Analgesia Preventiva: ¿Parte Del Pasado?

Publicado en la Revista El Dolor - Nº 54 - Año 19 -Diciembre 2010

Autores/as

  • Víctor Contreras-Domínguez Médico anestesiólogo, Hospital Clínico Regional de Concepción, profesor asociado de Anestesiología, Universidad de Concepción, Concepción, Chile.
  • Daniela Nieuwveld Médico residente de Anestesiología, Universidad de Concepción, Concepción, Chile.
  • Paulina Carbonell Médico anestesiólogo, Hospital Traumatológico de Concepción, Concepción, Chile.

DOI:

https://doi.org/10.47924/neurotarget2011327

Palabras clave:

analgesia preventiva, analgesia multimodal, dolor agudo, dolor posoperatorio, estrategia analgésica

Resumen

La analgesia preventiva, la que se administra previa al acto quirúrgico con el fin de evitar o modular el desarrollo tanto del dolor agudo posoperatorio como del crónico, constituye un área de desarrollo dentro del estudio del dolor. Numerosos autores y estudios multicéntricos han tratado de avalar o descartar el uso de la analgesia preventiva. Presentamos una revisión actualizada de los conceptos relacionados con la analgesia preventiva y el dolor posoperatorio. Se analizan, además, las distintas modalidades de analgesia preventiva actualmente en uso y se establece que este tipo de manejo analgésico constituye un desafío actual, que debe motivarnos a realizar nuevos estudios que integren los conceptos aprendidos y nos permitan establecer una estrategia analgésica que optimice los resultados perioperatorios.

Métricas

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Citas

Møller W, Rem J, Brandt R, Kehlet H. Effect of posttraumatic epidural analgesia on the cortisol and hyperglycaemic response to surgery. Acta Anaesthesiol Scand. 1982;26(1):56-8.

Wu CL, Rowlingson AJ, Partin AW, Kalish MA, Courpas GE, Walsh PC, et al. Correlation of postoperative pain to quality of recovery in the immediate postoperative period. Reg Anesth Pain Med. 2005;30(6):516-22.

Mattila K, Toivonen J, Janhunen L, Rosenberg PH, Hynynen M. Postdischarge symptoms after ambulatory surgery: first-week incidence, intensity, and risk factors. Anesth Analg. 2005;101(6):1643-50.

Della Rocca G, Chiarandini P, Pietropaoli P. Analgesia in PACU: nonsteroidal anti-inflammatory drugs. Curr Drug Targets. 2005;6(7):781-7

Kehlet H, Dahl JB. Anaesthesia, surgery, and challenges in postoperative recovery. Lancet. 2003;362(9399):1921-8.

White PF. The changing role of non-opioid analgesic techniques in the management of postoperative pain. Anesth Analg. 2005;101(5 Suppl):S5-22.

Crile GW. The kinetic theory of shock and its prevention through anociassociation. Lancet 1913;182(4688):7-16.

Woolf CJ. Evidence for a central component of post-injury pain hypersensitivity. Nature. 1983;306(5944):686-8.

Kissin I. Preemptive analgesia. Anesthesiology. 2000; 93(4):1138-43.

Woolf CJ, Chong MS. Preemptive analgesia--treating postoperative pain by preventing the establishment of central sensitization. Anesth Analg. 1993;77(2):362-79.

Katz J. Pre-emptive analgesia: evidence, current status and future directions. Eur J Anaesthesiol Suppl. 1995;10:8-13. .

Julius D, Basbaum AI. Molecular mechanisms of nociception. Nature. 2001;413(6852):203-10.

Pogatzki EM, Vandermeulen EP, Brennan TJ. Effect of plantar local anesthetic injection on dorsal horn neuron activity and pain behaviors caused by incision. Pain. 2002;97(1-2):151-61.

Nozaki-Taguchi N, Yaksh TL. Spinal and peripheral mu opioids and the development of secondary tactile allodynia after thermal injury. Anesth Analg. 2002;94(4):968-74.

Kelly DJ, Ahmad M, Brull SJ. Preemptive analgesia II: recent advances and current trends. Can J Anaesth. 2001;48(11):1091-101.

Møiniche S, Kehlet H, Dahl JB. A qualitative and quantitative systematic review of preemptive analgesia for postoperative pain relief: the role of timing of analgesia. Anesthesiology. 2002;96(3):725-41.

Ong CK, Lirk P, Seymour RA, Jenkins BJ. The efficacy of preemptive analgesia for acute postoperative pain management: a meta-analysis. Anesth Analg. 2005;100(3):757-73, table of contents.

Campiglia L, Consales G, De Gaudio AR. Pre-emptive analgesia for postoperative pain control: a review. Clin Drug Investig. 2010;30 Suppl 2:15-26.

