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Exploring Preemptive Analgesia in Pain Management

Preemptive analgesia involves starting analgesic treatment before surgery to prevent sensitization and reduce pain. Learn about methods, comparisons, and benefits in managing chronic pain. Discover how this technique can improve postoperative outcomes.

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Exploring Preemptive Analgesia in Pain Management

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  1. Pain facts 5 Dr. S. Parthasarathy MD., DA., DNB, MD (Acu), Dip. Diab. DCA, Dip. Software statistics PhD (physio) Mahatma Gandhi medical college and research institute , puducherry – India

  2. Preemptive analgesia • analgesia is achieved by use of pre-emptive analgesic which is initiated before surgery and continued throughout the perioperative period.

  3. Definition • Initiating an analgesic regimen before the onset of the noxious stimulus to prevent central as well as peripheral sensitization and limit the subsequent pain experience is called pre- emptive analgesic

  4. Example • Herniotomy • Method 1 – presurgical infiltration and GA • Method 2 – GA and postoperative infiltration

  5. Three facts • Start before surgery • Prevents sensitization because of incision • Prevents sensitization because of post operative inflammation.

  6. Injury and changes

  7. Methods and use • Definition • Continued use • Study parameters

  8. All methods – comparison

  9. Kundra et al • Laminectomy, • Epidural morphine before and after surgery • Better postop analgesia

  10. Kundra et al • Paediatric hernias • Preemptive caudal bupivacaine And GA • Postop caudal bupivacaine And GA • preemptive better

  11. Chronic pain - preemptive ok- yet • Phantom pain • Chronic incision pain • Only few studies

  12. JOACP 2009: 25(2) 214-216 • ACUPUNCTURE – A PREEMPTIVE ANALGESIC TECHNIQUE • Dr.S.Parthasarathy • Dr.M.Ravishankar

  13. Thank you all

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