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Chapter 34 - Perioperative Pain Management

Published online by Cambridge University Press:  18 August 2022

By
Senthil Jayaseelan
Edited by
Daniel Rodger ,
Kevin Henshaw ,
Paul Rawling  and
Scott Miller
Daniel Rodger
Affiliation:
Senior Lecturer in Perioperative Practice, London South Bank University
Kevin Henshaw
Affiliation:
Associate Head of Allied Health Professions, Edge Hill University, Ormskirk
Paul Rawling
Affiliation:
Senior Lecturer in Perioperative Practice, Edge Hill University, Ormskirk
Scott Miller
Affiliation:
Consultant Anaesthetist, St Helens and Knowsley Hospitals NHS Trust
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Summary

Patients with various ailments present to hospital with pain. This chapter defines pain and explores the assessment and the fundamental pathophysiology behind this common symptom. Pain can be managed using various pharmacological and non-pharmacological methods including interventional techniques. This chapter also explains the principles of management of acute pain in chronic pain patients on long term opioids and the problem of chronic post-surgical pain.

Keywords

Pain ladderMultimodalSurgeryAnalgesiaNeuropathicPhysiologyPerceptionPharmacologicalParacetamolOpioids
Type
Chapter
Information
Fundamentals of Operating Department Practice , pp. 375 - 383
Publisher: Cambridge University Press
Print publication year: 2022

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References

Raja, S. N., Carr, D. B., Cohen, M., et al. The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises. Pain 2020; 161: 1976–1982.CrossRefGoogle Scholar
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Epstein, N. E.. A review article on the benefits of early mobilization following spinal surgery and other medical/surgical procedures. Surgical Neurology International 2014; 5: S66–S73.CrossRefGoogle ScholarPubMed
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Peck, T. E. and Harris, B.. Pharmacology for Anaesthesia and Intensive Care, 5th ed. Cambridge: Cambridge University Press, 2021.CrossRefGoogle Scholar
Lenart, M. J., Wong, K., Gupta, R. K., et al. The impact of peripheral nerve techniques on hospital stay following major orthopedic surgery. Pain Medicine 2012; 13: 828–834.CrossRefGoogle ScholarPubMed
Tracey, I.. Persistent post-operative pain: pathogenic mechanisms and preventive strategies. In Kehlet, H. (ed.), Pain 2012 Refresher Courses, 14th World Congress on Pain. Seattle, WA: IASP Press, 2012, pp. 133–144.Google Scholar

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