Skip to main content

Role of the Anesthesiologist in the Treatment of Pain

  • Chapter
Assessing Chronic Pain

Part of the book series: Contributions to Psychology and Medicine ((CONTRIBUTIONS))

  • 91 Accesses

Abstract

Once hidden behind the mask and surgical garb of the operating room, in the past decade anesthesiologists have become more and more involved in the assessment and management of pain. They are increasingly consulted because of the growing awareness that anesthesiologists are familiar with the extensive anatomy/neuroanatomy of pain, appreciate the drugs available for treatment, supply specific regional anesthetic techniques for the evaluation and treatment sequence, and have long acknowledged that physical pain is influenced by innumerable nonphysical factors.1

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Rowlingson, J.C. (1985). Management of the patient with intractable pain. American Society of Anesthesiologists. Refresher Course Lectures No. 256: 1–7.

    Google Scholar 

  2. Bonica, J.J. (1980). Pain research therapy: Past and current states and future needs. In L.K.Y. Ng and J J. Bonica (Eds.), Pain, Discomfort and Humanitarian Care. New York: Elsevier/North Holland, pp. 1–46.

    Google Scholar 

  3. Black, R. (1980). The clinical syndrome of chronic pain. In L.K.Y. Ng and JJ. Bonica (Eds.), Pain, Discomfort and Humanitarian Care. New York: Elsevier/North Holland, pp. 207–220.

    Google Scholar 

  4. Arnoff, G. (1982). The use of non-narcotic drugs and other alternatives for analgesia as part of a comprehensive pain management program. Journal of Medicine 13: 191–202.

    Google Scholar 

  5. Winnie, A.P. (1987). Regional anesthesia as a diagnostic maneuver. Cook County Graduate School Review Course. Evanston, IL: Northwestern University Medical School.

    Google Scholar 

  6. McCollum, D., Stephen C.R. (1964). Use of graduated spinal anesthesia in the differential diagnosis of pain of the back and lower extremities. South Medical Journal 57: 410.

    Article  Google Scholar 

  7. Winnie, A., Collins, V. (1968). The pain clinic I: Differential neural blockade in pain syndromes of questionable etiology. Medical Clinics in America 52: 123–129.

    Google Scholar 

  8. Halpern, L. (1982). Substitution-detoxification and its role in the management of chronic benign pain. Journal of Clinical Psychiatry 43: 10–14.

    Google Scholar 

  9. Williams, N. (1981). Current views on the pharmacological management of pain. In M. Swerdlow (Ed.), The Therapy of Pain, Vol. 6, Philadelphia: Lippincott Co., p. 87.

    Google Scholar 

  10. Evans, J.A. (1947). Reflex sympathetic dystrophy. Report in 57 cases. Annals of Internal Medicine, 26: 417.

    PubMed  Google Scholar 

  11. Rowlingson, J.C. (1983). The sympathetic dystrophies. International Anesthesiology Clinics 21 (4): 117–128.

    Article  PubMed  Google Scholar 

  12. Fergason, J.L. (1964). Liquid crystals. Scientific American 211: 76–82.

    Article  Google Scholar 

  13. Uematsu, S., Hendeler, N., Hungerford, D. (1981). Thermography and electromyography in the differential diagnosis of chronic pain syndrome and reflex sympathetic dystrophy. Electromyographic Clinical Neurophysiology 21: 165–182.

    Google Scholar 

  14. Boas, R.A. (1978). Sympathetic blocks in the clinical practice. International Anesthesiology Clinics 16 (4): 149.

    Article  PubMed  Google Scholar 

  15. Carlson, D.H., Simon, H., Wegner, W. (1977). Bone scanning and diagnosis of RSD secondary to herniated lumbar discs. Neurology 27: 791–793.

    PubMed  Google Scholar 

  16. Mersky, H. et al. (1979). Pain terms: A list with definitions and notes on usage. Pain 6: 249–252.

    Google Scholar 

  17. Sunderland, S. (1976). Pain mechanisms in causalgia. Journal of Neurology, Neurosurgery, and Psychiatry 39: 471–481.

    Article  PubMed  Google Scholar 

  18. Thomas, A., Davis, E, Davis, R. (1987). Reflex sympathetic dystrophy syndrome association questionnaire statistics. Information not published.

