPIC CHOLECYSTECTOMY
MULTIMODAL ANALGESIA
EPIDURAL ANALGESIA
3112 Neurosciences
3124 Neurology and psychiatry
3126 Surgery, anesthesiology, intensive care, radiology
Rights:


Files in this item

Total number of downloads: Loading...

Files Size Format View
JPR_92502_prese ... n_postoperative_020316.pdf 250.6Kb PDF View/Open

This item appears in the following Collection(s)

Show full item record