Importance of postoperative pain and possibilities of prevention and treatment

Anka Tošković ,
Anka Tošković

Klinički centar Srbije , Belgrade , Serbia

Marina Stojanović ,
Marina Stojanović

Klinički centar Srbije , Belgrade , Serbia

Ksenija Jovanović ,
Ksenija Jovanović

Klinički centar Srbije , Belgrade , Serbia

Jovan Jozić ,
Jovan Jozić

Klinički centar Srbije , Belgrade , Serbia

Milan Jovanović Orcid logo ,
Milan Jovanović

Klinički centar Srbije , Belgrade , Serbia

Nevena Kalezić Orcid logo
Nevena Kalezić

Klinički centar Srbije , Belgrade , Serbia

Published: 01.12.2021.

Volume 51, Issue 1 (2022)

pp. 37-44;

https://doi.org/10.5937/pramed2202037t

Abstract

The paper presents the importance of acute postoperative pain, the risk factors for its occurrence and intensity, instruments for its measurement and assessment, as well as the possibilities of prevention and treatment. The fact that post-surgical pain represents not only a subjective unpleasant experience for the patient, but also a factor that significantly contributes to complications and unfavorable outcomes of surgical treatment is well known. Despite that, postoperative pain can be seen very often. To successfully prevent and relieve pain, it is necessary to establish a possible cause-and-effect relationship between the occurrence and intensity of postoperative pain, type of surgical intervention, anesthesia technique, demographic characteristics of patients, comorbidities, chronic therapy, and family and socioeconomic factors. Besides the application of recommendations from the current guidelines and protocols for the prevention and treatment of post-surgical pain to achieve positive treatment outcomes, an individual approach to each patient and the application of multimodal analgesia techniques that include the use of different classes of analgesics, co-analgesics, and non-pharmacological measures, based on modern ERAS-protocols aimed at accelerated recovery after surgical intervention should also be employed.

Keywords

References

1.
Huang W, Wang W, Xie W, Chen Z, Liu Y. Erector spinae plane block for postoperative analgesia in breast and thoracic surgery: A systematic review and meta-analysis. Journal of Clinical Anesthesia. 2020;66:109900.
2.
Kehlet H, Wilmore DW. Multimodal strategies to improve surgical outcome. The American Journal of Surgery. 2002;183(6):630–41.
3.
Kehlet H. Multimodal approach to postoperative recovery. Current Opinion in Critical Care. 2009;15(4):355–8.
4.
Yeh CY, Chang WK, Wu HL, Chau GY, Tai YH, Chang KY. Associations of Multimodal Analgesia With Postoperative Pain Trajectories and Morphine Consumption After Hepatic Cancer Surgery. Frontiers in Medicine. 8.
5.
Hinther A, Nakoneshny SC, Chandarana SP, Matthews TW, Hart R, Schrag C, et al. Efficacy of Multimodal Analgesia for Postoperative Pain Management in Head and Neck Cancer Patients. Cancers. 13(6):1266.

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