Editorial
Divinum est Opus Sedare Dolorem: Pretending the Divine in Postoperative Pain Management
Abstract
The article by Bameshki1 in this issue of the Southern Medical Journal presents a prospective, randomized study comparing the postoperative analgesic effect of preemptive administration of intrathecal and intravenous sufentanil before transhiatal esophagectomy. The opioid requirement during and after the operation and the visual analog scale for pain and hemodynamic parameters were assessed. In the conclusion, the authors suggested that pre-emptive intrathecal administration of sufentanil was more advantageous in the management of early postoperative pain but didn't provide long-lasting pain relief.This content is limited to qualifying members.
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References
1.Bameshki AR, Zanjankhah, M-R, Gilani MT, et al. Intrathecal sufentanil for intraoperative and postesophagectomy pain relief. South Med J 2010;103:197–201.
2.Gottschalk A, Smith DS. New concepts in acute pain therapy: preemptive analgesia. Am Fam Physician 2001;63:1979–1984.
3.Warfield CA, Kahn CH. Acute pain management. Programs in U.S. hospitals and experiences and attitudes among U.S. adults. Anesthesiology 1995;83:1090–1094.
4.Pogatzki-Zahn EM, Zahn PK. From preemptive to preventive analgesia. Curr Opin Anaesthesiol 2006;19:551–555.
5.Grape S, Tramèr MR. Do we need preemptive analgesia for the treatment of postoperative pain? Best Pract Res Clin Anaesthesiol 2007;21:51–63.
