Practical strategies for the prevention and management of chronic postsurgical pain.
Open accessAbstract
Chronic postsurgical pain (CPSP) is a multifactorial condition that affects a significant proportion of patients undergoing surgery. The prevention and management of CPSP require the identification of preoperative risk factors to screen high-risk patients and establish appropriate perioperative pain management plans to prevent its development. Active postoperative pain management should be provided to prevent CPSP in patients with severe pain following surgery. These tasks have become important for perioperative team members in the management of CPSP. This review article provides a comprehensive overview of the latest research on the role of perioperative team members in preventing and managing CPSP. Additionally, it highlights practical strategies that can be employed in clinical practice, covering the definition and risk factors for CPSP, including preoperative, intraoperative, and postoperative factors, as well as a risk prediction model. The article also explores various treatments for CPSP, as well as preventive measures, including preemptive analgesia, regional anesthesia, pharmacological interventions, psychoeducational support, and surgical technique modification. This article emphasizes the importance of a comprehensive perioperative pain management plan that includes multidisciplinary interventions, using the transitional pain service as an example. By adopting a multidisciplinary and collaborative approach, perioperative team members can improve patient outcomes, enhance patient satisfaction, and reduce healthcare costs. However, further research is necessary to establish targeted interventions to effectively prevent and manage CPSP.
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Inadequate perioperative analgesia in otoplasty can impede wound healing, exacerbate stress responses, and increase the risk of chronic postsurgical pain.
“Perioperative pain management is a critical component of otoplasty, as inadequate analgesia can impede wound healing, exacerbate stress responses, and increase the risk of chronic postsurgical pain.4–6”
From Perioperative Analgesia and Postoperative Nausea and Vomiting Management in Otoplasty: A Systematic Review (2026) · cites this paper as [5]
In “Risk factors for CPSP” (page not provided), the paper says inadequately managed acute pain can contribute to chronic postsurgical pain and cause physical and psychological distress. It does not say that inadequate analgesia impedes wound healing or exacerbates physiological stress responses, and it does not address otoplasty specifically. (LLM, conf=0.87)
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Postinjury stimulation triggers a transition to nociplastic pain in mice
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Use of regional analgesia to prevent the conversion from acute to chronic pain
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Neuromodulation of the Dorsal Root Ganglion for Chronic Postsurgical Pain
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Using a postoperative pain trajectory to predict pain at 1 year after total knee arthroplasty
Imai, R., Nishigami, T., Kubo, T., Ishigaki, T., Yonemoto, Y., Mibu, A., Morioka, S., & Fujii, T. (2021) · The Knee · doi:10.1016/j.knee.2021.08.021 · Cited by 20 · see citing works
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Risk factors for chronic postsurgical pain following minimally invasive thoracic surgery
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Physiological Basis of Surgical Stress and Recovery
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- Authors
- Kim, B. R., Yoon, S.-H., & Lee, H.-J.
- Affiliations
- Korea University Guro Hospital (KR)
- Seoul National University (KR)
- Corresponding author
- Lee, Ho-Jin
- Venue
- The Korean journal of pain
- Publisher
- Korean Pain Society
- Published
- 2023-04-01
- Volume
- 36
- Issue
- 2
- Pages
- 149-162
- ISSN
- 1226-2579 (ISSN-L)
- 2005-9159
- 2093-0569
- PMC
- PMC10043790
- OpenAlex
- W4361218848
- Cited by
- 37
- References
- 114
- Citations by year
- 2026: 11 · 2025: 12 · 2024: 11 · 2023: 3
- FWCI
- 2.39
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- Locations
- The Korean journal of pain (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- 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, perioperative pain management, preoperative risk factors, risk prediction model, preemptive analgesia, regional anesthesia, pharmacological interventions, psychological and pedagogical support, surgical technique modification, multidisciplinary pain management, transitional pain service, perioperative team
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