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Tawfic QA, Bellingham G. Postoperative pain management in patients with chronic kidney disease. J Anaesthesiol Clin Pharmacol. 2015;31(1):6-13doi: 10.4103/0970-9185.150518.
Tawfic, Q. A., & Bellingham, G. (2015). Postoperative pain management in patients with chronic kidney disease. Journal of anaesthesiology, clinical pharmacology, 31(1), 6-13. https://doi.org/10.4103/0970-9185.150518
Tawfic, Qutaiba A, and Bellingham, Geoff. "Postoperative pain management in patients with chronic kidney disease." Journal of anaesthesiology, clinical pharmacology vol. 31,1 (2015): 6-13. doi: https://doi.org/10.4103/0970-9185.150518
Tawfic QA, Bellingham G. Postoperative pain management in patients with chronic kidney disease. J Anaesthesiol Clin Pharmacol. 2015 Jan-Mar;31(1):6-13. doi: 10.4103/0970-9185.150518. PMID: 25788766; PMCID: PMC4353156.
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J Anaesthesiol Clin Pharmacol. 2015 Jan-Mar;31(1):6-13. doi: 10.4103/0970-9185.150518.

Postoperative pain management in patients with chronic kidney disease.

Journal of anaesthesiology, clinical pharmacology

Qutaiba A Tawfic, Geoff Bellingham

Affiliations

  1. Department of Anesthesiology and Perioperative Medicine, University of Western Ontario, London, ON N6A 4V2, Canada.

PMID: 25788766 PMCID: PMC4353156 DOI: 10.4103/0970-9185.150518

Abstract

Chronic kidney disease (CKD) is a health care problem with increasing prevalence worldwide. Pain management represents one of the challenges in providing perioperative care for this group of patients. Physicians from different specialties may be involved in pain management of CKD patients, especially in advanced stages. It is important to understand the clinical staging of kidney function in CKD patients as the pharmacotherapeutic pain management strategies change as kidney function becomes progressively impaired. Special emphasis should be placed on dose adjustment of certain analgesics as well as prevention of further deterioration of renal function that could be induced by certain classes of analgesics. Chronic pain is a common finding in CKD patients which may be caused by the primary disease that led to kidney damage or can be a direct result of CKD and hemodialysis. The presence of chronic pain in some of the CKD patients makes postoperative pain management in these patients more challenging. This review focuses on the plans and challenges of postoperative pain management for patient at different stages of CKD undergoing surgical intervention to provide optimum pain control for this patient population. Further clinical studies are required to address the optimal medication regimen for postoperative pain management in the different stages of CKD.

