The management of wound-related procedural pain (volitional incident pain) in advanced illness.

Curr Opin Support Palliat Care

Department of Family and Community Medicine, Divisions of Palliative and Residential Care, Providence Healthcare, Vancouver, Canada.

Published: March 2013

Purpose Of Review: The prevention and treatment of wound-related procedural pain is one of the greatest areas of unmet need within wound management. Also referred to as 'Volitional Incident Pain', it is the most prevalent subtype of breakthrough pain experienced by patients afflicted with wounds. Novel formulations of existing analgesics are now available to address this challenge.

Recent Findings: This review focuses on the principles of breakthrough pain assessment including those patients with cognitive impairment. Current management principles are discussed with an emphasis on the novel formulations of fentanyl citrate that may be delivered through the sublingual, buccal, and nasal mucosal routes.

Summary: Novel formulations of fentanyl citrate, delivered through an array of noninvasive routes, allow for rapid-onset and short-acting effects that better match the onset and duration of wound-related procedural pain.

Download full-text PDF

Source
http://dx.doi.org/10.1097/SPC.0b013e32835ac704DOI Listing

Publication Analysis

Top Keywords

wound-related procedural
12
procedural pain
12
novel formulations
12
breakthrough pain
8
formulations fentanyl
8
fentanyl citrate
8
citrate delivered
8
pain
6
management wound-related
4
pain volitional
4

Similar Publications

Is the natural course of perioperative laboratory testing effective in identifying wound-related complications following primary total hip arthroplasty?

Arch Orthop Trauma Surg

December 2024

Department of Orthopedic Surgery, Graduate School of Medical Science, Kanazawa University, 13-1 Takaramachi, Kanazawa, Ishikawa, 920-8641, Japan.

Introduction: Previous study did not clarify the correlation between the natural course of perioperative blood tests and occurrence of wound-related complications, including SSI, PJI, and delayed wound healing. This study aimed to investigate whether perioperative laboratory test is effective in identifying wound-related complications after THA.

Materials And Methods: This retrospective, single-institutional study enrolled 1072 patients who underwent primary THAs.

View Article and Find Full Text PDF

Objective: The prognostic significance of body composition phenotypes for survival in patients undergoing surgical intervention for spinal metastases has not yet been elucidated. This study aimed to elucidate the impact of body composition phenotypes on surgical outcomes and 5-year survival.

Methods: The records of patients treated surgically for spinal metastases between 2010 and 2020 were retrospectively evaluated.

View Article and Find Full Text PDF
Article Synopsis
  • * Chronic wounds particularly affect elderly and diabetic patients, often requiring repeated medical interventions to avoid complications like infections that can have severe local and systemic effects.
  • * The article focuses on innovative treatments for wound healing and infection management, specifically the potential of bacteriophages and mesenchymal stem cells in improving healing processes and combating infections.
View Article and Find Full Text PDF

Objective: Both blood loss and lower extremity swelling after total knee arthroplasty (TKA) can affect a patient's postoperative recovery. The aim of this trial was to investigate whether different doses of intra-articular tranexamic acid (TXA) can reduce blood loss and postoperative lower limb swelling.

Methods: In a prospective, randomized-controlled trial, a total of 225 patients were randomly assigned to three groups from September 2020 through January 2021: intra-articular injections of 3 g, 1 g of TXA, or placebo (saline solution).

View Article and Find Full Text PDF

Objective: This study aimed to compare the surgical outcomes in patients with endometrial cancer who underwent either single-port laparoscopic hysterectomy (SPLH) or multi-port laparoscopic hysterectomy (MPLH).

Methods: We conducted a systematic literature search from the earliest records available up to May 2023. The databases searched included PubMed, Embase, ClinicalTrials.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!