[Does a means exist for prevention of postoperative pain?].
Postoperative pain can be prevented through pharmacological and non pharmacological means. The influence of the interval between therapy and surgical stimulus, which corresponds to "pre-emptive analgesia" in English-speaking countries (comparison of preoperative administration with pre- and postoperative administration of the same analgesic) has been assessed by numerous studies of good methodological quality. In spite of the initial promising results, most of the results published at present are negative. In an enlarged concept of postoperative pain prevention, various trials have demonstrated the benefits of the choice of the surgical approach, as well as the psychological preparation of the patient for surgery.
Gall
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Service d'anesthésie-réanimation et unité d'analgésie, hôpital d'Enfants Armand-Trousseau, Paris, France.
D000700:Analgesics / Q000627:therapeutic use; D006801:Humans; D010149:Postoperative Pain / Q000517:prevention & control*
D000700:Analgesics