Development of a Multimodal Analgesia Protocol for Perioperative Acute Pain Management for Lower Limb Amputation

Multimodal analgesia may include pharmacological components such as regional anesthesia, opioid and nonopioid systemic analgesics, nonsteroidal anti-inflammatories, and a variety of adjuvant agents. Multimodal analgesia has been reported for a variety of surgical procedures but not yet for lower lim...

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Main Authors: Roberta De Jong, Alexander J. Shysh
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Pain Research and Management
Online Access:http://dx.doi.org/10.1155/2018/5237040
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author Roberta De Jong
Alexander J. Shysh
author_facet Roberta De Jong
Alexander J. Shysh
author_sort Roberta De Jong
collection DOAJ
description Multimodal analgesia may include pharmacological components such as regional anesthesia, opioid and nonopioid systemic analgesics, nonsteroidal anti-inflammatories, and a variety of adjuvant agents. Multimodal analgesia has been reported for a variety of surgical procedures but not yet for lower limb amputation in vasculopathic patients. Perioperative pain management in these patients presents a particular challenge considering the multiple sources and pathways for acute and chronic pain that are involved, such as chronic ischemic limb pain, postoperative residual limb pain, coexisting musculoskeletal pain, phantom limb sensations, and chronic phantom limb pain. These pain mechanisms are explored and a proposed protocol for multimodal analgesia is outlined taking into account the common patient comorbidities found in this patient population.
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institution Kabale University
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series Pain Research and Management
spelling doaj-art-9320de225d3f47dc83be6d9ab71d63d92025-02-03T07:24:34ZengWileyPain Research and Management1203-67651918-15232018-01-01201810.1155/2018/52370405237040Development of a Multimodal Analgesia Protocol for Perioperative Acute Pain Management for Lower Limb AmputationRoberta De Jong0Alexander J. Shysh1Acute Pain Service, Alberta Health Services, Department of Anesthesia, Peter Lougheed Centre, 3500-26 Avenue NE, Calgary, AB, T1Y 6J4, CanadaAcute Pain Service, Alberta Health Services, Department of Anesthesia, Peter Lougheed Centre, 3500-26 Avenue NE, Calgary, AB, T1Y 6J4, CanadaMultimodal analgesia may include pharmacological components such as regional anesthesia, opioid and nonopioid systemic analgesics, nonsteroidal anti-inflammatories, and a variety of adjuvant agents. Multimodal analgesia has been reported for a variety of surgical procedures but not yet for lower limb amputation in vasculopathic patients. Perioperative pain management in these patients presents a particular challenge considering the multiple sources and pathways for acute and chronic pain that are involved, such as chronic ischemic limb pain, postoperative residual limb pain, coexisting musculoskeletal pain, phantom limb sensations, and chronic phantom limb pain. These pain mechanisms are explored and a proposed protocol for multimodal analgesia is outlined taking into account the common patient comorbidities found in this patient population.http://dx.doi.org/10.1155/2018/5237040
spellingShingle Roberta De Jong
Alexander J. Shysh
Development of a Multimodal Analgesia Protocol for Perioperative Acute Pain Management for Lower Limb Amputation
Pain Research and Management
title Development of a Multimodal Analgesia Protocol for Perioperative Acute Pain Management for Lower Limb Amputation
title_full Development of a Multimodal Analgesia Protocol for Perioperative Acute Pain Management for Lower Limb Amputation
title_fullStr Development of a Multimodal Analgesia Protocol for Perioperative Acute Pain Management for Lower Limb Amputation
title_full_unstemmed Development of a Multimodal Analgesia Protocol for Perioperative Acute Pain Management for Lower Limb Amputation
title_short Development of a Multimodal Analgesia Protocol for Perioperative Acute Pain Management for Lower Limb Amputation
title_sort development of a multimodal analgesia protocol for perioperative acute pain management for lower limb amputation
url http://dx.doi.org/10.1155/2018/5237040
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