Katz J, Cohen L, Schmid R, Chan VW, Wowk A. Postoperative morphine use and hyperalgesia are reduced by preoperative but not intraoperative epidural analgesia: implications for preemptive analgesia and the prevention of central sensitization. Anesthesiology. 2003;98(6):1449-60.

Lavand'homme P, De Kock M, Waterloos H. Intraoperative epidural analgesia combined with ketamine provides effective preventive analgesia in patients undergoing major digestive surgery. Anesthesiology. 2005;103(4):813-20.

Karaaslan D, Sivaci RG, Akbulut G, Dilek ON. Preemptive analgesia in laparoscopic cholecystectomy: a randomized controlled study. Pain Pract. 2006;6(4):237-41.

Long JB, Eiland RJ, Hentz JG, Mergens PA, Magtibay PM, Kho RM, et al. Randomized trial of preemptive local analgesia in vaginal surgery. Int Urogynecol J Pelvic Floor Dysfunct. 2009;20(1):5-10.

White PF, Kehlet H, Liu S. Perioperative analgesia: what do we still know? Anesth Analg. 2009;108(5):1364-7.

Carr DB, Goudas LC. Acute pain. Lancet. 1999;353(9169):2051-8.

Perkins FM, Kehlet H. Chronic pain as an outcome of surgery. A review of predictive factors. Anesthesiology. 2000;93(4):1123-33.

Crombie IK, Davies HT, Macrae WA. Cut and thrust: antecedent surgery and trauma among patients attending a chronic pain clinic. Pain. 1998;76(1-2):167-71.

Ochroch EA, Gottschalk A, Augostides J, Carson KA, Kent L, Malayaman N, Kaiser LR, Aukburg SJ. Long-term pain and activity during recovery from major thoracotomy using thoracic epidural analgesia. Anesthesiology. 2002;97(5):1234-44.

Bay-Nielsen M, Perkins FM, Kehlet H; Danish Hernia Database. Pain and functional impairment 1 year after inguinal herniorrhaphy: a nationwide questionnaire study. Ann Surg. 2001;233(1):1-7.

Shipton EA, Tait B. Flagging the pain: preventing the burden of chronic pain by identifying and treating risk factors in acute pain. Eur J Anaesthesiol. 2005;22(6):405-12.

Halaszynski TM, Juda R, Silverman DG. Optimizing postoperative outcomes with efficient preoperative assessment and management. Crit Care Med. 2004;32(4 Suppl):S76-86.

Hensel M, Schwenk W, Bloch A, Raue W, Stracke S, Volk T, et al. [The role of anesthesiology in fast track concepts in colonic surgery]. [Article in German] Anaesthesist. 2006;55(1):80-92.

White PF, Kehlet H, Neal JM, Schricker T, Carr DB, Carli F; Fast-Track Surgery Study Group. The role of the anesthesiologist in fast-track surgery: from multimodal analgesia to perioperative medical care. Anesth Analg. 2007;104(6):1380-96.

Hartrick CT. Multimodal postoperative pain management. Am J Health Syst Pharm. 2004;61 Suppl 1:S4-10.

Rawal N, Hylander J, Nydahl PA, Olofsson I, Gupta A. Survey of postoperative analgesia following ambulatory surgery. Acta Anaesthesiol Scand. 1997;41(8):1017-22.

Scott NB, Hodson M. Public perceptions of postoperative pain and its relief. Anaesthesia. 1997;52(5):438-42.

Yaksh TL, Hua XY, Kalcheva I, Nozaki-Taguchi N, Marsala M. The spinal biology in humans and animals of pain states generated by persistent small afferent input. Proc Natl Acad Sci U S A. 1999;96(14):7680-6.

White PF. The changing role of non-opioid analgesic techniques in the management of postoperative pain. Anesth Analg. 2005;101(5 Suppl):S5- 22.

Marret E, Kurdi O, Zufferey P, Bonnet F. Effects of nonsteroidal antiinflammatory drugs on patient- controlled analgesia morphine side effects: meta-analysis of randomized controlled trials. Anesthesiology. 2005;102(6):1249-60.

Zemmel MH. The role of COX-2 inhibitors in the perioperative setting: efficacy and safety--a systematic review. AANA J. 2006;74(1):49-60.

White PF, Kehlet H. Improving postoperative pain management: what are the unresolved issues? Anesthesiology. 2010;112(1):220-5.

Liu SS, Wu CL. Effect of postoperative analgesia on major postoperative complications: a systematic update of the evidence. Anesth Analg. 2007;104(3):689-702.

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Publicado

2011-05-01

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1.
Contreras-Domínguez V, Nieuwveld D, Carbonell P. Analgesia Preventiva: ¿Parte Del Pasado? Publicado en la Revista El Dolor - Nº 54 - Año 19 -Diciembre 2010. NeuroTarget [Internet]. 1 de mayo de 2011 [citado 21 de noviembre de 2024];6(1):60-4. Disponible en: https://neurotarget.com/index.php/nt/article/view/327

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