Keywords: Chronic; end stage; kidney failure; pain; specialist

References

  1. Ann Intern Med. 1999 Mar 16;130(6):461-70 - PubMed
  2. Can J Anaesth. 1999 Mar;46(3):271-4 - PubMed
  3. Pharmacotherapy. 2000 Dec;20(12):1423-31 - PubMed
  4. Curr Opin Nephrol Hypertens. 2001 Mar;10(2):161-3 - PubMed
  5. Life Sci. 2001 Jun 15;69(4):409-20 - PubMed
  6. Am J Kidney Dis. 2002 Feb;39(2 Suppl 1):S1-266 - PubMed
  7. Nephron. 1976;16(1):31-41 - PubMed
  8. J Nephrol. 2002 Sep-Oct;15(5):480-8 - PubMed
  9. J Clin Pharmacol. 2003 Mar;43(3):277-83 - PubMed
  10. Ann Intern Med. 2003 Jul 15;139(2):137-47 - PubMed
  11. Am J Kidney Dis. 2003 Aug;42(2):217-28 - PubMed
  12. Am J Kidney Dis. 2003 Dec;42(6):1239-47 - PubMed
  13. Br J Anaesth. 2005 Jul;95(1):20-32 - PubMed
  14. Am J Kidney Dis. 2005 Mar;45(3):531-9 - PubMed
  15. J Pain Symptom Manage. 2005 May;29(5 Suppl):S57-66 - PubMed
  16. Transplant Proc. 2005 Jun;37(5):2020-2 - PubMed
  17. Anaesth Intensive Care. 2005 Jun;33(3):311-22 - PubMed
  18. Pharmacotherapy. 2005 Apr;25(4):491-502 - PubMed
  19. Expert Opin Drug Saf. 2005 Jul;4(4):689-706 - PubMed
  20. Cochrane Database Syst Rev. 2006 Jan 25;(1):CD004603 - PubMed
  21. Hemodial Int. 2006 Apr;10(2):168-9 - PubMed
  22. Cochrane Database Syst Rev. 2007 Apr 18;(2):CD002765 - PubMed
  23. Pain Physician. 2007 May;10(3):493-500 - PubMed
  24. Can J Anaesth. 2007 Jul;54(7):556-60 - PubMed
  25. J Clin Nurs. 2008 Jan;17(1):69-81 - PubMed
  26. Ann Vasc Surg. 2007 Nov;21(6):730-3 - PubMed
  27. J Pain Palliat Care Pharmacother. 2007;21(2):5-16 - PubMed
  28. Anesth Analg. 2007 Dec;105(6):1805-15 - PubMed
  29. J Palliat Med. 2007 Dec;10(6):1277-87 - PubMed
  30. J Pain Symptom Manage. 2008 Mar;35(3):232-4 - PubMed
  31. J Opioid Manag. 2008 May-Jun;4(3):173-80 - PubMed
  32. Pain Med. 2009 Jan;10(1):190-2 - PubMed
  33. Cochrane Database Syst Rev. 2008 Oct 08;(4):CD004602 - PubMed
  34. J Opioid Manag. 2008 Nov-Dec;4(6):335-6, 339-44 - PubMed
  35. J Pak Med Assoc. 2009 Mar;59(3):178 - PubMed
  36. Ann Intern Med. 2009 May 5;150(9):604-12 - PubMed
  37. J Clin Pharmacol. 2009 Aug;49(8):957-64 - PubMed
  38. Mayo Clin Proc. 2009 Jul;84(7):613-24 - PubMed
  39. Postgrad Med. 2009 Jul;121(4):91-102 - PubMed
  40. Nephron Clin Pract. 2009;113(3):c207-13 - PubMed
  41. Curr Drug Targets. 2009 Aug;10(8):716-33 - PubMed
  42. Eur J Clin Pharmacol. 2010 Mar;66(3):269-73 - PubMed
  43. J Nephrol. 2011 Jan-Feb;24(1):35-40 - PubMed
  44. Pharmacoepidemiol Drug Saf. 2010 Jul;19(7):745-51 - PubMed
  45. Minerva Anestesiol. 2010 Sep;76(9):725-36 - PubMed
  46. J Clin Pharm Ther. 2010 Dec;35(6):617-38 - PubMed
  47. Br J Anaesth. 2011 Mar;106(3):292-7 - PubMed
  48. Semin Dial. 2011 May-Jun;24(3):314-26 - PubMed
  49. Br J Anaesth. 2011 Sep;107(3):319-28 - PubMed
  50. Anesthesiology. 2012 Feb;116(2):248-73 - PubMed
  51. Anesth Analg. 2012 Aug;115(2):428-42 - PubMed
  52. Am Fam Physician. 2012 Apr 1;85(7):705-10 - PubMed
  53. J Palliat Med. 2013 Jul;16(7):809-12 - PubMed
  54. Cochrane Database Syst Rev. 2013 Oct 22;(10):CD004233 - PubMed
  55. Anesteziol Reanimatol. 1995 Jul-Aug;(4):63-6 - PubMed
  56. Clin Pharmacokinet. 1996 Dec;31(6):410-22 - PubMed

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