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Exploring non-pharmacological methods for pre-operative pain management

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journal contribution
posted on 22.11.2022, 14:24 authored by Jayaditya Devpal Patil, Jessica Atef Nassef Sefen, Salim FredericksSalim Fredericks

The management of pain is an essential aspect of surgical care, and pain levels in post-operative patients vary case by case. Treating postoperative pain is crucial as it leads to better outcomes and reduces risk of long term pain. While post-operative analgesics has been the mainstay of treatment, this mini-review explores an emerging concept which is preoperative pain management, with promising potential. Such interventions include educating patients on the expected pain outcomes and available pain medications. Non-pharmacological methods such as relaxation exercises have also proven to be effective after abdominal surgery, and educating patients on the existence of such methods pre-operatively encourages them to make use of available therapies. A major area of importance is the pre-operative psychological and emotional wellbeing of patients, as it is a strong predictor of pain and pain prognosis. Cognitive Behavioral Therapy can be effectively used to tackle preoperative anxiety and reduce pain levels. Hypnosis is another developing modality for decreasing stress. Lastly, long term pre-operative opioid use has been linked with higher pain scores and longer pain duration. This provides the basis on which pre-operative opioid weaning can lead to favorable post-operative pain outcomes. While many of these methods have not been experimented on recipients of abdominal surgery in specific, it still paves the path for newer pain control strategies that can eventually be adopted for visceral surgery patients. This review points the reader and researchers to new and developing areas that hold the potential to revolutionize current established pain management guidelines. 

Funding

Royal College of Surgeons in Ireland (RCSI)- Medical University of Bahrain

History

Comments

The original article is available at https://www.frontiersin.org/

Published Citation

Patil JD, Sefen JAN, Fredericks S. Exploring non-pharmacological methods for pre-operative pain management. Front Surg. 2022;9:801742.

Publication Date

4 March 2022

PubMed ID

35317192

Department/Unit

  • RCSI Bahrain

Publisher

Frontiers Media S.A.

Version

  • Published Version (Version of Record)