Emergence From the COVID-19 Pandemic and the Care of Chronic Pain: Guidance for the Interventionalist
| Autor: | Aspn Covid Workgroup, Alaa Abd-Elsayed, Susan M. Moeschler, Erika A. Petersen, Jason E. Pope, Dawood Sayed, Krishnan Chakravarthy, Kasra Amirdelfan, Timothy R. Deer, Nagy Mekhail |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Health Status Pneumonia Viral Chronic Pain Medicine Disease Risk Assessment Betacoronavirus Special Article 03 medical and health sciences Patient safety 0302 clinical medicine Risk Factors 030202 anesthesiology Pandemic medicine Humans Pain Management Intensive care medicine Pandemics Disease burden SARS-CoV-2 Pain and suffering business.industry Chronic pain COVID-19 medicine.disease Treatment Outcome Anesthesiology and Pain Medicine Opioid Critical Pathways Patient Safety Chronic Pain Coronavirus Infections Risk assessment business 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | Anesthesia and Analgesia |
| ISSN: | 0003-2999 |
| DOI: | 10.1213/ane.0000000000005000 |
| Popis: | Background The current coronavirus disease 2019 (COVID-19) pandemic led to a significant disruption in the care of pain from chronic and subacute conditions. The impact of this cessation of pain treatment may have unintended consequences of increased pain, reduced function, increased reliance on opioid medications, and potential increased morbidity, due to the systemic impact of untreated disease burden. This may include decreased mobility, reduction in overall health status, and increase of opioid use with the associated risks. Methods The article is the study of the American Society of Pain and Neuroscience (ASPN) COVID-19 task force to evaluate the policies set forth by federal, state, and local agencies to reduce or eliminate elective procedures for those patients with pain from spine, nerve, and joint disease. The impact of these decisions, which were needed to reduce the spread of the pandemic, led to a delay in care for many patients. We hence review an emergence plan to reinitiate this pain-related care. The goal is to outline a path to work with federal, state, and local authorities to combat the spread of the pandemic and minimize the deleterious impact of pain and suffering on our chronic pain patients. Results The article sets forth a strategy for the interventional pain centers to reemerge from the current pandemic and to set a course for future events. Conclusions The COVID-19 pandemic represents an overwhelming challenge to interventional pain physicians and their patients. In addition to urgent actions needed for disease mitigation, the ASPN recommends a staged return to pain management professionals' workflow. |
| Databáze: | OpenAIRE |
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