Preemptive and Preventive Pain Psychoeducation and Its Potential Application as a Multimodal Perioperative Pain Control Option: A Systematic Review.


:The common treatment for postoperative pain is prescription opioids. Yet, these drugs have limited effect in preventing chronic pain from surgical intervention and have in part contributed to the opioid epidemic. Recently, preemptive analgesia and multimodal analgesia have been proposed with widely gained acceptance in addressing the pain issues. However, both analgesic approaches have been focused on pharmacological means while completely neglecting the psychological aspect. To address this epidemic, we have conducted a systematic review of preoperative educational methods to explore its application as both a preemptive and a preventive psychological approach to decrease postsurgical pain and improve outcome. Preemptive psychoeducation occurs before surgery and would include information about regional or neuraxial analgesia, while preventive psychoeducation occurs throughout the perioperative period. The content and presentation of preemptive psychoeducation can help patients form accurate expectations and address their concerns of surgical outcome, leading to a significant decrease in patients' anxiety levels. By addressing the psychological needs of patients through preoperative education, one can decrease postoperative recovery time and postsurgical acute pain. Reduced postsurgical acute pain results in fewer opioid prescriptions, which theoretically lowers the patient's risk of developing chronic postsurgical pain (CPSP), and potentially offers a novel concept using preemptive pain psychoeducation as a part of multimodal pain management solution to the opioid epidemic.


Anesth Analg


Anesthesia and analgesia


Horn A,Kaneshiro K,Tsui BCH




Has Abstract


2020-03-01 00:00:00












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    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,meta分析,评审


    authors: Barea-Mendoza JA,Antequera AM,Plana MN,Chico-Fernández M,Muriel A,Sáez I,Estrada-Lorenzo JM,Montejo-González JC

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    abstract::To determine whether anesthetics alter endothelial eicosanoid release, cultured bovine pulmonary artery endothelial cells were studied during constant flow and pressure perfusion at two oxygen tensions (hypoxia, 50 +/- 2 mm Hg; normoxia, 144 +/- 5 mm Hg; mean +/- SEM) with and without 1% halothane. Endothelialized mic...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


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    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Burkat PM,Lor C,Perouansky M,Pearce RA

    更新日期:2014-12-01 00:00:00

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    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验


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    更新日期:2002-10-01 00:00:00

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    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Choi EK,Jung H,Kwak KH,Yi SJ,Lim JA,Park SH,Park JM,Kim S,Jee DL,Lim DG

    更新日期:2017-01-01 00:00:00

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    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


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    更新日期:2009-04-01 00:00:00

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    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


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    更新日期:2019-11-01 00:00:00

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    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,随机对照试验


    authors: Wang T,Wang Q,Zhou H,Huang S

    更新日期:2020-12-01 00:00:00

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    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


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    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,随机对照试验


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    更新日期:2008-09-01 00:00:00

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    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验


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    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


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    pub_type: 杂志文章,随机对照试验


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    pub_type: 杂志文章


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    更新日期:2006-09-01 00:00:00

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    pub_type: 杂志文章


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    更新日期:2016-05-01 00:00:00

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    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,meta分析,评审


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    更新日期:2016-10-01 00:00:00

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    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,随机对照试验


    authors: Heard C,Harutunians M,Houck J,Joshi P,Johnson K,Lerman J

    更新日期:2015-01-01 00:00:00

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    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,多中心研究


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    更新日期:2014-08-01 00:00:00

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    pub_type: 临床试验,杂志文章,随机对照试验


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    pub_type: 历史文章,杂志文章,评审


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    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章


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    更新日期:1976-09-01 00:00:00

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    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,多中心研究


    authors: Teja B,Raub D,Friedrich S,Rostin P,Patrocínio MD,Schneider JC,Shen C,Brat GA,Houle TT,Yeh RW,Eikermann M

    更新日期:2020-08-01 00:00:00

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    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Zaidi AS,Russell IF

    更新日期:2005-05-01 00:00:00

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    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,评审


    authors: Sukernik MR,Bennett-Guerrero E

    更新日期:2007-09-01 00:00:00

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    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Phillips G

    更新日期:1988-05-01 00:00:00

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    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Tanifuji Y,Eger EI II

    更新日期:1976-05-01 00:00:00

  • A cost-effective screening method for preoperative hyperglycemia.

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    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Grek S,Gravenstein N,Morey TE,Rice MJ

    更新日期:2009-11-01 00:00:00

  • The volatile anesthetic isoflurane inhibits the histamine-induced Ca2+ influx in primary human endothelial cells.

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    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Tas PW,Stöbetael C,Roewer N

    更新日期:2003-08-01 00:00:00

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    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Suzuki T,Amata M,Sakaue G,Nishimura S,Inoue T,Shibata M,Mashimo T

    更新日期:2007-06-01 00:00:00

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    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Laster MJ,Johnson BH,Eger EI 2nd,Taheri S

    更新日期:1990-06-01 00:00:00