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Published in: Drugs 4/2015

01-03-2015 | Leading Article

Preventive Analgesia and Novel Strategies for the Prevention of Chronic Post-Surgical Pain

Authors: Hance Clarke, Michael Poon, Aliza Weinrib, Rita Katznelson, Kirsten Wentlandt, Joel Katz

Published in: Drugs | Issue 4/2015

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Abstract

Chronic post-surgical pain (CPSP) is a serious complication of major surgery that can impair a patient’s quality of life. The development of CPSP is a complex process which involves biologic, psychosocial, and environmental mechanisms that have yet to be fully understood. Currently perioperative pharmacologic interventions aim to suppress and prevent sensitization with the aim of reducing pain and analgesic requirement in acute as well as long-term pain . Despite the detrimental effects of CPSP on patients, the body of literature focused on treatment strategies to reduce CPSP remains limited and continues to be understudied. This article reviews the main pharmacologic candidates for the treatment of CPSP, discusses the future of preventive analgesia, and considers novel strategies to help treat acute post-operative pain and lessen the risk that it becomes chronic. In addition, this article highlights important areas of focus for clinical practice including: multimodal management of CPSP patients, psychological modifiers of the pain experience, and the development of a Transitional Pain Service specifically designed to manage patients at high risk of developing chronic post-surgical pain.
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Metadata
Title
Preventive Analgesia and Novel Strategies for the Prevention of Chronic Post-Surgical Pain
Authors
Hance Clarke
Michael Poon
Aliza Weinrib
Rita Katznelson
Kirsten Wentlandt
Joel Katz
Publication date
01-03-2015
Publisher
Springer International Publishing
Published in
Drugs / Issue 4/2015
Print ISSN: 0012-6667
Electronic ISSN: 1179-1950
DOI
https://doi.org/10.1007/s40265-015-0365-2

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