Ambulatory Multidisciplinary Management of Postoperative Pain

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Series: Anesthesiology and Perioperative Medicine
BISAC: MED058220; MED006000
DOI: https://doi.org/10.52305/THMZ4895

Postoperative pain is a common problem in clinical practice that becomes chronic in approximately 10% to 30% of adults who undergo surgery, being severe in 5 to 10% of them. It is one of the main causes of chronic pain, which makes it a major public health problem. It generates in patients who suffer it a worsening of their quality of life, their psychological well-being, and disability with the consequent incapacity for work.

Given that both its etiology and its consequences are complex and multifactorial, postoperative pain must be approached from a multimodal perspective: preventive, pharmacological, nutritional, rehabilitative, nursing intervention, psychological and, in those refractory cases, through surgical approaches or nerve block techniques.

This book aims at first to analyze the pathophysiological and psychological bases that underlie its etiology. Next, it aims to carry out an updated review of the multidisciplinary programs for the treatment of postoperative pain that have been carried out and what their results have been. Moreover, the contribution of each of these disciplines in the ambulatory management of postoperative pain will be reviewed.

Finally, we want to study the peculiarities of the management of this type of pain in the oncological patient, as well as the personal and socioeconomic consequences and the increase in other comorbidities of this important reason for consultation.

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Table of Contents

Preface

Section 1: Bases of Pain

Chapter 1. Molecular Basis for Understanding Pain and its Treatment
(Dasiel O. Borroto-Escuela, Manuel Narváez, and Kjell Fuxe – Universidad de Málaga, Instituto de Investigaciones Biomédicas de Málaga, Spain, et al.)

Chapter 2. Psychological Bases of Pain
(María José Garrido de los Santos – Graduate in Psychology, Mindfulness Teacher, Málaga, Spain)

Section 2: Basis of Ambulatory Management and Pharmacological Treatment of Postoperative Pain

Chapter 3. Basis of Ambulatory Management of Postoperative Pain
(C. Blanco-Jerez – Department of Medicine, University Alfonso X, Madrid, Spain)

Chapter 4. Pharmacological Treatment to Ambulatory Management of Postoperative Pain
(Ana Sánchez Gollarte, Ana María Minaya Bravo, Enrique Ovejero Merino and Jaime Ruiz-Tovar Polo – Department of General and Visceral Surgery, Henares Teaching Hospital, Madrid, Spain, et al.)

Section 3: Nutritional Strategy and Management of Endocrinometabolic Alterations Secondary to Postoperative Pain

Chapter 5. Perioperative Immunonutrition and Effects on Postoperative Pain
(Jaime Ruiz-Tovar – Department of Health Sciences, Universidad Alfonso X, Madrid, Spain)

Chapter 6. Endocrinometabolic Alterations Secondary to Postoperative Pain and Its Management
(Mónica Tomé García – Department of Endocrinology and Nutrition, Regional University Hospital of Málaga, Málaga, Spain)

Section 4: Surgical Approach to Postoperative Pain Management

Chapter 7. Intraoperative Approaches for Postoperative Pain Relief
(Cristina Barrera Rodríguez, Manuel Medina Pedrique, Isabel Senra Bravo, María Pilar Moreno Fontela, Ignacio Pinazo Rubio and Manuel Fernández-Arjona – Urology Department, Hospital Universitario del Henares, Madrid, Spain)

Chapter 8. Laparoscopic-Guided Transversus Abdominis Plane Block
(Asuncion Aguilera Velardo, Jaime Ruiz-Tovar and Patricia López Quindós – Department of General Surgery, University Hospital del Henares, Coslada, Madrid, Spain, et al.)

Chapter 9. Nerve Blocks for Postoperative Pain Control
(Manuel Medina Pedrique, Jaime Ruiz-Tovar, Adriana Avilés Oliveros, Crisitina Barrera Rodríguez, Ana Sánchez Gollarte and Miguel Angel García-Ureña – Department of General Surgery, University Hospital of Henares, Coslada, Madrid, Spain)

Chapter 10. Surgical Site Infections (SSI)
(Patricia Lopez Quindos, Asuncion Aguilera Velardo and Jaime Ruiz-Tovar – Department of Surgery, Hospital del Henares, Coslada, Madrid, Spain)

Section 5: Postoperative Pain Management According to Patient Profile

Chapter 11. Special Features of Postoperative Pain Management in the Pediatric Patient
(Adriana Avilés Oliveros, Jaime Ruiz-Tovar, MD, Manuel Medina Pedrique, Arturo Cruz Cidoncha, and Miguel Ángel García Ureña – Department of General Surgery, Hospital Universitario del Henares, Madrid, Spain)

Chapter 12. Special Features of Postoperative Pain Management in Elderly Patients
(Carmen Fernández Galilea, Sergio Lobato López, and Sara Lobato López – Primary Care Physician, Primary Care Center El Restón, Valdemoro, Madrid, Spain, et al.)

Chapter 13. Special Features of Postoperative Pain Management in the Oncological Patient
(María Jesús García-Anaya and Irene Zapata Martínez – Department of Radiation Oncology, Virgen de la Victoria University Hospital, Málaga, Spain, et al.)

Section 6: Nursing Intervention and Physical Exercise in Postoperative Pain

Chapter 14. Nursing Intervention on Ambulatory Pain Management
(Alejandro Lendínez Mesa, Regina María Moldes Moro, María Aranzazu Miravalles García – Department of Nursing, School of Medicine; Universidad Alfonso X, Madrid, Spain)

Chapter 15. Physical Rehabilitation and Postoperative Exercises for Postoperative Pain Relief
(Sergio López Barbeta, PhD, and Raúl Notario Alonso – Faculty of Health Sciences, Universidad Alfonso X, Madrid, Spain)

Section 7: Psychological Interventions in Postoperative Pain

Chapter 16. Mindfulness and Postoperative Pain
(María José Garrido de los Santos – Graduate in Psychology, Mindfulness Teacher, Málaga, Spain)

Chapter 17. Effects of Music Therapy on Perioperative Stress and Anxiety
(Joaquin de Haro – Universidad Alfonso X El Sabio School of Medicine, Villanueva de la Cañada (Madrid), España)

Section 8: Multidisciplinary Strategies in the Treatment of Postoperative Pain

Chapter 18. Review of Multidisciplinary Strategies in the Treatment of Chronic Postoperative Pain
(Irene Zapata Martínez and María Jesús García-Anaya – Department of Medicine, Alfonso X el Sabio University, Madrid, Spain, et al.)

Section 9: Economic Impact of Postoperative Pain

Chapter 19. Economic Impact of Postoperative Pain
(Alfonso Higueras Lara – Innovation manager of Universidad Alfonso X El Sabio, Madrid, Spain)

Index

Additional information

Binding

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