A Practical Approach to Acute Postoperative Pain Management in Chronic Pain Patients.

Analgesia Analgesics, Opioid / therapeutic use Chronic Pain / drug therapy Humans Opioid-Related Disorders / drug therapy Pain, Postoperative / drug therapy
chronic pain opioid rotation opioid tolerance pain management postoperative pain

Journal

Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses
ISSN: 1532-8473
Titre abrégé: J Perianesth Nurs
Pays: United States
ID NLM: 9610507

Informations de publication

Date de publication:
Dec 2020
Historique:
received: 24 12 2019
revised: 27 02 2020
accepted: 02 03 2020
pubmed: 15 7 2020
medline: 7 8 2021
entrez: 15 7 2020
Statut: ppublish

Résumé

In the United States, more than 100 million people suffer from chronic pain. Among patients presenting for surgery, about one in four have chronic pain. Acute perioperative pain management in this population is challenging because many patients with chronic pain require long-term opioids for the management of this pain, which may result in tolerance, physical dependence, addiction, and opioid-induced hyperalgesia. These challenges are compounded by the ongoing opioid epidemic that has resulted in calls for a reduction in opioid use, with a concurrent increase in the number of patients with chronic opioid exposure presenting for surgery. This article aims to summarize practical considerations for acute postoperative pain management in patients with chronic pain conditions. A patient-centered acute pain management plan, including nonopioid analgesics, regional anesthesia, and careful selection of opioid medications, can lead to adequate analgesia and satisfaction with care. Also, a meticulous rotation from one opioid to another may decrease opioid requirement, increase analgesic effectiveness, and improve satisfaction with care.

Identifiants

DOI: 10.1016/j.jopan.2020.03.002 PMID: 32660812 PMC: PMC7736143
pubmed: 32660812
pii: S1089-9472(20)30093-9
doi: 10.1016/j.jopan.2020.03.002
pmc: PMC7736143
mid: NIHMS1578814
pii:
doi:

Substances chimiques

Analgesics, Opioid 0

Types de publication

Journal Article

Langues

eng

Pagination

564-573

Subventions

Organisme : NIMHD NIH HHS
ID : R01 MD010441
Pays : United States

Informations de copyright

Copyright © 2020 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.

