Preoperative Assessment and Management of Patients with Pain and Anxiety Disorders

Purpose of Review This review summarizes selected recent evidence on issues important for preoperative pain evaluation. Recent Findings Opioids, though a mainstay of postoperative pain management, are associated with both short and increasingly recognized long-term risks, including persistent opioid...

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Bibliographic Details
Published in:Current Anesthesiology Reports 2020, Vol.10 (1), p.28-34
Main Authors: Doan, Lisa V., Blitz, Jeanna
Format: Article
Language:English
Subjects:
Anesthesiology
Critical Care Medicine
Intensive
Internal Medicine
Medicine
Medicine & Public Health
Preoperative Evaluation (BJ Sweitzer
Preoperative Evaluation (BJ Sweitzer, Section Editor)
Section Editor
Topical Collection on Preoperative Evaluation
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Summary:Purpose of Review This review summarizes selected recent evidence on issues important for preoperative pain evaluation. Recent Findings Opioids, though a mainstay of postoperative pain management, are associated with both short and increasingly recognized long-term risks, including persistent opioid use. Risk factors for high levels of acute postoperative pain as well as chronic postsurgical pain may overlap, including psychological factors such as depression, anxiety, and catastrophizing. Tools to predict those at risk for poor postoperative pain outcomes are being studied. Summary Preoperative pain and psychological factors can affect postoperative pain outcomes. More work is needed in the future to develop practical interventions in the preoperative period to address these factors.
ISSN:2167-6275
1523-3855
2167-6275
DOI:10.1007/s40140-020-00367-9