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Basic Sciences

Tutorial 213

Acute Pain Management Part 1 – Anatomy & Physiology

Dr Michael J.E. Neil, Consultant in Anaesthetics and Pain Medicine

Ninewells Hospital and Medical School, Dundee, UK.

Correspondence to: mneil@nhs.net

14th FEBRUARY 2011

Abstract

Acute pain affects multiple organ systems

Acute pain causes changes to the peripheral and central nervous system that can increase sensitivity to further stimulus, i.e. sensitisation

The emotional and psychological state of the patient have a major influence on acute pain perception and analgesic requirements

Severe acute pain can lead to chronic pain

The dorsal root ganglion is a key area for pain transmission and modulation