Understanding Chronic Post Surgical Pain - The Canadian Pain ...

More documents

Recommendations

Info

Preoperative pain limb amputation, intensity but not duration (Nickolajsen 2007) spinal surgery (den Boer 2006; Thorvaldsen & Sorensen 1990) knee replacement (Brander 2003)inguinal hernia repair- CPSP at 3 months more likely in those with previous chronicpain conditions, e.g backache, headache, IBS (Wright 2002)- Dutch RCT >1000 patients, preop pain, independent ofprocedure & ageOR17 1.7 (95%CI11 1,1, 26) 2.6), Liem et al, 2003
Acute postoperative pain<strong>Pain</strong> intensityEvidence:- breast cancer surgery (Tasmuth 1995, Poleshuck 2005: 3 months)- knee replacement/laparoscopy (e.g. Rosseland 2008)- thoracotomy (Katz, 1996; Gottshalk 2008) VAS @ 6hrs predicted CPSP- other surgeries (Peters 2007: 6 months)Is it causal? (Katz, 2009)Is it a linear pathway?
Page 2 and 3: A review of chronic pain after surg
Page 4 and 5: DefinitionIASP - chronic pain“Int
Page 7 and 8: CharacteristicsPredominantly neurop
Page 9 and 10: Epidemiological studiesCase ascerta
Page 11 and 12: Case ascertainmentMethodological ch
Page 13 and 14: Chronic pain after breast surgerySe
Page 15 and 16: Chronic pain after hernia surgeryIn
Page 17 and 18: Prognosis: long-term outcome?Smith
Page 19 and 20: Demographic factorsYounger age- bre
Page 21: Intraoperative nerve injury• risk
Page 25 and 26: Psychosocial factorsEur J Pain 2008
Page 27 and 28: Summary- common postoperative compl
Page 29 and 30: Thank you for listening!Kings Colle
Page 31 and 32: EU Hernia TrialistsCollaborationSur

Understanding Chronic Post Surgical Pain - The Canadian Pain ...

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?