Patients with chronic pain are at risk for difficult to control postoperative pain. Preoperative evaluation with an emphasis on expectation management is key. In addition, a multimodal approach should be used throughout the patient’s perioperative course including opioid and non-opioid systemic pharmacotherapy, procedural interventions such as local infiltration, peripheral nerve block, and neuraxial blockade, as well as cognitive and physical nonpharmacologic modalities.
KeywordsChronic pain Preoperative Perioperative Multimodal analgesia
Dr. Christina Bockman, PharmD, Pharmacist, Department of Anesthesiology and Pain Medicine, University of Washington
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