    Google Scholar 

  19. Visitsunthorn, U., Prete, P. (1981). Reflex sympathetic dystrophy of the lower extremity-A complication of herpes zoster with dramatic response to propranol. The Western Journal of Medicine 135: 62–66.

    PubMed  Google Scholar 

  20. Ott, A., Ott, H. (1983). Three brothers with algodystrophy of the hip. Annals of Rheumatoid Disease 42: 421–424.

    Article  Google Scholar 

  21. Grosslight, K.R., Rowlinson, J.D., Broaden, R.W. (1986). Herpes zoster and reflex sympathetic dystrophy. Anesthesia and Analgesia 65: 309–311.

    Article  PubMed  Google Scholar 

  22. Zimmerman, M. (1979). Peripheral and central nervous mechanisms of noeiception, pain and pain therapy: Fact and hypotheses. In J J. Bonica, J.C. Liebeskind, D.G. Albe-Fressard. (Eds.), Advances in Pain Research and Therapy, Vol. 3. New York: Raven Press, pp. 3–32.

    Google Scholar 

  23. Abram, S.E. (1983). Common pain syndromes and their therapy. In S.G. Hershey (Ed.), Refresher Courses in Anesthesiology, Vol. 11, American Society of Anesthesiologists, Massachusetts, pp. 1–12.

    Google Scholar 

  24. Doupe, J., Cullen, C.H., Chance, G.Q. (1944). Posttraumatic pain and causalgia syndrome. Journal of Neurology, Neurosurgery and Psychiatry 7: 33–44.

    Article  Google Scholar 

  25. Melzack, R., Wall, P. (1968). Gate control theory of pain. In A. Soulaire, J. Cahn, and J. Charpentier. (Eds.), Pain. London: Academic Press.

    Google Scholar 

  26. Melzack, R., Wall, R. (1965). Pain mechanisms: A new theory. Science 150: 971–979.

    Article  PubMed  Google Scholar 

  27. Bonica, J J. (1979). Causalgia and other reflex sympathetic dystrophies. In Advances in Pain Research and Therapy, Vol. 3. New York: Raven Press, pp. 141–166.

    Google Scholar 

  28. Eriksen, S. (1981). Duration of sympathetic blockade. Stellate ganglion block versus intravenous regional guanethidine block. Anaesthesia 36: 768–771.

    Article  PubMed  Google Scholar 

  29. Patman, R.D., Thompson, J.E., Persson, AV. (1973). Management of post-traumatic pain syndrome: Report 113 cases. Annals of Surgery 117: 780–787.

    Article  Google Scholar 

  30. Thompson, J.E., Patman, R.D., Persson, A.V. (1975). Management of post-traumatic pain syndromes (Causalgia). American Surgeon 41: 599–602.

    PubMed  Google Scholar 

  31. Pak, TJ., Martin, G.M., Magness, J.L., Kavanaugh, GJ. (1970). Reflex sympathetic dystrophy: Review of 140 cases. Minnesota Medicine 53: 507–512.

    PubMed  Google Scholar 

  32. Moore, D.C. (1981). Regional Block. A Handbook for Use in the Clinical Practice of Medicine and Surgery, 4th ed. Springfield, IL: Charles C Thomas.

    Google Scholar 

  33. Hannington-Kiff, J.G. (1974). Intravenous regional sympathetic block with guanethidine. Lancet 1: 1019–1020.

    Article  PubMed  Google Scholar 

  34. Hannington-Kiff, J.G. (1977). Relief of Sudek’s atrophy by regional intravenous guanethidine. Lancet 1: 1132–1133.

    Article  PubMed  Google Scholar 

  35. Hannington-Kiff, J.G. (1979). Relief of causalgia in limbs by regional intravenous guanethidine. British Medical Journal 2: 367–368.

    Article  PubMed  Google Scholar 

  36. Glynn, CJ., Basedow, RW., Walsh, J.A. (1981). Pain relief following postganglionic sympathetic blockade with IV guanethidine. British Journal of Anesthesiology 53: 1297–1302.

