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REVIEW ARTICLE
Year : 2015  |  Volume : 29  |  Issue : 1  |  Page : 9-14

Pain Management After Spinal Surgery


1 Professor of Anaesthesiology, K.P.C. Medical College, Kolkata, India
2 Associate Professor of Anaesthesiology, Midnapore Medical College, Paschim Midnapur, India
3 Consultant Anaesthesiologist, K.P.C. Medical College, Kolkata, India
4 Fellow of Anaesthesia and Critical Care, Tata Medical Center, Kolkata, West Bengal, India

Correspondence Address:
Suman Chaterjee
Department of Anaesthesiology, Midnapore Medical College, Midnapore, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-5333.145916

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One of the most important cause of postoperative morbidity is insufficiently treated pain. Patient undergoing spinal surgery often suffer from severe preoperative pain and may require large doses of analgesic drugs including opioids. Longer-lasting, preoperative or chronic pain of greater intensity, patients with 'failed back syndrome' have been identified to cause problems towards control of postoperative pain. Because neurologic examination to detect spinal cord complications requiring immediate intervention are based upon patient cooperation and awareness, different modalities for postoperative pain treatment and a choice of drugs from various classes of analgesics may be effective in these circumstances. Overall, moderate to severe postoperative pain has been correlated with an increased risk for the development of persistent, chronic pain states. These problems may be prevented by successful management of postoperative pain. Acute postoperative pain management is a dynamic process. A detailed preoperative assessment should be done at the beginning and the most appropriate pain management should be provided by utilizing the newer drugs and techniques after estimation of risk-benefit status for each patient.


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