Acute Postoperative Pain Control

Страна: N/A

Город: N/A

Тезисы до: 09.12.2016

Даты: 09.12.16 — 09.12.16

Е-мейл Оргкомитета:

Организаторы: Pain Research and Management


Recovery from anesthesia is a source of great stress for patients. Postanesthesia recovery must occur comfortably and uneventfully in a controlled environment. However, as it usually starts in the operating room, patients are brought to the recovery unit with airway blockage, shiver, agitation, delirium, pain, nausea, vomiting, hypothermia, and autonomic instability risks. Most surgical morbidities and mortalities happen in the postoperative period. Among patients who have had surgery, the early and late postoperative periods constitute one of the most critical stages. All of these facts emphasize the importance of postoperative recovery and postoperative care. Close and adequate care is thus necessary in this period so as to minimize postoperative complications. Postoperative pain is one of the most important problems in the postoperative period. Postoperative pain, with nociceptive, inflammatory, and neuropathic components, begins with surgical trauma and reduces as the tissue heals. Untreated pain caused by surgical trauma produces very important physiopathologic changes in children and adults. Effective treatment of postoperative pain decreases surgical mortality and morbidity rates and has been shown to promote quicker healing.

Untreated postoperative pain, especially in thoracic and upper abdominal surgeries, decreases respiratory motion and the cough reflex and prevents expectoration of secretions. The risk of atelectasis and postoperative pulmonary complications increases. Surgery increases plasma release of β-endorphins, adrenocorticotropin, vasopressin, catecholamine, growth hormone, glucagon, cortisol aldosterone, and other corticosteroids, while depressing insulin release. This results in exhaustion of carbohydrate and fat stores, while increasing the levels of lactate, pyruvate, ketone bodies, glycerol, and free fatty acids. Plasma amino acids, nitrogen excretion, and 3-methylhistidine/creatinine level increases are related to protein destruction. Severe pain results in sympathetic stimulation of catecholamine release and systemic increases in vascular resistance, heart rate, and myocardial oxygen consumption. Inadequate treatment of pain can result in arrhythmia. Increased sympathetic activity can reduce blood flow to the extremities and increase the risk of deep vein thrombosis. Catecholamine release linked to pain reduces gastrointestinal motility and splanchnic blood flow.

In conjunction with the continuous development of new technology and the availability of new drugs for anesthesia, great improvements have occurred in postoperative patient care in the last decade. We solicit high quality, original research articles and review articles focused on acute postoperative pain control. We invite authors to submit original research and review articles about postoperative pain.

Potential topics include, but are not limited to:

    Postoperative pain control
    Impact of analgesia type on patient outcome
    Impact of anesthesia type on patient pain and outcome
    Outcomes of anesthesia types and postoperative pain control
    Patient-controlled analgesia
    Complications of analgesia in the postoperative period
    Anesthesia and neuroendocrine stress responses in the postoperative period
    Novel methods of assessing postoperative pain
    Novel methods of analgesia administration at PACU
    Novel drugs and postoperative pain
    Novel peripheral nerve blocks and truncal blocks and postoperative pain
    Postoperative pain care in surgical home
    Enhanced recovery after surgery (ERAS) and postoperative pain
    Postoperative analgesia in critical care patients

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