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

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Model for investigationSurgery provides ideal modelPreop Intra-op Acute postop<strong>Chronic</strong>Preoperative pain Nerve handling Acute pain (intensity)analgesia useOther painful condition /cormorbidity / previoussurgeryGenetic predispositionAge / sexPsychologicalvulnerability & reslienceAnaesthesia /perioperativemanagement<strong>Surgical</strong> approachInfection, woundhealing, inflammatoryprocessesConcurrent treatmentCoping / self-efficacyetc.
Summary- common postoperative complication, increased awareness- nerve injury contributes not sufficient in itself, transition fromacute to chronic is complex- persistent pain in susceptible subgroups- detailed data collection on large patient samples- require comprehensive monitoring systems to improve riskprediction
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 and 22: Intraoperative nerve injury• risk
Page 23 and 24: Acute postoperative painPain intens
Page 25: Psychosocial factorsEur J Pain 2008
Page 29 and 30: Thank you for listening!Kings Colle
Page 31 and 32: EU Hernia TrialistsCollaborationSur

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