Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2020.10.014
Brazilian Journal of Anesthesiology
Narrative Review

Chronic postoperative pain: ubiquitous and scarcely appraised – narrative review

Dor crônica pós-operatória – frequente e pouco valorizada: revisão narrativa

Alexandre Lopes, Miriam Seligman Menezes, Guilherme Antonio Moreira de Barros

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Abstract

The International Association for the Study of Pain chose pain prevention as the theme for the 2020 Global Year. Chronic postoperative pain is one the many types of pain that can be potentially prevented. It develops or increases in severity after a surgery, persists for at least three months, even after ruling out all other possible causes of pain. To perform the present narrative review, the authors searched the PubMed database using the following keywords “postoperative pain” OR “postsurgical pain” AND “chronic” OR “persistent”. The present review focused on the incidence, pain development and chronification, and predisposing factors. It also discusses prevention, diagnosis, and treatment of chronic postoperative pain. Awareness of occurrence of chronic postoperative pain and recognizing risk factors is crucial for the day-to-day practice of the anesthesiologist. Hence, numerous surgical patients can have their outcome improved by preventing chronic postoperative pain, a condition scarcely identified and without a well-established treatment.

Keywords

Postoperative pain;  Chronic pain;  Prevention of diseases;  Review

References

1 IASP Global year for the prevention of pain [Internet] (2020) 2020. Available from: https://www.iasp-pain.org/GlobalYear [cited 18.07.20]

2 IASP Prevention of chronic post-surgical pain [Internet] (2020) 2020. Available from: http://s3.amazonaws.com/rdcms-iasp/files/production/public/8_Global Year 2020 Pain After Surgery Fact Sheet.pdf [cited 18.07.20]

3 A. Steyaert, P. Lavand’homme Prevention and treatment of chronic postsurgical pain: a narrative review Drugs, 78 (2018), pp. 339-354

4 I. Paula Posso, R. Monclus Romanek, J. Paula Posso, et al. Dor crônica pós-operatória I. Paula de Posso, E. Grossmann, P.R. Barreiros da Fosenca, D.M. Navas Perissinotti, J.P. de Oliveira Júnior, J. Barcellos de Souza, et al. (Eds.), Tratado de dor - Publicação da Sociedade Brasileira para Estudo da Dor (1ª Ed.), Atheneu, Rio de Janeiro (2017), pp. 699-717

5 I.K. Crombie, H.T.O. Davies, W.A. Macrae Cut and thrust: antecedent surgery and trauma among patients attending a chronic pain clinic Pain, 76 (1998), pp. 167-171

6 W.A. Macrae Chronic pain after surgery Br J Anaesth, 87 (2001), pp. 88-98

7 W.A. Macrae Chronic postsurgical pain I. Crombie, S. Linton, P. Croft, M. Von Korff, L. LeResche (Eds.), Epidemiology of pain, IASP, Seattle (1999), pp. 125-142

8 F.M. Perkins, H. Kehlet Chronic pain as an outcome of surgery Anesthesiology, 93 (2000), pp. 1123-1133

9 W.A. Macrae Chronic post-surgical pain: 10 years on Br J Anaesth, 101 (2008), pp. 77-86

10 S.A. Schug, P. Lavand’Homme, A. Barke, et al. The IASP classification of chronic pain for ICD-11: chronic postsurgical or posttraumatic pain Pain, 160 (2019), pp. 45-52

11 G. Niraj, D.J. Rowbotham Persistent postoperative pain: where are we now? Br J Anaesth, 107 (2011), pp. 25-29

12 H. Kehlet, T.S. Jensen, C.J. Woolf Persistent postsurgical pain: risk factors and prevention Lancet, 367 (2006), pp. 1618-1625

13 D. Fletcher, U.M. Stamer, E. Pogatzki-Zahn, et al. Chronic postsurgical pain in Europe Eur J Anaesthesiol, 32 (2015), pp. 725-734

14 S. Haroutiunian, L. Nikolajsen, N.B. Finnerup, et al. The neuropathic component in persistent postsurgical pain: a systematic literature review Pain, 154 (2013), pp. 95-102

15 S.A. Schug, E.M. Pogatzki-Zahn Chronic pain after surgery or injury IASP Pain Clinical Updates (2011), p. 5

16 D. Correll Chronic postoperative pain: recent findings in understanding and management F1000Research, 6 (2017), p. 1054

17 P. Richebé, X. Capdevila, C. Rivat Persistent postsurgical pain Anesthesiology, 129 (2018), pp. 590-607

18 N. Wijayasinghe, T.K. Ringsted, J.M. Bischoff, et al. The role of peripheral afferents in persistent inguinal postherniorrhaphy pain: a randomized, double-blind, placebo-controlled, crossover trial of ultrasound-guided tender point blockade Br J Anaesth, 116 (2016), pp. 829-837

19 J. Katz, Z. Seltzer Transition from acute to chronic postsurgical pain: risk factors and protective factors Expert Rev Neurother, 9 (2009), pp. 723-744

