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...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2018-01-01
|
| Series: | Pain Research and Management |
| Online Access: | http://dx.doi.org/10.1155/2018/5237040 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832545868848300032 |
|---|---|
| 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. |
| format | Article |
| id | doaj-art-9320de225d3f47dc83be6d9ab71d63d9 |
| institution | Kabale University |
| issn | 1203-6765 1918-1523 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| 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 |
| work_keys_str_mv | AT robertadejong developmentofamultimodalanalgesiaprotocolforperioperativeacutepainmanagementforlowerlimbamputation AT alexanderjshysh developmentofamultimodalanalgesiaprotocolforperioperativeacutepainmanagementforlowerlimbamputation |