Pain Assessment in Paediatrics
(1) Department of Anaesthesia, Royal Free Hospital, London, UK Pain assessment in children is difficult. Pain is a subjective experience, and children may not be able to provide adequate…
PAIN MEDICINE
Neuropathic Pain
(1) Department of Anaesthesia, Royal Free Hospital, London, UK IASP defines neuropathic pain as “pain caused by lesion or disease of the somatosensory system”. Neuropathic pain comprises pain, paraesthesia…
Pain Pathway
(1) Department of Anaesthesia, Royal Free Hospital, London, UK The pathway can be divided into peripheral and central. Peripheral pathways are the first point of contact for the painful…
Assessment of Neuropathic Pain
(1) Department of Anaesthesia, Royal Free Hospital, London, UK Neuropathic pain is the pain caused by a lesion or disease of the somatosensory nervous system (IASP definition). The challenge…
Psychological Assessment of Chronic Pain
(1) Department of Anaesthesia, Royal Free Hospital, London, UK Assessment of chronic pain is not as straightforward as acute pain as patients often have accompanying anxiety and depression. They…
Pain Processing
(1) Department of Anaesthesia, Royal Free Hospital, London, UK 3.1 Peripheral Mechanisms The activation of nociceptors depends on the magnitude of the stimuli. A stimulus larger than the threshold…
Assessment and Measurement of Acute Pain
(1) Department of Anaesthesia, Royal Free Hospital, London, UK Assessment of acute pain includes appropriate pain history and evaluation with regard to different aspects of pain including functional impairment….
Nociceptors
(1) Department of Anaesthesia, Royal Free Hospital, London, UK Primary afferent fibres responding to high-threshold noxious stimuli (noxious thermal, mechanical, chemical) are called nociceptors. They either belong to Aδ…
Patient Evaluation
(1) Department of Anaesthesia, Royal Free Hospital, London, UK History taking in chronic pain patients should be precise and targeted. The questions should focus on all aspects of pain…
