Prediciton of possible postoperative severe pain, Prevention postoperative inadequate pain treatment.
Using adjuvants : ketamine, lidocaine or alpha-agonist.
Lidocaine is one of the most common local anesthetics, and how dose it work to improve postoperative pain treatment? Is there any clinical study about this topic.
Pre-emptive analgesia using opioids, NSAIDS and other adjuvants (pre-gabalin, gabapentin, dexmedetomidine etc) administered before surgical incision can reduce post-operative pain significantly. Patients are assessed and selected during pre-op visit. Psychological preparation may also be useful
It's really a challenge to effectly treat postoperative pain. There so many potential factors that affecting the postoperative analgesia, and further more the inter-individual difference of postoperative pain intensity as well as the sensitivity to various analgesics. May be we should simultaneously take many measures including Prediction, Prevention, Selection, etc,.
Do counciling and make a good rapport with patient in preoperative phase.
Treat if patient is already having pain
Give him anti anxiety premedication
Use premptive analgesia
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