Cited by 98Anesthesia and Pain ManagementPain Management and TreatmentPain Management and Opioid Use

Preventive Analgesia and Novel Strategies for the Prevention of Chronic Post-Surgical Pain

Open access
Clarke, Hance, Poon, Michael, Weinrib, Aliza, Katznelson, Rita, Wentlandt, Kirsten, Katz, Joel·2015·Drugs

Abstract

Chronic post-surgical pain (CPSP) is a serious complication of major surgery that can impair a patient's quality of life. The development of CPSP is a complex process which involves biologic, psychosocial, and environmental mechanisms that have yet to be fully understood. Currently perioperative pharmacologic interventions aim to suppress and prevent sensitization with the aim of reducing pain and analgesic requirement in acute as well as long-term pain . Despite the detrimental effects of CPSP on patients, the body of literature focused on treatment strategies to reduce CPSP remains limited and continues to be understudied. This article reviews the main pharmacologic candidates for the treatment of CPSP, discusses the future of preventive analgesia, and considers novel strategies to help treat acute post-operative pain and lessen the risk that it becomes chronic. In addition, this article highlights important areas of focus for clinical practice including: multimodal management of CPSP patients, psychological modifiers of the pain experience, and the development of a Transitional Pain Service specifically designed to manage patients at high risk of developing chronic post-surgical pain.

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Registry

Crossref · 10.1007/s40265-015-0365-2

Cites

109 of 109 references verified0 citation errors · 0 not checkable

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  • Patients having negative beliefs about opioids have a higher CPSP risk.

    “Patients having negative beliefs about opioids have a higher CPSP risk [32].”
  • Identifying psychologically vulnerable patients and early intervention pre- as well as post-operatively may help prevent the development of chronic pain in these patients.

    “Identifying psychologically vulnerable patients and early intervention pre- as well as post-operatively may help prevent the development of chronic pain in these patients [32].”

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Cites

1 retracted

Flagged first, then by citations

Research works printed but not linked: 5

  1. Katz J, Clarke H, Seltzer Z. Review article: preventive analge- sia: quo vadimus? Anesth Analg. 2011;113(5):1242-53.
  2. Corsini T, Cuvillon P, Forgeot A, Chapelle C, Seffert P, Chauleur C. Single-dose intraincisional levobupivacaine infil- tration in caesarean postoperative analgesia: a placebo-con- trolled double-blind randomized trial. Ann Fr Anesth Reanim. 2013;32(1):25-30.
  3. Clarke H, Wijeysundera D, Bonin R, Orser B, Englesakis M, Katz J. Pregabalin effective for the prevention of chronic post- surgical pain: really? In reply. Anesth Analg. 2013;116(2):508-9.
  4. Crousier M, Cognet V, Khaled M, Gueugniaud PY, Piriou V. Effect of ketamine on prevention of postmastectomy chronic pain. A pilot study. Ann Fr Anesth Reanim. 2008;27(12):987-93.
  5. Katz J, McCartney CJ. Current status of preemptive analgesia. Curr Opin Anaesthesiol. 2002;15(4):435-41.

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Authors
Clarke, H., Poon, M., Weinrib, A., Katznelson, R., Wentlandt, K., & Katz, J.
Affiliations
  • University of Toronto (CA)
  • Toronto General Hospital (CA)
Corresponding author
Clarke, Hance
Venue
Drugs
Published
2015-03
Volume
75
Issue
4
Pages
339-351
ISSN
  • 0012-6667 (ISSN-L)
  • 1179-1950
OpenAlex
W2014500898
Cited by
98
References
108
Citations by year
2026: 3 · 2025: 8 · 2024: 8 · 2023: 9 · 2022: 12 · 2021: 7 · 2020: 5 · 2019: 7 · 2018: 13 · 2017: 13 · 2016: 7 · 2015: 6
FWCI
2.49
Type
journal article
Language
en
Open access
Locations
  • Drugs (publishedVersion)
  • PubMed (publishedVersion)
  • YorkSpace (York University) (submittedVersion)
Funders
Canadian Institutes of Health Research
Topics
  • Health Sciences › Medicine › Surgery › Anesthesia and Pain Management
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
Keywords
chronic postoperative pain, preventive analgesia, perioperative analgesia, pain sensitization, acute postoperative pain, multimodal pain management, psychological factors in pain, transitional pain service, high-risk patients
MeSH terms
Analgesia, Analgesics, Animals, Humans, Pain Measurement, Postoperative Pain, Randomized Controlled Trials as Topic, Pain Management

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