Important development: Extended Acute Pain Service for patients at high risk of chronic pain after surgery

Important development: Extended Acute Pain Service for patients at high risk of chronic pain... In this issue of the Scandinavian Journal of Pain Elina Tiippana and her colleagues at the pain research centre and division of anaesthesiology at Helsinki University Hospital in Finland report on their experience two years after they established a bridge between the Acute Pain Service and the chronic pain clinic [1]. The aim of the service termed Acute Pain Service-Out-Patient Clinic (APS-OPC) is to reduce the risk of persistent postoperative pain. Their paper raises at least three issues:1Pain that continues long after wound-healing: Persistent Postoperative pain (PPP)Persistent pain after surgery was “discovered” as a major health problem less than 20 years ago [2], occurring after almost any type of surgery, but more often after operations where peripheral nerves are injured (e.g. thoracotomy, radical breast cancer surgery) [3]. PPP is still an unsolved issue [4] despite the advances in organization of Acute Pain Services (APS) in most hospitals and improved pain management [5, 6]. After surgery the normal reactions in the body to tissue-injury are activated: a period with a hypersensitive nervous system ensures that the injured part of the body is maintained as much as possible in a protected mode so that the healing process can go on undisturbed http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Scandinavian Journal of Pain de Gruyter

Important development: Extended Acute Pain Service for patients at high risk of chronic pain after surgery

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Publisher
De Gruyter
Copyright
© 2016 Scandinavian Association for the Study of Pain
ISSN
1877-8860
eISSN
1877-8879
D.O.I.
10.1016/j.sjpain.2016.04.005
Publisher site
See Article on Publisher Site

Abstract

In this issue of the Scandinavian Journal of Pain Elina Tiippana and her colleagues at the pain research centre and division of anaesthesiology at Helsinki University Hospital in Finland report on their experience two years after they established a bridge between the Acute Pain Service and the chronic pain clinic [1]. The aim of the service termed Acute Pain Service-Out-Patient Clinic (APS-OPC) is to reduce the risk of persistent postoperative pain. Their paper raises at least three issues:1Pain that continues long after wound-healing: Persistent Postoperative pain (PPP)Persistent pain after surgery was “discovered” as a major health problem less than 20 years ago [2], occurring after almost any type of surgery, but more often after operations where peripheral nerves are injured (e.g. thoracotomy, radical breast cancer surgery) [3]. PPP is still an unsolved issue [4] despite the advances in organization of Acute Pain Services (APS) in most hospitals and improved pain management [5, 6]. After surgery the normal reactions in the body to tissue-injury are activated: a period with a hypersensitive nervous system ensures that the injured part of the body is maintained as much as possible in a protected mode so that the healing process can go on undisturbed

Journal

Scandinavian Journal of Painde Gruyter

Published: Dec 29, 2017

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