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2020 ; 75
(7
): 935-944
Nephropedia Template TP
gab.com Text
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English Wikipedia
Caring for patients with pain during the COVID-19 pandemic: consensus
recommendations from an international expert panel
#MMPMID32259288
Shanthanna H
; Strand NH
; Provenzano DA
; Lobo CA
; Eldabe S
; Bhatia A
; Wegener J
; Curtis K
; Cohen SP
; Narouze S
Anaesthesia
2020[Jul]; 75
(7
): 935-944
PMID32259288
show ga
Chronic pain causes significant suffering, limitation of daily activities and
reduced quality of life. Infection from COVID-19 is responsible for an ongoing
pandemic that causes severe acute respiratory syndrome, leading to systemic
complications and death. Led by the World Health Organization, healthcare systems
across the world are engaged in limiting the spread of infection. As a result,
all elective surgical procedures, outpatient procedures and patient visits,
including pain management services, have been postponed or cancelled. This has
affected the care of chronic pain patients. Most are elderly with multiple
comorbidities, which puts them at risk of COVID-19 infection. Important
considerations that need to be recognised during this pandemic for chronic pain
patients include: ensuring continuity of care and pain medications, especially
opioids; use of telemedicine; maintaining biopsychosocial management; use of
anti-inflammatory drugs; use of steroids; and prioritising necessary procedural
visits. There are no guidelines to inform physicians and healthcare providers
engaged in caring for patients with pain during this period of crisis. We
assembled an expert panel of pain physicians, psychologists and researchers from
North America and Europe to formulate recommendations to guide practice. As the
COVID-19 situation continues to evolve rapidly, these recommendations are based
on the best available evidence and expert opinion at this present time and may
need adapting to local workplace policies.