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

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Persistent postsurgical painSummary Acute postoperative pain is followed by chronic painin 10-50 % of patients Several risk factors have been identified Regional techniques may be beneficial in some procedures (thoracotomy,mastectomy, spine surgery) Preventive multimodal techniques using ketamine, gabapentin, coxibsseem to have potential Opioid sparing strategies are beneficial (opioids should be avoided) Need for further studies
Buvanendran A, Kroin J SBest Practice and Reasearch Clin Anaesthesiology 2007;21:31-49
Page 1 and 2: Professor Narinder Rawal, MD, PhD,
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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
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Page 14 and 15: Anesth Analg 2006;102:248-57 19 RCT
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Page 20 and 21: Anesth Analg 2004;99:482-9595 37 RC
Page 23: NewsweekApril 14, 2008
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Page 29 and 30: APS - Örebro modelPre-set goals•
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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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