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Acute Pain management in Onco Surgical Patient: Overview

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Multidisciplinary Approach to Surgical Oncology Patients

Abstract

Pain is a complex multifactorial phenomenon which has a biological basis, huge psychological component, and a great social impact (Biopsychosocial model of pain) [60]. Broadly speaking pain can be classified into three broad categories—acute pain, that is the pain immediately following an operation or injury so it has an identifiable temporal and causal relationship to injury or disease, cancer pain which happens due to metastasis, invasion of tissues or inflammation from cancer and the third type of pain is chronic non-malignant pain like headache, backache, fibromyalgia or neuropathic pain. Chronic pain usually starts after tissue healing often without any specific identifiable cause in most cases persists beyond 3 months of the initial injury. Many scholars present a view that is acute and chronic pain may represent a continuum rather than distinct entities. In this chapter, we will limit ourselves to the definition of pain, the pathophysiology of acute postoperative pain, the assessment of the patients in pain, management of the postoperative patients and some challenges you will face in the ward. The aim of this chapter is not to impede the freedom of the clinician but to provide him with guidance to form a robust, evidence-based and acceptable working protocol. It will help the clinical staff to manage patient more proficiently and establish standardized care which can be audited against a standard to improvise and compare the outcome.

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Author information

Authors and Affiliations

  1. Consultant in Anaesthesia and Pain Medicine University Hospitals Plymouth NHS Trust, Plymouth, UK

    Somnath Bagchi

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  1. Somnath Bagchi
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Editor information

Editors and Affiliations

  1. Department of Surgical Oncology, All India Institute of Medical Sciences, New Delhi, India

    M. D. Ray

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Bagchi, S. (2021). Acute Pain management in Onco Surgical Patient: Overview. In: Ray, M.D. (eds) Multidisciplinary Approach to Surgical Oncology Patients. Springer, Singapore. https://doi.org/10.1007/978-981-15-7699-7_10

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  • DOI: https://doi.org/10.1007/978-981-15-7699-7_10

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  • Online ISBN: 978-981-15-7699-7

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