[New substances and applications for postoperative pain therapy].

Abstract

The onset of postoperative pain is the result of various pathophysiological mechanisms and depends on the type of surgery performed. Therefore, any adequate postoperative pain treatment requires multimodal and procedure-specific analgesia. In addition to reducing perioperative complications and improving patient comfort, optimal postoperative pain management also represents an important quality characteristic which can influence the patient in their choice of hospital. In the past 1-2 years, known groups of substances have been rediscovered for postoperative pain therapy (e.g., Gabapentin and Pregabalin, i.v. Lidocaine, Ketamine or glucocorticoids), while new substances (coxibe, oral oxycodone+naloxone) and applications have been developed. The present overview article discusses the advantages and disadvantages of these substances and analgesic methods, as well as their specific areas of application.

• Authors: E M Pogatzki-Zahn, P K Zahn
• Journal: Schmerz (Berlin, Germany) (Schmerz) Vol. 22 Issue 3 Pg. 353-67; quiz 368-9 (Jun 2008) ISSN: 0932-433X [Print] Germany
• Vernacular Title: Neue Substanzen und Applikationsformen für die postoperative Schmerztherapie.
• PMID: 18491149 (Publication Type: English Abstract, Journal Article)

Chemical References

• Adrenal Cortex Hormones
• Analgesics
• Analgesics, Opioid
• Anti-Inflammatory Agents, Non-Steroidal
• Anticonvulsants
• Receptors, N-Methyl-D-Aspartate
• Lidocaine
• Fentanyl

Topics

• Administration, Cutaneous
• Adrenal Cortex Hormones (administration & dosage, adverse effects)
• Algorithms
• Analgesics (administration & dosage, adverse effects)
• Analgesics, Opioid (administration & dosage, adverse effects)
• Anti-Inflammatory Agents, Non-Steroidal (administration & dosage, adverse effects)
• Anticonvulsants (adverse effects)
• Combined Modality Therapy
• Evidence-Based Medicine
• Fentanyl (administration & dosage, adverse effects)
• Humans
• Lidocaine (administration & dosage, adverse effects)
• Pain, Postoperative (drug therapy)
• Receptors, N-Methyl-D-Aspartate (antagonists & inhibitors)