Stamenkovic, Dusica M. and Laycock, Helen and Karanikolas, Menelaos and Ladjevic, Nebojsa Gojko and Neskovic, Vojislava and Bantel, Carsten (2019) Chronic Pain and Chronic Opioid Use After Intensive Care Discharge – Is It Time to Change Practice? Frontiers in Pharmacology, 10. ISSN 1663-9812

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Almost half of patients treated on intensive care unit (ICU) experience moderate to severe pain. Managing pain in the critically ill patient is challenging, as their pain is complex with multiple causes. Pharmacological treatment often focuses on opioids, and over a prolonged admission this can represent high cumulative doses which risk opioid dependence at discharge. Despite analgesia the incidence of chronic pain after treatment on ICU is high ranging from 33–73%. Measures need to be taken to prevent the transition from acute to chronic pain, whilst avoiding opioid overuse. This narrative review discusses preventive measures for the development of chronic pain in ICU patients. It considers a number of strategies that can be employed including non-opioid analgesics, regional analgesia, and non-pharmacological methods. We reason that individualized pain management plans should become the cornerstone for critically ill patients to facilitate physical and psychological well being after discharge from critical care and hospital.

Item Type: Article
Additional Information: Publiziert mit Hilfe des DFG-geförderten Open Access-Publikationsfonds der Carl von Ossietzky Universität Oldenburg.
Uncontrolled Keywords: critical care, pain, chronic pain, analgesics, opioids
Subjects: Technology, medicine, applied sciences > Medicine and health
Divisions: Faculty of Medicine and Health Sciences > Department of Human Medicine
Date Deposited: 18 Mar 2020 08:43
Last Modified: 18 Mar 2020 08:43
URN: urn:nbn:de:gbv:715-oops-45495
DOI: 10.3389/fphar.2019.00023

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