Individualized multidisciplinary analgesia to prevent persistent postsurgical pain

Curr Opin Anaesthesiol. 2022 Jun 1;35(3):380-384. doi: 10.1097/ACO.0000000000001140.

Abstract

Purpose of review: Persistent postsurgical pain as outcome of surgery has reached more attention in the past years. In the first place because of related disability, long-term use of (opioid)analgesics and impact on the quality of life of individual patients. In addition, the individual and societal socio-economic burden of PPSP is high and increasing in the light of increasing numbers of surgery world-wide.

Recent findings: Actual studies identified risk factors for persistent postsurgical pain in relevant patient populations. Astonishingly, most of predicting factors seem unrelated to surgery.

Summary: Future perioperative practice will have to focus on identifying patients at risk for PPSP before surgery and develop/offer suitable individually tailored preventive interventions.

Publication types

  • Review

MeSH terms

  • Analgesia* / adverse effects
  • Analgesics, Opioid / adverse effects
  • Humans
  • Pain Management / adverse effects
  • Pain, Postoperative / etiology
  • Pain, Postoperative / prevention & control
  • Quality of Life*

Substances

  • Analgesics, Opioid