Approche du malade douloureux chronique en milieu interventionnel : le point de vue anesthésique

Chronic pain patients demonstrate special features that deserve special consideration postoperatively. Chronic opioid administration induces tolerance to treatment. Other analgesic treatments need to be listed. Anaesthetic consultation should include specific questions regarding 'chronic pain' and its negative biological, psychological, and social consequences. Postoperative analgesic treatment combines a systematic administration that covers chronic analgesic requirement and on-demand administration that treat acute postoperative pain. Suitable therapeutic education increasing the positive coping potential of the patient is recommended.