Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×

Online ordering will be unavailable from 17:00 GMT on Friday, April 25 until 17:00 GMT on Sunday, April 27 due to maintenance. We apologise for the inconvenience.

Hostname: page-component-669899f699-rg895 Total loading time: 0 Render date: 2025-04-25T03:54:51.317Z Has data issue: false hasContentIssue false

Chapter 29 - Acute Pain Management

Published online by Cambridge University Press:  24 May 2023

By
Farees Hyatali ,
Karina Gritsenko  and
Kay Lee
Edited by
Alan David Kaye  and
Richard D. Urman
Alan David Kaye
Affiliation:
Louisiana State University School of Medicine
Richard D. Urman
Affiliation:
Brigham and Women’s Hospital, Boston
Get access

Summary

Pain is defined by the International Association for the Study of Pain (IASP) as “An aversive sensory and emotional experience typically caused by, or resembling that caused by, actual or potential tissue injury.” Acute pain is defined as a normal, predicted physiologic response to an adverse chemical, thermal, or mechanical stimulus, which generally resolves within 1 month. There are a variety of techniques for the treatment of acute pain – via interventional procedures (such as peripheral nerve blocks and neuraxial interventional techniques), anesthetics, and analgesic and adjuvant medications. In this current opioid crisis era, most clinicians have adopted a multimodal approach to acute pain management to reduce the risk of opioid addiction, which generally includes a combination of interventional procedures, as well as administration of analgesics. This chapter deals with the comprehensive management of acute pain.

Type
Chapter
Information
Cambridge Handbook of Anesthesiology , pp. 448 - 459
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Book purchase

Temporarily unavailable

References

Further Reading

Anand, P, Bley, K. Topical capsaicin for pain management: therapeutic potential and mechanisms of action of the new high-concentration capsaicin 8% patch. Br J Anaesth. 2011;107(4):490–502.Google Scholar
Batra, RK, Krishnan, K, Agarwal, A. Paravertebral block. J Anaesthesiol Clin Pharmacol. 2011;27:5–11.Google Scholar
Desai, N, Albrecht, E, El-Boghdadly, K. Perineural adjuncts for peripheral nerve block. BJA Educ. 2019;19:276–82.CrossRefGoogle ScholarPubMed
Do, SH. Magnesium: a versatile drug for anesthesiologists. Korean J Anesthesiol. 2013;65(1):4–8.Google Scholar
Grosu, I, Lavand’homme, P. Use of dexmedetomidine for pain control. F1000 Med Rep. 2010;2:90.CrossRefGoogle ScholarPubMed
Kandil, E, Melikman, E, Adinoff, B. Lidocaine infusion: a promising therapeutic approach for chronic pain. J Anesth Clin Res. 2017;8(1):697.CrossRefGoogle ScholarPubMed
Schwenk, ES, Viscusi, ER, Buvanendran, A, et al. Consensus guidelines on the use of intravenous ketamine infusions for acute pain management from the American Society of Regional Anesthesia and Pain Medicine, the American Academy of Pain Medicine, and the American Society of Anesthesiologists. Reg Anesth Pain Med. 2018;43(5):456–66.Google Scholar
Subedi, A, Biswas, BK, Tripathi, M, Bhattarai, BK, Pokharel, K. Analgesic effects of intrathecal tramadol in patients undergoing caesarean section: a randomised, double-blind study. Int J Obstet Anesth. 2013;22(4):316–21.CrossRefGoogle ScholarPubMed
Thobhani, S, Scalercio, L, Elliott, CE, et al. Novel regional techniques for total knee arthroplasty promote reduced hospital length of stay: an analysis of 106 patients. Ochsner J. 2017;17(3):233–8.Google Scholar
Verret, M, Lauzier, F, Zarychanski, R, et al. Perioperative use of gabapentinoids for the management of postoperative acute pain: a systematic review and meta-analysis. Anesthesiology. 2020;133:265–79.Google Scholar
Wongrakpanich, S, Wongrakpanich, A, Melhado, K, Rangaswami, J. A comprehensive review of non-steroidal anti-inflammatory drug use in the elderly. Aging Dis. 2018;9:143–50.Google Scholar
Yu, S, Wang, B, Zhang, J, Fang, K. The development of local anesthetics and their applications beyond anesthesia. Int J Clin Exp Med. 2019;12:13203–20.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×