title: [Pain perioperative in surgery of the hand].
abstract: Pain has to be treated during the perioperative period. The recent improvement in pain treatment results from a better understanding of pain mechanisms, strict evaluations and appropriate protocols for pain management. Mainly nociceptive, postoperative pain looks more and more like neuropathic pain when it persists or increases. Therefore, analgesics are no more effective and antihyperalgesiant drugs must use. Preventive treatments have to be considered first as the best pain treatment. Basically, perioperative pain has to be understood as a standard quality management by the medical and surgical team.
authors.affiliation: Département d'anesthésie reanimation, hôpital Avicenne, 125, rue de Stalingrad, 93009 Bobigny cedex, France. marie-therese.gatt@avc.aphp.fr
authors.forename: M-T
authors.initials: MT
authors.lastname: Gatt
mesh_terms: D000208:Acute Disease; D000284:Administration, Oral; D000556:Ambulatory Surgical Procedures; D000698:Analgesia / Q000379:methods; D000700:Analgesics / Q000008:administration & dosage / Q000627:therapeutic use*; D018712:Analgesics, Non-Narcotic / Q000008:administration & dosage / Q000627:therapeutic use; D000701:Analgesics, Opioid / Q000008:administration & dosage / Q000627:therapeutic use; D002422:Causalgia / Q000175:diagnosis / Q000209:etiology; D002908:Chronic Disease; D004630:Emergencies; D006225:Hand / Q000601:surgery*; D006801:Humans; D006930:Hyperalgesia / Q000175:diagnosis / Q000209:etiology; D009619:Nociceptors / Q000503:physiopathology; D010146:Pain / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology*; D010147:Pain Measurement; D010149:Postoperative Pain / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology / Q000517:prevention & control; D012019:Reflex Sympathetic Dystrophy / Q000175:diagnosis / Q000209:etiology; D013997:Time Factors
chemical_list: D000700:Analgesics; D018712:Analgesics, Non-Narcotic; D000701:Analgesics, Opioid