Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Apr 2004
Review[A review of clinical evidence supporting techniques to prevent chronic postoperative pain syndromes].
To conduct a systematic review to evaluate the level of evidence for using acute postoperative pain management techniques with a view to pre-empting the later development of chronic pain syndromes. ⋯ Only chronic pain following thoracotomy has been found to be preempted by acute pain management and only by continuous thoracic epidural analgesia started before surgery. There is no solid evidence demonstrating that other techniques used to relieve acute postoperative pain have a beneficial effect in preempting chronic postoperative pain syndromes.