Balanced anaesthesia 2005: Avoiding the Transition from Acute to Chronic Pain

When general anaesthesia consisted of the administration of a volatile anaesthetic agent according to clinical parameters usually preceded by premedication, was chronic post-operative pain a significant problem? Have we, by working hard to deliver balanced anaesthesia and rapid recovery lost sight o...

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Published inSouthern African journal of anaesthesia and analgesia Vol. 11; no. 1; pp. 14 - 18
Main Author Lake, APJ
Format Journal Article
LanguageEnglish
Published Taylor & Francis 01.02.2005
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Abstract When general anaesthesia consisted of the administration of a volatile anaesthetic agent according to clinical parameters usually preceded by premedication, was chronic post-operative pain a significant problem? Have we, by working hard to deliver balanced anaesthesia and rapid recovery lost sight of the fundamental importance of abolishing noxious reflexes at the spinal level? We need to identify, ameliorate and manage specific features and risk factors, including the severity of the acute pain experience, for individuals at risk for the development of a chronic pain syndrome. Anaesthetists' actions and the drugs they use have multiple and profound effects to be taken into account, appropriately modified and controlled, combined with excellent postoperative analgesia, particularly for those patients or procedures at high risk to minimise the transition of acute to chronic pain following surgery. Acute nociceptive pain is the risk for the transition to chronic neuropathic pain.
AbstractList When general anaesthesia consisted of the administration of a volatile anaesthetic agent according to clinical parameters usually preceded by premedication, was chronic post-operative pain a significant problem? Have we, by working hard to deliver balanced anaesthesia and rapid recovery lost sight of the fundamental importance of abolishing noxious reflexes at the spinal level? We need to identify, ameliorate and manage specific features and risk factors, including the severity of the acute pain experience, for individuals at risk for the development of a chronic pain syndrome. Anaesthetists' actions and the drugs they use have multiple and profound effects to be taken into account, appropriately modified and controlled, combined with excellent postoperative analgesia, particularly for those patients or procedures at high risk to minimise the transition of acute to chronic pain following surgery. Acute nociceptive pain is the risk for the transition to chronic neuropathic pain.
Author Lake, APJ
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10.1007/BF03018240
10.1097/00000539-200202000-00018
10.1097/00000542-199912000-00033
10.1097/00000542-199308000-00012
10.1097/00000542-200311000-00026
10.1111/j.1365-2044.2004.03702.x
10.1034/j.1399-6576.2003.00148.x
10.1213/01.ANE.0000108964.70485.B2
10.1016/0165-6147(90)90228-Z
10.1016/S0024-3205(02)01704-6
10.1016/S0028-3908(03)00055-8
10.1097/00000542-200109000-00031
10.1097/00000539-200009000-00034
10.1097/00000542-200209000-00004
10.1136/bmj.284.6316.630
10.1093/bja/72.6.662
10.1097/00000539-200201000-00015
10.1016/S0006-8993(98)01045-2
10.1016/0006-8993(92)90780-D
10.1016/S0140-6736(05)75705-6
10.1111/j.1365-2044.2003.03620.x
10.1111/j.1476-5381.1995.tb16660.x
10.1097/00000542-196701000-00006
10.1097/00000542-200403000-00029
10.1097/00000542-200010000-00038
10.1016/S0304-3959(02)00465-7
10.1016/S0028-3908(97)00120-2
10.1097/00000542-200203000-00032
10.1097/00000542-199603000-00013
10.1016/0304-3959(95)00111-5
10.1016/0014-2999(76)90213-2
10.1016/j.rapm.2003.10.015
10.1016/j.pain.2004.03.023
10.1097/00000542-199411000-00023
10.1093/bja/aeh220
10.1016/S0304-3959(98)00113-4
10.1016/S1082-3174(97)70009-6
10.1016/0304-3940(95)11364-3
10.1097/00000539-200105000-00020
10.1016/0304-3959(90)90073-M
10.1016/0304-3959(93)90161-H
10.1016/S0140-6736(03)14966-5
10.1007/s10029-002-0082-0
10.1016/S0304-3959(98)00099-2
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References CIT0030
CIT0032
CIT0034
CIT0033
Zhan RZ (CIT0018) 2001; 29
CIT0036
CIT0035
CIT0038
CIT0037
CIT0039
Malmberg AB (CIT0041) 1992; 263
CIT0040
CIT0045
CIT0044
Dirks J (CIT0047) 2002; 97
Abram SE (CIT0031) 1993; 78
Tripp DA (CIT0002) 2003; 38
CIT0003
CIT0046
CIT0005
CIT0049
CIT0004
CIT0048
CIT0007
Svensson CL (CIT0042) 2002; 42
