Acute pain management in patients with fibromyalgia and other diffuse chronic pain syndromes

Pogatzki-Zahn, Esther; Englbrecht, Jan Sönke; Schug, Stephan A.

doi:10.1097/aco.0b013e32833037d2

Cited by 33 publications

(13 citation statements)

References 70 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[ 4 ] Neuronal hypersensitivity and nociception after surgical incision are mainly maintained by afferent barrage of sensitized nociceptors across the postoperative period. [ 22 ] Thus, it is suggested that both analgesic and antihyperalgesic interventions are necessary in a postsurgical setup. The peripheral nociceptive stimuli also cause a neuroendocrine stress response, affecting various systems of our body leading to increased perioperative morbidity and mortality.…”

Section: Discussionmentioning

confidence: 99%

A prospective, observational study to evaluate the role of gabapentin as preventive analgesic in thyroidectomy under general anesthesia

et al. 2017

View full text Add to dashboard Cite

Background:Effective management of postoperative pain is a part of well-organized perioperative care, which helps in reduced morbidity and improved patient satisfaction. Preventive analgesia can reduce acute and chronic pain by blocking the noxious inputs to pain pathways, preventing sensitization. Studies have reported efficacy of gabapentin as a preventive analgesic in perioperative pain. In this study, we aimed to determine whether preoperative gabapentin reduced postoperative pain and tramadol consumption after thyroidectomy under general anesthesia.Materials and Methods:Sixty patients scheduled for thyroidectomy were allocated to two groups of thirty each for this prospective, observational study. Patients in Group A and Group B received oral gabapentin 600 mg (6 × 10−4 kg) and diazepam 10 mg (1 × 10−5 kg), respectively, 2 h prior to surgery. Tramadol was given as rescue analgesic for postoperative pain with a verbal rating score of two. The analgesic efficacy of preoperative gabapentin was assessed in terms of postoperative pain scores at rest or swallowing, time to first rescue analgesic, and total tramadol consumption for 24 h. Ramsay sedation score and side effects of drug were also looked into.Results:Postoperative pain scores and total tramadol consumption were significantly lower in Group A during 24 h (P = 0.00). Time to first rescue analgesic was significantly prolonged in Group A (P = 0.001). Side effects were comparable.Conclusion:Oral gabapentin is effective as a preventive analgesic in reducing postoperative pain and tramadol consumption after thyroidectomy under general anesthesia.

show abstract

Section: Discussionmentioning

confidence: 99%

A prospective, observational study to evaluate the role of gabapentin as preventive analgesic in thyroidectomy under general anesthesia

et al. 2017

View full text Add to dashboard Cite

show abstract

“…One of the problems with these studies is the diversity of criteria for the definition of postoperative chronic pain, and the time that must pass has been much debated, although the exact duration of the inflammatory process is still yet to be determined. Although PCSP is defined as pain that lasts more than two months after a surgical procedure, excluding other possible causes of pain [2], some experts suggest that this period must be at least 3-6 months after surgery [17].…”

Section: Discussionmentioning

confidence: 99%

Chronic Pain and Predictive Factors in the C-Section Surgery

Echevarría¹

2016

ACC

View full text Add to dashboard Cite

show abstract

“…[1] However, it is unclear if preoperative characteristics could be used to identify shoulder arthroscopy patients at risk for poorer postoperative outcomes. Measures that may influence postoperative outcomes include psychological factors,[2] degree of pain[3] and physical functioning,[4] overall pain sensitivity,[5] and preoperative opioid use. [6]…”

Section: Introductionmentioning

confidence: 99%

The Fibromyalgia Survey Score Correlates With Preoperative Pain Phenotypes But Does Not Predict Pain Outcomes After Shoulder Arthroscopy

Cheng

Kahn

YaDeau

et al. 2016

The Clinical Journal of Pain

View full text Add to dashboard Cite

Objectives Fibromyalgia characteristics can be evaluated using a simple, self-reported measure, which correlates with postoperative opioid consumption following lower-extremity joint arthroplasty. The purpose of this study was to determine if preoperative pain history and/or the fibromyalgia survey score can predict postoperative outcomes following shoulder arthroscopy, which may cause moderate-to-severe pain. Methods In this prospective study, 100 shoulder arthroscopy patients completed preoperative validated self-report measures to assess baseline quality of recovery score, physical functioning, depression/anxiety, and neuropathic pain. Fibromyalgia characteristics were evaluated using a validated measure of widespread pain and comorbid symptoms on a 0–31 scale. Outcomes were assessed on postoperative days 2 (opioid consumption [primary], pain, physical functioning, quality of recovery score) and 14 (opioid consumption, pain). Results Fibromyalgia survey scores ranged from 0–13. The cohort was divided into tertiles for univariate analyses. Preoperative depression/anxiety (p<0.001) and neuropathic pain (p=0.008) were higher, and physical functioning was lower (p<0.001), in higher fibromyalgia survey score groups. The fibromyalgia survey score was not associated with postoperative pain or opioid consumption; however, it was independently associated with poorer quality of recovery scores (p=0.001). The only independent predictor of postoperative opioid use was preoperative opioid use (p=0.038). Discussion Fibromyalgia survey scores were lower than those in a previous study of joint arthroplasty. Although they distinguished a negative preoperative pain phenotype, fibromyalgia scores were not independently associated with postoperative opioid consumption. Further research is needed to elucidate the impact of a fibromyalgia-like phenotype on postoperative analgesic outcomes.

show abstract

Acute pain management in patients with fibromyalgia and other diffuse chronic pain syndromes

Cited by 33 publications

References 70 publications

A prospective, observational study to evaluate the role of gabapentin as preventive analgesic in thyroidectomy under general anesthesia

A prospective, observational study to evaluate the role of gabapentin as preventive analgesic in thyroidectomy under general anesthesia

Chronic Pain and Predictive Factors in the C-Section Surgery

The Fibromyalgia Survey Score Correlates With Preoperative Pain Phenotypes But Does Not Predict Pain Outcomes After Shoulder Arthroscopy

Contact Info

Product

Resources

About