Abstract
SUMMARY The increasing prevalence of chronic pain an agingpopulation is likely to increasing situations of chronic painpatients requiring peri-operative care, which requiresmeticulous, compassionate and disciplined peri-operativecare for the anxious patient with potentially unrealisticexpectation. The peri-operative period is not the time toaddress the poly-pharmacy and psychosocial factors thatare fuelling the chronic pain state. The exponential increasein chronic opioid use will bring on additional challengesover the coming years. REFERENCES 1. Carr DB, et al. How prevalent is chronic pain. Pain clinicalupdates. IASP 2003 June;9(2):4.2. Reid KJ. Epidemiology of chronic non-cancer pain in Europe:narrative review of prevalence, pain treatments and pain impact.Curr Med Res Opin 2011 Feb;27(2):449-462.3. James DN, et al. Guidelines for the provision of anaesthetic.Services 2013. Chapter 11:p5.4. Dunn KM. Editorial-Opioids for chronic musculoskeletal pain.BMJ 2010;341.5. Dhalla IA. Analysis-facing up to the prescription opioid crisis.BMJ 2011;343.6. Reid. Postoperative pain management in patients with chronicpain syndromes. Can J Anesth 2001;48(6):R1-R.7. Rapp SE, et al. Acute pain management in patients with prioropioid consumption: a case-controlled retrospective review. Pain1995;61:195-201.
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