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Chapter 29 - Acute Pain Management

Published online by Cambridge University Press:  24 May 2023

Alan David Kaye
Louisiana State University School of Medicine
Richard D. Urman
Brigham and Women’s Hospital, Boston
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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.

Publisher: Cambridge University Press
Print publication year: 2023

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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):490502.CrossRefGoogle ScholarPubMed
Batra, RK, Krishnan, K, Agarwal, A. Paravertebral block. J Anaesthesiol Clin Pharmacol. 2011;27:511.CrossRefGoogle ScholarPubMed
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):48.CrossRefGoogle ScholarPubMed
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 ScholarPubMed
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.CrossRefGoogle ScholarPubMed
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.CrossRefGoogle ScholarPubMed
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

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