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An Experimental Paradigm for the Prediction of Post-Operative Pain (PPOP)
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JoVE Journal Medicine
An Experimental Paradigm for the Prediction of Post-Operative Pain (PPOP)

An Experimental Paradigm for the Prediction of Post-Operative Pain (PPOP)

DOI:
10.3791/1671-v

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14:56 min

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January 27, 2010

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, , , , , , , , ,
1Department of Anesthesiology and Pain Medicine,University of Washington School of Medicine

Chapters

  • 00:00Title
  • 01:05Introduction
  • 02:18Mechanical Temporal Summation (mTS) Assessment
  • 03:05Diffuse Noxious Inhibitory Control (DNIC) Assessment
  • 03:08a. Familiarization
  • 05:41b. Pain-6 Determination
  • 06:59c. Pain-6 Confirmation
  • 07:32d. 30-second Test Stimulus
  • 08:34e. Hot Water Bath + 30- seconds Test Stimulus
  • 10:27Secondary Hyperalgesia and Tactile Pain Threshold Assessment
  • 12:17Results of Pain Assessments
  • 13:51Conclusion

Summary

Automatic Translation

Automatic Translation

Diffuse noxious inhibitory control, temporal summation and wound hyperalgesia testing are demonstrated in the obstetric patient. These tests evaluate inhibitory and excitatory mechanisms of pain processing and are here utilized to evaluate endogenous analgesia at different time-points during pregnancy and the peripartum period to help reveal individual s risk for persistent pain.

Tags

Experimental ParadigmPredictionPost-operative PainCesarean DeliverySignificant PainNegative ConsequencesRisk FactorsOptimal Pain ReliefAnesthetic CareSusceptibleAcute Post-partum PainChronic Persistent PainPublic Health Problem

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