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Postoperative Pain Management 

Postoperative Pain Management
Chapter:
Postoperative Pain Management
Author(s):

Dmitri Souzdalnitski

, Imanuel R. Lerman

, and Samer Narouze

DOI:
10.1093/med/9780199349302.003.0026
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date: 25 August 2019

Abstract: The chapter highlights challenges of postoperative pain control for the hospitalized chronic pain patient. Postoperative pain is a common concern of chronic pain patients and may be associated substantial adverse outcomes. Their apprehension is reasonable because these patients are more likely to have inadequate pain control and may experience an exacerbation of pre-existing chronic pain in the postoperative period. Escalation of the opioid dose by as much as a factor of 2 to 4 from the baseline is frequently required to control acute postoperative pain superimposed on chronic pain in opioid-dependent patients due to opioid tolerance. Improved postoperative experience of chronic pain patients can be achieved with utilization of regional anesthesia and analgesia, non-opioid analgesics, adjunct medications, and peripherally acting opioid receptor antagonists.

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