20 P. Gulur, A. Nelli Persistent postoperative pain Curr Opin Anaesthesiol, 32 (2019), pp. 668-673

21 A. Althaus, O. Arránz Becker, E. Neugebauer Distinguishing between pain intensity and pain resolution: using acute post-surgical pain trajectories to predict chronic post-surgical pain Eur J Pain, 18 (2014), pp. 513-521

22 P. Glare, K.R. Aubrey, P.S. Myles Transition from acute to chronic pain after surgery Lancet, 393 (2019), pp. 1537-1546

23 C.J. Woolf Central sensitization: implications for the diagnosis and treatment of pain Pain, 152 (Suppl.) (2011), pp. S2-S15

24 C.J. Woolf Neuronal plasticity: increasing the gain in pain Science, 288 (2000), pp. 1765-1768

25 P. Lavand’homme The progression from acute to chronic pain Curr Opin Anaesthesiol, 24 (2011), pp. 545-550

26 G.P. Joshi, B.O. Ogunnaike Consequences of inadequate postoperative pain relief and chronic persistent postoperative pain Anesthesiol Clin North Am, 23 (2005), pp. 21-36

27 P.F. White, H. Kehlet Improving postoperative pain management Anesthesiology, 112 (2010), pp. 220-225

28 A. Hinrichs-Rocker, K. Schulz, I. Järvinen, et al. Psychosocial predictors and correlates for chronic post-surgical pain (CPSP) – a systematic review Eur J Pain, 13 (2009), pp. 719-730

29 M. Theunissen, M.L. Peters, J. Bruce, et al. Preoperative anxiety and catastrophizing Clin J Pain, 28 (2012), pp. 819-841

30 S.R. Smith, J. Bido, J.E. Collins, et al. Impact of preoperative opioid use on total knee arthroplasty outcomes J Bone Jt Surg, 99 (2017), pp. 803-808

31 V. Kleiman, H. Clarke, J. Katz Sensitivity to pain traumatization: a higher-order factor underlying pain-related anxiety, pain catastrophizing and anxiety sensitivity among patients scheduled for major surgery Pain Res Manag, 16 (2011), pp. 169-177

32 S.A. Schug, J. Bruce Risk stratification for the development of chronic postsurgical pain Pain Rep, 2 (2017), p. e627

33 E.G. VanDenKerkhof, M.L. Peters, J. Bruce Chronic pain after surgery Clin J Pain, 29 (2013), pp. 2-8

34 M.H. Andreae, D.A. Andreae Regional anaesthesia to prevent chronic pain after surgery: a Cochrane systematic review and meta-analysis Br J Anaesth, 111 (2013), pp. 711-720

35 E.J. Weinstein, J.L. Levene, M.S. Cohen, et al. Local anaesthetics and regional anaesthesia versus conventional analgesia for preventing persistent postoperative pain in adults and children Cochrane Database Syst Rev, 6 (2018), p. CD007105

36 E.K. Aasvang, E. Gmaehle, J.B. Hansen, et al. Predictive risk factors for persistent postherniotomy pain Anesthesiology, 112 (2010), pp. 957-969

37 R.D. Searle, M.P. Simpson, K.H. Simpson, et al. Can chronic neuropathic pain following thoracic surgery be predicted during the postoperative period? Interact Cardiovasc Thorac Surg, 9 (2009), pp. 999-1002

38 C.J. Morze, N.R. Johnson, G. Williams, et al. Knee pain during the first three months after unilateral total knee arthroplasty J Arthroplasty, 28 (2013), pp. 1565-1570

39 F.C. Veal, L.R.E. Bereznicki, A.J. Thompson, et al. Subacute pain as a predictor of long-term pain following orthopedic surgery Medicine (Baltimore) [Internet], 94 (2015 Sep), p. e1498 Available from: http://journals.lww.com/00005792-201509020-00032

40 M.L. Sperlingl, H. Høimyrl, K. Finnerupl, et al. Persistent pain and sensory changes following cosmetic breast augmentation Eur J Pain, 15 (2011), pp. 328-332

41 D.C. Kraychete, R.K. Sakata, L. Lannes, et al. Dor crônica persistente pós-operatória: o que sabemos sobre prevenção, fatores de risco e tratamento? Braz J Anesthesiol, 66 (2016), pp. 505-512

42 G.A.M. de Barros, O.C.G. Colhado, M.L. Giublin Clinical presentation and diagnosis of neuropathic pain Rev Dor, 17 (Suppl. 1) (2016), pp. S15-S19

43 D.H. Cisewski, S.M. Motov Essential pharmacologic options for acute pain management in the emergency setting Turkish J Emerg Med, 19 (2019), pp. 1-11

44 F. Brennan, D.B. Carr, M. Cousins Pain management: a fundamental human right Anesth Analg, 105 (2007), pp. 205-221

45 J.L. Baratta, E.S. Schwenk, E.R. Viscusi Clinical consequences of inadequate pain relief Plast Reconstr Surg, 134 (2014), pp. 15S-21S

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