Pain Management and COVID-19: A Latin American Perspective.
| Autor: | Guerrero M; Pain Management, Clinica la Colina, Bogota, COL., Castroman P; Department of Anaesthesiology, University of Montevideo, Montevideo, URY., Quiroga O; Pain Medicine, Clinica del Dolor, Coquimbo, CHL., Berenguel Cook M; Pain and Palliative Care, Totalcare-Oncosalud-Auna, Lima, PER., Narvaez Tamayo MA; Pain Medicine, Hospital Obrero, La Paz, BOL., Venturoni L; Internal Medicine, Mazzini Teaching Hospital, Teramo, ITA., Pergolizzi J Jr; Pain Medicine and Critical Care Medicine, NEMA Research, Naples, USA., Rekatsina M; Pain Management, Basildon University Hospital, London, GBR., Varrassi G; Pain Management, Paolo Procacci Foundation, Rome, ITA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2022 Mar 12; Vol. 14 (3), pp. e23100. Date of Electronic Publication: 2022 Mar 12 (Print Publication: 2022). |
| DOI: | 10.7759/cureus.23100 |
| Abstrakt: | Vaccinations and therapeutics have been developed for COVID-19, but vaccine uptake varies markedly among countries. Public health responses have also varied, in particular, with lockdown efforts and school closing. All over the world, the pandemic exposed healthcare and economic weaknesses. COVID-19 exacerbated mental health issues by exposing the population to prolonged periods of fear, anxiety, financial stress, psychological uncertainties, and sometimes isolation from even family and friends. Chronic pain patients have been disproportionately affected. The pandemic-associated stresses may have exacerbated their already painful symptoms while at the same time interrupting their access to care. The ramifications of the COVID-19 post-viral syndrome ("long COVID-19") are not yet known. COVID-19 viral infection has been associated with neuropathic pain symptoms. Tele-triage and telehealth applications can help manage chronic pain patients in the COVID-19 era, but many interventional procedures, injections, or other treatments have been delayed. The role of palliative care for patients with terminal cases of infection must be re-examined. Palliative care is a relatively new medical specialty and allows terminally ill patients to die in as much comfort and peace as can be afforded to them. More training in palliative care for all clinicians is urgently needed. COVID-19 exposed much that is wrong or weak or inadequate in our healthcare systems, but it also allowed us to embrace new technologies and develop better systems to manage the challenge of a pandemic. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, Guerrero et al.) |
| Databáze: | MEDLINE |
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