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Acute Pain: Postoperative, Trauma-Related, and Obstetric Pain 

Acute Pain: Postoperative, Trauma-Related, and Obstetric Pain
Chapter:
Acute Pain: Postoperative, Trauma-Related, and Obstetric Pain
Author(s):

Nantthasorn Zinboonyahgoon

, and Kristin Schreiber

DOI:
10.1093/med/9780199768912.003.0015
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date: 16 April 2021

Chapter 14 covers the essentials of acute pain care in the hospital and procedural setting. The chapter begins with an overview of the negative physiologic impacts of uncontrolled acute pain. Based on a foundational understanding of pain pathways and nociceptive signaling, it is possible to construct an acute pain management plan incorporating nonpharmacologic, systemic, and focal pharmacologic elements for an effective multimodal treatment plan. Acute opioid management, including analgesic equivalence, is discussed in detail. Benefits, precautions, side effects, and toxicities of opioids are addressed. Naloxone administration is described in detail. Obstetric, regional, nerve blockade, and multimodal analgesia are described. Adjustments to therapy for patients with substance use disorder are addressed in detail.

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