CIT0009
Stabernack C (CIT0025) 2003; 96
CIT0008
Lin L-H (CIT0024) 1993; 7
CIT0050
CIT0052
CIT0051
CIT0010
CIT0054
CIT0053
CIT0012
CIT0056
CIT0011
CIT0055
Goto T (CIT0013) 1994; 80
Lundy JS. (CIT0001) 1926; 9
CIT0014
CIT0058
CIT0057
CIT0016
CIT0015
CIT0017
Koppert W (CIT0043) 2004; 108
CIT0019
CIT0021
CIT0020
CIT0023
CIT0022
Doubell TP (CIT0006) 1999
CIT0027
CIT0026
CIT0029
CIT0028
References_xml – ident: CIT0015
  doi: 10.1097/00000542-199501000-00031
– volume: 7
  start-page: 479
  volume-title: FASEB J
  year: 1993
  ident: CIT0024
  contributor:
    fullname: Lin L-H
– ident: CIT0049
  doi: 10.1007/BF03018240
– ident: CIT0020
  doi: 10.1097/00000539-200202000-00018
– ident: CIT0026
  doi: 10.1097/00000542-199912000-00033
– ident: CIT0036
  doi: 10.1097/00000542-199308000-00012
– ident: CIT0037
  doi: 10.1097/00000542-200311000-00026
– ident: CIT0057
  doi: 10.1111/j.1365-2044.2004.03702.x
– ident: CIT0009
– ident: CIT0055
  doi: 10.1034/j.1399-6576.2003.00148.x
– ident: CIT0048
  doi: 10.1213/01.ANE.0000108964.70485.B2
– ident: CIT0011
  doi: 10.1016/0165-6147(90)90228-Z
– ident: CIT0029
  doi: 10.1016/S0024-3205(02)01704-6
– volume: 78
  start-page: 713
  volume-title: Anesthesiol
  year: 1993
  ident: CIT0031
  contributor:
    fullname: Abram SE
– ident: CIT0030
  doi: 10.1016/S0028-3908(03)00055-8
– ident: CIT0023
  doi: 10.1097/00000542-200109000-00031
– volume: 38
  start-page: 154
  volume-title: J Athletic Training
  year: 2003
  ident: CIT0002
  contributor:
    fullname: Tripp DA
– ident: CIT0045
  doi: 10.1097/00000539-200009000-00034
– ident: CIT0046
  doi: 10.1097/00000542-200209000-00004
– ident: CIT0033
  doi: 10.1136/bmj.284.6316.630
– ident: CIT0004
  doi: 10.1093/bja/72.6.662
– ident: CIT0022
  doi: 10.1097/00000539-200201000-00015
– ident: CIT0040
  doi: 10.1016/S0006-8993(98)01045-2
– ident: CIT0034
  doi: 10.1016/0006-8993(92)90780-D
– ident: CIT0008
  doi: 10.1016/S0140-6736(05)75705-6
– ident: CIT0035
  doi: 10.1111/j.1365-2044.2003.03620.x
– ident: CIT0019
  doi: 10.1111/j.1476-5381.1995.tb16660.x
– ident: CIT0005
  doi: 10.1097/00000542-196701000-00006
– ident: CIT0028
  doi: 10.1097/00000542-200403000-00029
– ident: CIT0051
  doi: 10.1097/00000542-200010000-00038
– ident: CIT0038
  doi: 10.1016/S0304-3959(02)00465-7
– ident: CIT0044
  doi: 10.1016/S0028-3908(97)00120-2
– ident: CIT0052
  doi: 10.1097/00000542-200203000-00032
– volume: 108
  start-page: 148
  volume-title: Pain
  year: 2004
  ident: CIT0043
  contributor:
    fullname: Koppert W
– ident: CIT0016
  doi: 10.1097/00000542-199603000-00013
– volume: 96
  start-page: 102
  volume-title: Anesth Analg
  year: 2003
  ident: CIT0025
  contributor:
    fullname: Stabernack C
– volume: 263
  start-page: 136
  volume-title: J Pharmacol Exp Ther
  year: 1992
  ident: CIT0041
  contributor:
    fullname: Malmberg AB
– ident: CIT0027
  doi: 10.1016/0304-3959(95)00111-5
– ident: CIT0017
  doi: 10.1016/0014-2999(76)90213-2
– ident: CIT0054
  doi: 10.1016/j.rapm.2003.10.015
– volume: 80
  start-page: 409
  volume-title: Anesthesiol
  year: 1994
  ident: CIT0013
  contributor:
    fullname: Goto T
– ident: CIT0050
  doi: 10.1016/j.pain.2004.03.023
– ident: CIT0014
  doi: 10.1097/00000542-199411000-00023
– ident: CIT0053
  doi: 10.1093/bja/aeh220
– ident: CIT0039
  doi: 10.1016/S0304-3959(98)00113-4
– volume: 97
  start-page: 560
  volume-title: Anesthesiol
  year: 2002
  ident: CIT0047
  contributor:
    fullname: Dirks J
– ident: CIT0003
  doi: 10.1016/S1082-3174(97)70009-6
– volume: 29
  start-page: 808
  volume-title: Crit Care Med
  year: 2001
  ident: CIT0018
  contributor:
    fullname: Zhan RZ
– volume: 9
  start-page: 399
  volume-title: Minn Med
  year: 1926
  ident: CIT0001
  contributor:
    fullname: Lundy JS.
– ident: CIT0032
  doi: 10.1016/0304-3940(95)11364-3
– ident: CIT0021
  doi: 10.1097/00000539-200105000-00020
– ident: CIT0012
  doi: 10.1016/0304-3959(90)90073-M
– volume: 42
  start-page: 553
  volume-title: Annu Rev Pharmacol and Toxicol
  year: 2002
  ident: CIT0042
  contributor:
    fullname: Svensson CL
– ident: CIT0007
  doi: 10.1016/0304-3959(93)90161-H
– ident: CIT0056
  doi: 10.1016/S0140-6736(03)14966-5
– ident: CIT0058
  doi: 10.1007/s10029-002-0082-0
– start-page: 165
  volume-title: Textbook of Pain
  year: 1999
  ident: CIT0006
  contributor:
    fullname: Doubell TP
– ident: CIT0010
  doi: 10.1016/S0304-3959(98)00099-2
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