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The expanding role of chronic pain interventions in multimodal perioperative pain management: a narrative review
Postgraduate Medicine ( IF 4.2 ) Pub Date : 2021-06-08 , DOI: 10.1080/00325481.2021.1935281
Ying Ye 1, 2 , Rodney A Gabriel 3, 4 , Edward R Mariano 1, 2
Affiliation  

ABSTRACT

Surgery is a risk factor for chronic pain and long-term opioid use. As perioperative pain management continues to evolve, treatment modalities traditionally used for chronic pain therapy may provide additional benefit to patients undergoing surgery. Interventions such as radiofrequency ablation, cryoneurolysis, and neuromodulation may potentially be used in conjunction with acute pain procedures such as nerve blocks and multimodal analgesia. Pharmacological agents associated with chronic pain medicine, including gabapentinoids, ketamine, and selective serotonin reuptake inhibitors, may be useful adjuncts in perioperative pain management when indicated. There may also be a role for acupuncture, music therapy, and other integrative medicine therapies. A transitional pain service can help coordinate outpatient care with inpatient perioperative pain management and promote a more personalized and comprehensive approach that can improve postoperative outcomes.



中文翻译:

慢性疼痛干预在多模式围手术期疼痛管理中的作用不断扩大:叙述性回顾

摘要

手术是慢性疼痛和长期使用阿片类药物的危险因素。随着围手术期疼痛管理的不断发展,传统上用于慢性疼痛治疗的治疗方式可能为接受手术的患者提供额外的益处。射频消融、冷冻神经溶解和神经调节等干预措施可能与神经阻滞和多模式镇痛等急性疼痛程序结合使用。与慢性疼痛药物相关的药物,包括加巴喷丁、氯胺酮和选择性5-羟色胺再摄取抑制剂,在有指征时可能是围手术期疼痛管理的有用辅助手段。针灸、音乐疗法和其他综合医学疗法也可能发挥作用。

更新日期:2021-06-08
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