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Management of Acute Pain

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Substance Abuse

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Abstract

Principles of acute pain management in substance abuse patients focus on attaining adequate analgesia via a multimodal approach while being vigilant of the surrounding psychosocial and medicolegal issues. An understanding of the pathophysiology of pain is discussed, as it is fundamental to designing a rational multimodal treatment plan. A holistic therapeutic approach should be employed with clear and sustainable exit and entry strategies, with longitudinal follow-up whenever possible. The clinician must be able to identify and treat opioid-induced hyperalgesia as well as treat pain in the setting of patients receiving opioid maintenance therapy.

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Palo Alto, CA, USA

    Michael Alan Fishman M.D., M.B.A.

  2. Department of Anesthesiology, Yale University School of Medicine, New Haven, CT, USA

    Donna-Ann M. Thomas M.D.

Authors
  1. Michael Alan Fishman M.D., M.B.A.
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  2. Donna-Ann M. Thomas M.D.
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Corresponding author

Correspondence to Michael Alan Fishman M.D., M.B.A. .

Editor information

Editors and Affiliations

  1. Louisiana State University Health Sciences Center, Louisiana State University Interim Hospital, and Ochsner Kenner Hospital, Departments of Anesthesiology and Pharmacology, New Orleans, Louisiana, USA

    Alan David Kaye

  2. Department of Anesthesiology, Yale University School of Medicine and Yale-New Haven Hospital, New Haven, Connecticut, USA

    Nalini Vadivelu

  3. Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA

    Richard D. Urman

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© 2015 Springer Science+Business Media New York

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Fishman, M.A., Thomas, DA.M. (2015). Management of Acute Pain. In: Kaye, A., Vadivelu, N., Urman, R. (eds) Substance Abuse. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1951-2_33

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  • DOI: https://doi.org/10.1007/978-1-4939-1951-2_33

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1950-5

  • Online ISBN: 978-1-4939-1951-2

  • eBook Packages: MedicineMedicine (R0)

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