TY  - CHAP
M1  - Book, Section
TI  - Pharmacological Management of Chronic Pain
A1  - Bunch, Jennifer R.
A1  - Qian, Xiang
A2  - Longnecker, David E.
A2  - Mackey, Sean C.
A2  - Newman, Mark F.
A2  - Sandberg, Warren S.
A2  - Zapol, Warren M.
PY  - 2017
T2  - Anesthesiology, 3e
AB  - KEY  POINTSComprehensive  pain  management  focuses  on  improving  patient  functionality  and  quality  of  life  by  integrating  pharmacologic  treatment,  interventional  modalities,  physical  therapy,  and  cognitive-behavioral  modification.  Among  them,  pharmacological  therapy  remains  the  mainstay  of  treatment.Finding  appropriate  pharmacological  treatments  through  a  mechanism-based  approach  offers  the  best  chance  for  a  rational  selection  of  proper  therapies.Optimal  use  of  medications  requires  a  thorough  understanding  of  their  pharmacology  as  well  as  the  ability  to  compare  their  effects  through  standardized  study  including  meta-analysis  and  measures  such  as  number  needed  to  treat  analysis.Opioid  therapy  presents  unique  challenges  to  the  prescriber  including  pharmacologic  tolerance,  side  effect,  dependence,  abuse,  drug  diversion,  and  medicolegal  issues.  Continuous  monitoring  and  attention  to  the  physician-patient  relationship  is  vital.The  future  of  pain  practice  involves  combination  therapy  because  a  solo  agent  is  rarely  sufficient  to  manage  pain.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessanesthesiology.mhmedical.com/content.aspx?aid=1144137418
ER  -