Practical recommendations for the management of the patient with chronic pain during the pandemic of COVID-19

Asensio-Samper, Juan Marcos; Quesada-Carrascosa, M; Fabregat-Cid, Gustavo; López-Alarcón, M D; Andrés, Javier

doi:10.1016/j.redare.2020.08.013

Cited by 4 publications

(17 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similar recommendations have been published in the Spanish Journal of Anaesthesiology and Reanimation (Revista Espan ˜ola de Anestesiología y Reanimaci ón, SEDAR). 4 We have also identified one position statement on standard headache and neuralgia treatment in the context of the COVID-19 pandemic, developed by the Headache Study Group of the Spanish Society for Neurology. 24 In this document, the authors recommended the use of conventional treatments because they did not find any scientific evidence to contraindicate these.…”

Section: Changes In Chronic Pain Management During the Covid-19 Pandemicmentioning

confidence: 99%

“…14,19 As indicated in one study, the emotional impact of the pandemic and its effects on pain support the need for psychological monitoring of chronic pain patients during periods of health crisis. 4 This should lead to the adoption of a biopsychosocial approach and the inclusion of multidisciplinary pain interventions, also a necessary response to adapt to an aging population and to a probably future increase in chronic pain problems.…”

Section: Conclusion and Proposal For The Futurementioning

confidence: 99%

See 1 more Smart Citation

Effects of the COVID-19 pandemic on chronic pain in Spain: a scoping review

Carrillo-de-la-Peña

González-Villar

Triñanes

2021

PR9

View full text Add to dashboard Cite

The COVID-19 outbreak has been a great challenge in the management of chronic pain patients. We have conducted a rapid scoping review to assess the impact of the pandemic (and the associated public health measures) on the health status and management practices of chronic pain patients in Spain. To this end, we performed a bibliographic search in LitCOVID and PubMed, and reviewed official websites and documents, and expert reports. The review showed that (1) the studies consistently indicate that the pandemic has had a very negative impact on the physical and psychological health of chronic pain patients; (2) there are scarce data on how the pandemic affected pain unit consultations and a lack of protocols to organize health care in the face of future waves of contagion, with little implementation of telehealth. We make proposals to improve management of chronic pain patients in pandemic situations, which should pivot around 3 axes: (1) a coordinated response of all the relevant stakeholders to define a future roadmap and research priorities, (2) a biopsychosocial approach in pain management, and (3) development and implementation of novel telemedicine solutions.

show abstract

Section: Changes In Chronic Pain Management During the Covid-19 Pandemicmentioning

confidence: 99%

Section: Conclusion and Proposal For The Futurementioning

confidence: 99%

Effects of the COVID-19 pandemic on chronic pain in Spain: a scoping review

Carrillo-de-la-Peña

González-Villar

Triñanes

2021

PR9

View full text Add to dashboard Cite

show abstract

“…Many articles described specific recommendations for performing intubation15–19 or for certain areas, such as psychiatric services,20–22 orthopaedics,23 haemodynamic,24 intrahospital transport,25 oncology,26 27 field hospitals,28 29 paediatrics,30–34 diagnostic centres,35–37 inpatient units,38–43 endoscopy and gastroenterology centres,44–48 gynaecology and obstetrics,40 49–55 emergency units,56–60 intensive care unit40 41 56 61–68 and the most common was the surgical centres 48 61 69–99. Other articles made recommendations for the hospital service as a whole 19 58 64 100–138. Most documents are from the USA (n=34, 27.2%), followed by Brazil (n=21, 16.8%) and multicentre studies (n=17, 13.6%).…”

Section: Resultsmentioning

confidence: 99%

Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review

et al. 2022

View full text Add to dashboard Cite

ObjectiveTo map the recommendations for hospitalised patient safety in the context of the COVID-19 pandemic.DesignScoping review using the method recommended by the Joanna Briggs Institute.Data sourcesDatabases: Medline, SCOPUS, EMBASE, ScienceDirect, LILACS, CINAHL and IBECS; grey literature platform: Google Scholar; and 11 official websites of leading healthcare institutions were searched on 27 April 2021 and updated on 11 April 2022.Eligibility criteriaWe included documents that present recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic, published in any language, from 2020 onwards.Data extraction and synthesisData extraction was performed in pairs with consensus rounds. A descriptive analysis was carried out to present the main characteristics of the articles. Qualitative data from the extraction of recommendations were analysed through content analysis.ResultsOne hundred and twenty-five documents were included. Most papers were identified as expert consensus (n=56, 44.8%). Forty-six recommendations were identified for the safety of hospitalised patients: 17 relating to the reorganisation of health services related to the flow of patients, the management of human and material resources and the reorganisation of the hospital environment; 11 on the approach to the airways and the prevention of the spread of aerosols; 11 related to sanitary and hygiene issues; 4 about proper use of personal protective equipment and 3 for effective communication.ConclusionsThe recommendations mapped in this scoping review present the best practices produced so far and serve as a basis for planning and implementing good practices to ensure safe hospital care, during and after COVID-19. The engagement of everyone involved in the care of hospitalised patients is essential to consolidate the mapped recommendations and provide dignified, safe and quality care.

show abstract

“…In addition, a significant number of patients with chronic pain take opioids, which are well-documented immunosuppressants. Treating such patients with pain procedures using small amounts of non-systemic corticosteroids can minimize the need for opioids (ASENSIO-SAMPER et al 2021;CAIN et al 2017).…”

Section: Corticosteroids and Covid-19mentioning

confidence: 99%

“…During the COVID-19 pandemic, clinicians may continue to administer epidurals and other injections to selected patients when indicated. Healthcare professionals must keep in mind, however, that there is no clear evidence of a causal effect between spinal procedures without steroids and the increased risk of infection, suggesting an increased risk of infection with the use of corticosteroids (ASENSIO-SAMPER et al 2021).…”

Section: Corticosteroids and Covid-19mentioning

confidence: 99%

Pain Management During the Covid-19 Pandemic: A Literature Review

Sanguinette¹,

Carvalheira²,

Lopes³

et al. 2021

JHS

View full text Add to dashboard Cite

Chronic pain is a prevalent condition worldwide and causes suffering, limited daily activities and reduced quality of life. There is growing evidence that COVID-19 infection is associated with myalgias, referred pain, and generalized hyperalgesia. The aim of the present study is to analyze the management of chronic pain during the COVID-19 pandemic. A systematic search was carried out in the Medline database. The following descriptors were used: "Pain Management" AND "coronavirus 2019" OR "SARS-CoV-2" OR "COVID-19" and "Pain" and articles on the topic published within the time frame (2019-2021) and in the English language. Telemedicine can help provide ongoing services to patients; assessments, treatment and follow-up. Patients with chronic pain may also be at increased risk for COVID-19 due to several factors. Important considerations for health professionals who care for people with chronic pain are: ensuring continuity of care and pain medications; use of telemedicine; maintenance of the biopsychosocial management approach; evaluation and safe conduction of urgent and semi-urgent procedures to avoid morbidity in patients with chronic pain; and the need to modify current therapies to decrease the risk of COVID-19.

show abstract

Practical recommendations for the management of the patient with chronic pain during the pandemic of COVID-19

Cited by 4 publications

References 24 publications

Effects of the COVID-19 pandemic on chronic pain in Spain: a scoping review

Effects of the COVID-19 pandemic on chronic pain in Spain: a scoping review

Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review

Pain Management During the Covid-19 Pandemic: A Literature Review

Contact Info

Product

Resources

About