Références

J Anaesthesiol Clin Pharmacol. 2019 Apr-Jun;35(2):242-247
pubmed: 31303716
Indian J Psychiatry. 2018 Jul-Sep;60(3):292-299
pubmed: 30405254
Ther Clin Risk Manag. 2017 Sep 05;13:1163-1173
pubmed: 28919771
Minerva Anestesiol. 2012 Jun;78(6):653-67
pubmed: 22301767
Anesth Analg. 2016 Sep;123(3):749-57
pubmed: 27537762
Eur J Pain. 2016 Nov;20(10):1573-1586
pubmed: 27136510
Am J Surg. 2011 Jan;201(1):122-31
pubmed: 20832052
Nurs Res. 2017 Mar/Apr;66(2):105-114
pubmed: 28252572
Dtsch Arztebl Int. 2018 Mar 2;115(9):135-142
pubmed: 29563006
BMC Anesthesiol. 2018 Apr 20;18(1):44
pubmed: 29678158
Neuropharmacology. 2013 Oct;73:368-79
pubmed: 23792280
Pain. 2015 Apr;156(4):569-76
pubmed: 25785523
J Pain Res. 2017 Sep 25;10:2287-2298
pubmed: 29026331
N Engl J Med. 2019 Jan 24;380(4):365-378
pubmed: 30673555
Anesthesiol Clin. 2017 Jun;35(2):e115-e143
pubmed: 28526156
Paediatr Anaesth. 2013 Jan;23(1):51-7
pubmed: 22978825
Acta Psychiatr Scand Suppl. 2005;(427):14-21
pubmed: 15877719
Pharmacol Biochem Behav. 2015 Nov;138:9-13
pubmed: 26363312
Risk Manag Healthc Policy. 2018 Aug 17;11:109-116
pubmed: 30154674
Saudi J Anaesth. 2016 Oct-Dec;10(4):402-408
pubmed: 27833482
J Clin Anesth. 2015 Jun;27(4):311-24
pubmed: 25824051
Drug Alcohol Depend. 2019 Apr 1;197:250-254
pubmed: 30875645
Pain Manag. 2017 Nov;7(6):455-459
pubmed: 29125396
J Pain Res. 2016 Mar 23;9:153-6
pubmed: 27042140
Pain Physician. 2011 Mar-Apr;14(2):145-61
pubmed: 21412369
Anesthesiology. 2013 Nov;119(5):1215-21
pubmed: 24051389
Clin Rheumatol. 2014 Apr;33(4):451-9
pubmed: 24526250
Subst Use Misuse. 2011;46(12):1536-52
pubmed: 21756033
Cochrane Database Syst Rev. 2014 Jan 28;(1):CD009633
pubmed: 24470114
Pain Med. 2015 Oct;16 Suppl 1:S32-6
pubmed: 26461074
Lancet. 2019 Apr 13;393(10180):1558-1568
pubmed: 30983591
Reg Anesth Pain Med. 2018 Jul;43(5):456-466
pubmed: 29870457
Anesth Analg. 2003 Aug;97(2):534-40, table of contents
pubmed: 12873949
J Anesth. 2014 Aug;28(4):505-10
pubmed: 24445560
J Pain Res. 2014 Oct 17;7:589-608
pubmed: 25378948
Clin J Pain. 2012 Nov-Dec;28(9):819-41
pubmed: 22760489
J Pain Symptom Manage. 2009 Sep;38(3):418-25
pubmed: 19735902
PLoS Med. 2017 Oct 3;14(10):e1002396
pubmed: 28972983
Curr Med Res Opin. 2014 Jan;30(1):149-60
pubmed: 24237004
Trends Pharmacol Sci. 2016 Nov;37(11):963-976
pubmed: 27670390
Pain Rep. 2017 Jul 27;2(4):e611
pubmed: 29392226
Subst Abuse Treat Prev Policy. 2012 Mar 20;7:11
pubmed: 22429858
J Pain Symptom Manage. 2001 Mar;21(3):255-64
pubmed: 11239748
Curr Opin Anaesthesiol. 2010 Dec;23(6):697-703
pubmed: 20847690
Anesthesiol Clin. 2019 Jun;37(2):225-238
pubmed: 31047126
Anesthesiol Clin. 2017 Jun;35(2):e55-e71
pubmed: 28526161
Cochrane Database Syst Rev. 2016 May 26;(5):CD008646
pubmed: 27228096
Orthop Nurs. 2019 Mar/Apr;38(2):159-163
pubmed: 30933040
Anesthesiology. 2017 Jun;126(6):1180-1186
pubmed: 28511196
Vascul Pharmacol. 2018 Apr;103-105:1-7
pubmed: 29425893
J Pharm Sci. 2018 Dec;107(12):2983-2991
pubmed: 30205091
Clin Psychol Rev. 2010 Mar;30(2):155-66
pubmed: 19926374
J Pain Res. 2015 Dec 04;8:859-70
pubmed: 26672499
Anesth Analg. 2012 Feb;114(2):424-33
pubmed: 21965355
Best Pract Res Clin Anaesthesiol. 2017 Dec;31(4):487-498
pubmed: 29739537
Curr Pain Headache Rep. 2018 Jun 14;22(7):52
pubmed: 29904819
N Engl J Med. 2016 Mar 31;374(13):1253-63
pubmed: 27028915
Plast Reconstr Surg. 2019 Dec;144(6):1130e-1132e
pubmed: 31764705
Pain Physician. 2017 Feb;20(2S):SE23-SE31
pubmed: 28226339
Anesth Analg. 2012 Feb;114(2):393-406
pubmed: 22104069
J Healthc Risk Manag. 2017 Jul;37(1):24-30
pubmed: 28719091
Anesthesiology. 2017 Apr;126(4):729-737
pubmed: 28114177
Am J Prev Med. 2015 Sep;49(3):409-13
pubmed: 25896191
Palliat Med. 2011 Jul;25(5):494-503
pubmed: 21708856
J Spine Surg. 2019 Sep;5(Suppl 2):S154-S159
pubmed: 31656869
Cochrane Database Syst Rev. 2006 Jan 25;(1):CD002021
pubmed: 16437438
J Addict Med. 2017 Nov/Dec;11(6):454-460
pubmed: 28759482
Anesth Analg. 1996 Dec;83(6):1285-91
pubmed: 8942601
Pain Med. 2020 Feb 1;21(2):308-316
pubmed: 30865779
Foot Ankle Int. 2018 Oct;39(10):1135-1140
pubmed: 29972028
Anesth Analg. 2011 Jan;112(1):218-23
pubmed: 20418538
Clin Pharmacol Drug Dev. 2017 Mar;6(2):125-134
pubmed: 28263461
AANA J. 2019 Apr;87(2):131-137
pubmed: 31587726
Can J Hosp Pharm. 2015 May-Jun;68(3):238-47
pubmed: 26157186
Anesth Analg. 2017 Nov;125(5):1749-1760
pubmed: 29049119
Curr Opin Pharmacol. 2009 Feb;9(1):65-73
pubmed: 19162544
Am J Addict. 2019 Feb;28(2):55-62
pubmed: 30701615

Auteurs

Edwin N Aroke (EN)

Nurse Anesthesia Pathway, Department of Acute, Chronic and Continuing Care, School of Nursing, University of Alabama at Birmingham, Birmingham, AL. Electronic address: earoke@uab.edu.

Susan P McMullan (SP)

Nurse Anesthesia Pathway, Department of Acute, Chronic and Continuing Care, School of Nursing, University of Alabama at Birmingham, Birmingham, AL.

Katie O Woodfin (KO)

Nurse Anesthesia Pathway, Department of Acute, Chronic and Continuing Care, School of Nursing, University of Alabama at Birmingham, Birmingham, AL.

Ryan Richey (R)

Nurse Anesthesia Pathway, Department of Acute, Chronic and Continuing Care, School of Nursing, University of Alabama at Birmingham, Birmingham, AL.

Jordan Doss (J)

Department of Anesthesiology, Children's of Alabama Hospital, Birmingham, AL.

Bryan A Wilbanks (BA)

Nurse Anesthesia Pathway, Department of Acute, Chronic and Continuing Care, School of Nursing, University of Alabama at Birmingham, Birmingham, AL.

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Classifications MeSH

questionsmedicales.fr › Anesthésie et analgésie › Analgésie › A Practical Approach to Acute Postoperative...
questionsmedicales.fr › Actions chimiques et utilisations › Actions pharmacologiques › Utilisations thérapeutiques › Agents du système nerveux central › Dépresseurs du système nerveux central › Stupéfiants › Analgésiques morphiniques › A Practical Approach to Acute Postoperative...
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Manifestations neurologiques › Douleur chronique › A Practical Approach to Acute Postoperative...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › A Practical Approach to Acute Postoperative...
questionsmedicales.fr › Troubles mentaux › Troubles liés à une substance › Troubles liés à l'usage de substances psychotropes › Troubles liés aux opiacés › A Practical Approach to Acute Postoperative...
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Manifestations neurologiques › Douleur postopératoire › A Practical Approach to Acute Postoperative...