PMID- 26631941 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20160904 LR - 20160904 IS - 1806-907X (Electronic) IS - 0034-7094 (Linking) VI - 66 IP - 5 DP - 2016 Sep-Oct TI - [Postoperative persistent chronic pain: what do we know about prevention, risk factors, and treatment]. PG - 505-12 LID - S0034-7094(15)00103-8 [pii] LID - 10.1016/j.bjan.2014.12.002 [doi] AB - BACKGROUND AND OBJECTIVES: Postoperative persistent chronic pain (POCP) is a serious health problem, disabling, undermining the quality of life of affected patients. Although more studies and research have addressed the possible mechanisms of the evolution from acute pain to chronic postoperatively, there are still no consistent data about the risk factors and prevention. This article aims to bring what is in the panorama of the current literature available. CONTENT: This review describes the definition, risk factors, and mechanisms of POCD, its prevention and treatment. The main drugs and techniques are exposed comprehensively. CONCLUSION: Postoperative persistent chronic pain is a complex and still unclear etiology entity, which interferes heavily in the life of the subject. Neuropathic pain resulting from surgical trauma is still the most common expression of this entity. Techniques to prevent nerve injury are recommended and should be used whenever possible. Despite efforts to understand and select risk patients, the management and prevention of this syndrome remain challenging and inappropriate. CI - Copyright (c) 2015 Sociedade Brasileira de Anestesiologia. Publicado por Elsevier Editora Ltda. All rights reserved. FAU - Kraychete, Durval Campos AU - Kraychete DC AD - Departamento de Anestesiologia e Cirurgia, Universidade Federal da Bahia (UFBA), Salvador, BA, Brasil; Sociedade Brasileira para o Estudo da Dor, Sao Paulo, SP, Brasil; Ambulatorio de Dor, Complexo Universitario Prof. Edgar Santos, Salvador, BA, Brasil. FAU - Sakata, Rioko Kimiko AU - Sakata RK AD - Departamento de Anestesiologia, Dor e Terapia Intensiva, Universidade Federal de Sao Paulo (Unifesp), Sao Paulo, SP, Brasil. Electronic address: riokoks.dcir@epm.br. FAU - Lannes, Leticia de Oliveira Carvalho AU - Lannes Lde O AD - Anestesiologia, Complexo Universitario Hospital Edgar Santos, Universidade Federal da Bahia (UFBA), Salvador, BA, Brasil. FAU - Bandeira, Igor Dorea AU - Bandeira ID AD - Faculdade de Medicina, Universidade Federal da Bahia (UFBA), Salvador, BA, Brasil; Liga Academica para o Estudo da Dor, Salvador, BA, Brasil. FAU - Sadatsune, Eduardo Jun AU - Sadatsune EJ AD - Universidade Federal de Sao Paulo (Unifesp), Sao Paulo, SP, Brasil. LA - por PT - English Abstract PT - Journal Article TT - Dor cronica persistente pos-operatoria: o que sabemos sobre prevencao, fatores de risco e tratamento? DEP - 20151126 PL - Brazil TA - Rev Bras Anestesiol JT - Revista brasileira de anestesiologia JID - 0401316 OTO - NOTNLM OT - Analgesia OT - Dor cronica pos-operatoria OT - Fatores de risco OT - Postoperative chronic pain OT - Prevention OT - Prevencao OT - Risk factors OT - Tratamento OT - Treatment EDAT- 2015/12/04 06:00 MHDA- 2015/12/04 06:01 CRDT- 2015/12/04 06:00 PHST- 2014/11/10 00:00 [received] PHST- 2014/12/11 00:00 [accepted] PHST- 2015/12/04 06:00 [entrez] PHST- 2015/12/04 06:00 [pubmed] PHST- 2015/12/04 06:01 [medline] AID - S0034-7094(15)00103-8 [pii] AID - 10.1016/j.bjan.2014.12.002 [doi] PST - ppublish SO - Rev Bras Anestesiol. 2016 Sep-Oct;66(5):505-12. doi: 10.1016/j.bjan.2014.12.002. Epub 2015 Nov 26.