Professor Narinder Rawal, MD, PhD, FRCA (Hon) - AKUTNE.CZ

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Chronic postsurgical painGenetic predispositionPsychological• Patient attiudes• Preop anxiety• Expectation ofchronicityEnvironmental• Poor education• Low income• Poor self-rated healthSurgical• Severity of postopertaivepain• Surgical factors- site and extent ofsurgery- damage to nerves- reoperations- bleeding, infectionPreoperative• Female gender• Younger age• Pain beforesurgery• Analgesic use
Rappaport Bob A. et alAnesthesiology 2010 112;509-10Scholz J. et alAnesthesiology 2010 112;511-13Kehlet H. et alAnesthesiology 2010 112;514-15Dworkin Robert H. et alAnesthesiology 2010 112;516-18
Page 1 and 2: Professor Narinder Rawal, MD, PhD,
Page 3 and 4: 1. Local and systemic chemicals dri
Page 5 and 6: Chronic postsurgical painGenetic pr
Page 7 and 8: It´s not only nerve damage"Damage
Page 9 and 10: Persistent postsurgical pain - role
Page 11: Non-opioid opioid analgesic techniq
Page 14 and 15: Anesth Analg 2006;102:248-57 19 RCT
Page 16 and 17: Regional anaesthesia* and chronic p
Page 18 and 19: Rowbotham D J Improves quality of o
Page 20 and 21: Anesth Analg 2004;99:482-9595 37 RC
Page 23: NewsweekApril 14, 2008
Page 27 and 28: About 55 000 unnecessary C. Section
Page 29 and 30: APS - Örebro modelPre-set goals•
Page 31 and 32: To summarize...
Page 36 and 37: Persistent postsurgical painSummary
Page 40 and 41: RCT, colon surgery, n = 85, 72 hour
Page 42: Brennan T J, Kehlet HIn summary…

Professor Narinder Rawal, MD, PhD, FRCA (Hon) - AKUTNE.CZ

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