The expanding role of chronic pain interventions in multimodal perioperative pain management: a narrative review.
Ying YeRodney A GabrielEdward R MarianoPublished in: Postgraduate medicine (2021)
Surgery is a risk factor for chronic pain and long-term opioid use. As perioperative pain management continues to evolve, treatment modalities traditionally used for chronic pain therapy may provide additional benefit to patients undergoing surgery. Interventions such as radiofrequency ablation, cryoneurolysis, and neuromodulation may potentially be used in conjunction with acute pain procedures such as nerve blocks and multimodal analgesia. Pharmacological agents associated with chronic pain medicine, including gabapentinoids, ketamine, and selective serotonin reuptake inhibitors, may be useful adjuncts in perioperative pain management when indicated. There may also be a role for acupuncture, music therapy, and other integrative medicine therapies. A transitional pain service can help coordinate outpatient care with inpatient perioperative pain management and promote a more personalized and comprehensive approach that can improve postoperative outcomes.
Keyphrases
- pain management
- chronic pain
- patients undergoing
- cardiac surgery
- radiofrequency ablation
- minimally invasive
- coronary artery bypass
- mental health
- physical activity
- healthcare
- palliative care
- liver failure
- acute kidney injury
- surgical site infection
- intensive care unit
- coronary artery disease
- mesenchymal stem cells
- metabolic syndrome
- replacement therapy
- hepatitis b virus
- peripheral nerve