Pain management following spinal surgeries: An appraisal of the available options.
Pain management following spinal surgeries: An appraisal of the available options.
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DOI：
10.4103/0974-8237.161589
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发表时间：
2015-07
影响因子：
1.1
通讯作者：
Haldar R
中科院分区：
文献类型：
--
作者：
Bajwa SJ;Haldar R
脊柱手术通常伴随着术后期间的剧烈疼痛，尤其是最初的几天。在这一时期，适当的疼痛管理被认为与改善功能结果、早期下地、早期出院和防止慢性疼痛的发展有很好的相关性。对于脊柱手术后疼痛的有效改善，存在多种药理选择。每种药物都有其固有的优缺点，这限制了它们的普遍适用性。因此，适当控制疼痛的联合疗法或多模式止痛似乎是这方面的最佳方法。目前的手稿讨论了手术后疼痛的病理生理学，包括它的性质，各种评估工具，以及我们可以使用的各种药理药物(包括传统的和即将到来的)，以应对脊柱手术后的疼痛。
Spinal procedures are generally associated with intense pain in the postoperative period, especially for the initial few days. Adequate pain management in this period has been seen to correlate well with improved functional outcome, early ambulation, early discharge, and preventing the development of chronic pain. A diverse array of pharmacological options exists for the effective amelioration of post spinal surgery pain. Each of these drugs possesses inherent advantages and disadvantages which restricts their universal applicability. Therefore, combination therapy or multimodal analgesia for proper control of pain appears as the best approach in this regard. The current manuscript discussed the pathophysiology of postsurgical pain including its nature, the various tools for assessment, and the various pharmacological agents (both conventional and upcoming) available at our disposal to respond to post spinal surgery pain.