    Google Scholar 

  37. Bonelli, S., Conoscente, E, Movilia, P.G., Restelli, L., Francucci, B., Grossi, E. (1983). Regional intravenous guanethidine vs. stellate ganglion block in reflex sympathetic dystrophies: A randomized trial. Pain 16: 297–307.

    Article  PubMed  Google Scholar 

  38. Hannington-Kiff, J.G. (1984). Antisympathetic drugs in limbs. In P.D. Wall and R. Melzack (Eds.), Textbook of Pain. New York: Churchill Livingstone, pp. 566–573.

    Google Scholar 

  39. Driessen, J.L., Van der Werken, C., Nicolai, J.P., Crul, J.F. (1983). Clinical effects of regional intravenous guanethidine in reflex sympathetic dystrophy. Acta Anaesthesiologica Scandinavica 27: 505–509.

    Article  PubMed  Google Scholar 

  40. Loh, L., Nathan, P.W., Schott, G.D., Wilson, P.G. (1980). Effects of regional guanethidine infusion in certain pain states. Journal of Neurology, Neurosurgery, and Psychiatry 43: 446.

    Google Scholar 

  41. Burnstock, G., Costa, M. (1975). Adrenergic Neurons. London: Chapman and Hall.

    Google Scholar 

  42. Leipzig, TJ., Mullan S.F. (1984). Causalgic pain relieved by prolonged procaine amide sympathetic blockade. Journal of Neurosurgery 60: 1095–1096.

    Article  PubMed  Google Scholar 

  43. Visitsunthorn, U., Prete, P. (1981). Reflex sympathetic dystrophy of the lower extremity. A coplication of herpes zoster with dramatic response to propranolol. Western Journal of Medicine 135: 62–66.

    PubMed  Google Scholar 

  44. Lewis, R., Racz, G. (1985). Therapeutic approaches to reflex sympathetic dystrophy of the upper extremity. Clinical Issues in Regional Anesthesia No. 2, 1: 1–6.

    Google Scholar 

  45. Kozin, E, Ryan, L.M., Carerra, G.F., Soin, J.S., Wortmann, R.L. (1981). The reflex sympathetic dystrophy syndrome (RSDS). American Journal of Medicine 70: 23

    Article  PubMed  Google Scholar 

  46. Mowat, A.G. (1974). Treatment of the shoulder-hand syndrome with corticosteroids. Annals of Rheumatic Diseases 33: 120–123.

    Article  Google Scholar 

  47. Christensen, K., Jensen, E.M., Noer, I. (1982). The reflex dystrophy syndrome response to treatment with systemic corticosteroids. Acta Chirurgica Scandinavica 148: 653–655.

    PubMed  Google Scholar 

  48. Thompson, J.E. (1979). The diagnosis and management of post-traumatic pain syndromes (causalgia). Australia New Zealand Journal of Surgery 49: 299–304.

    Article  Google Scholar 

  49. Prough, D.S., McLeskey, C.H., Poehling, G.G., Koman, L.A., Weeks, D.B., Whitworth, T., Semble, E.L. (1985). Efficacy of oral nifedipine in the treatment of reflex sympathetic dystrophy. Anesthesiology 62: 796–799.

    Article  PubMed  Google Scholar 

  50. Ghostine, S.Y., Comair, Y.G., Turner, D.M., Kassell, N.E, Azar, C.G., (1984). Phenoxybenzamine in the treatment of causalgia. Report of 40 cases. Journal of Neurosurgery 60: 1263–1268.

    Article  PubMed  Google Scholar 

  51. Davies, J.A.H., Beswick, T., Dickson, G. (1987). Ketanserin and guanethidine in the treatment of causalgia. Anesthesia and Analgesic 66: 575–576.

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1989 Springer-Verlag New York Inc.

About this chapter

Cite this chapter

Dallas, T.L., Finn, R.S. (1989). Role of the Anesthesiologist in the Treatment of Pain. In: Camic, P.M., Brown, F.D. (eds) Assessing Chronic Pain. Contributions to Psychology and Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-8868-5_6

Download citation

  • DOI: https://doi.org/10.1007/978-1-4613-8868-5_6

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4613-8870-8

  • Online ISBN: 978-1-4613-8868-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics