Urol. praxi. 2024;25(3):146-150 | DOI: 10.36290/uro.2024.059
Acute pain management
- Onkologická klinika 1. lékařské fakulty Univerzity Karlovy a Fakultní Thomayerovy nemocnice, Praha
Pain is a common symptom not only in urology, and its adequate management is essential for patient's comfort and quality of life. A wide range of analgesics with different mechanisms of action and indications is available in the Czech Republic. Nevertheless, a significant proportion of patients still experience insufficiently controlled pain. Many young physicians feel inadequately informed and trained in pain management. Early and appropriate analgesia is crucial not only for patients but also for optimizing healthcare costs. This article focuses on pharmacotherapy of acute pain mainly in out-patient practice. We will describe in detail the individual groups of analgesics and their representatives, including non-opioid and opioid drugs. We will also address the specific aspects of pain management in elderly patients.
Keywords: acute pain, pain management, analgesic drugs, elderly patients
Accepted: October 1, 2024; Published: November 14, 2024 Show citation
References
- Hakl M, Ševčík P. Farmakoterapie bolesti. Klin Framakol Farm. 2009;23(4):171-173.
- Mariano ER. Approach to the management of acute pain in adults. In: UpToDate [Internet]. Last reviewed April 2024. [cit. 2024-05-06]. Available from: https://www.uptodate.com/contents/approach-to-the-management-of-acute-pain-in-adults.
- Fricová J. Léčba bolesti u seniorů. In: ProLékaře.cz [Internet]. 2020. [cit. 2024-05-06]. Available from: https://www.prolekare.cz/tema/aktuality-v-lecbe-bolesti/detail/lecba-bolesti-u-senioru-123084.
- Sláma O, Vafková T. Nástroje k hodnocení bolesti. In: Management bolesti. Masarykova univerzita. 2020. [cit. 2024-05-06]. Available from: https://www.med.muni.cz/studium/studium-doktorske-programy/specializacni-studium/studium-pro-lekare/studium-pro-lekare-v-oboru-palliativni-pece/vyuka/materialy-ke-studiu/blok-1-zaklady-palliativni-pece/blok-1-kapitola-3-management-bolesti/.
- Gabrhelík T. Chyby a omyly v léčbě bolesti. In: Akutne.cz [Internet]. . [cit. 2024-05-06]. Available from: https://www.akutne.cz/publication/video/228/1394/.
- Pino CA, Wakeman SE, Weiner SG.). Management of acute pain in opioid naïve adults in the ambulatory setting. In: UpToDate [Internet]. 2024 Jan 19. [cit. 2024-04-06]. Available from: https://www.wolterskluwer.com/en/solutions/uptodate.
- Pillai Riddell RR, Craig KD. Time-contingent schedules for postoperative analgesia: a review of the literature. J Pain. 2003;4(4):169-175.
Go to original source... 
Go to PubMed... - Tighe PJ, King CD, Zou B, et al. Time to Onset of Sustained Postoperative Pain Relief (SuPPR): Evaluation of a New Systems-level Metric for Acute Pain Management. Clin J Pain. 2016;32(5):371-379. Go to original source... Go to PubMed...
- Anekar AA, Hendrix JM, Cascella M. WHO Analgesic Ladder. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan. Available from: https://www.ncbi.nlm.nih.gov/books/NBK554435/#.
- Hakl M. Racionální léčba akutní bolesti. Interní med. 2007;(9)3:141-142.
- Česká onkologická společnost. Farmakoterapie nádorové bolesti. In: Linkos.cz [Internet]. 2024. Available from: https://www.linkos.cz/farmakoterapie-nadorove-bolesti/.
- Schwenk ES, Maniker R, Crowley M. Nonopioid pharmacotherapy for acute pain in adults. In: UpToDate [Internet]. 2024 Apr. [cit. 2024-04-06]. Available from: https://www-uptodate-com.ezproxy.is.cuni.cz/contents/nonopioid-pharmacotherapy-for-acute-pain-in-adults?search=acute+pain+management&source=search_result&selectedTitle=4%7E150&usage_type=default&display_rank=4pToDate [online database]. Retrieved April 15, 2024.
- Státní ústav pro kontrolu léčiv [Internet]. SÚKL. [cit. 2024-05-26]. Available from: https://www.sukl.cz/.