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Vol. 68. Issue 9.
Pages 495-503 (November 2021)
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Vol. 68. Issue 9.
Pages 495-503 (November 2021)
Special article
Practical recommendations for the management of the patient with chronic pain during the pandemic of COVID-19
Recomendaciones prácticas para el manejo del paciente con dolor crónico durante la pandemia de COVID-19
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J.M. Asensio-Sampera,b,
Corresponding author
jmasensiosamper@hotmail.com

Corresponding author.
, M. Quesada-Carrascosaa, G. Fabregat-Cida, M.D. López-Alarcóna, J. de Andrésa,b
a Servicio de Anestesia, Reanimación y Tratamiento del Dolor, Consorcio Hospital General Universitario de Valencia, Valencia, Spain
b Departamento Cirugía, Facultad de Medicina, Universidad de Valencia, Valencia, Spain
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Tables (2)
Table 1. Pain treatment unit triage based on clinical criteria during the COVID-19 pandemic.
Table 2. Triage for interventional procedures to treat chronic pain in the COVID-19 pandemic.
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Abstract

SARS-CoV-2 infection has evolved into a pandemic and a Public Health Emergency of International Importance that has forced health organizations at the global, regional and local levels to adopt a series of measures to address to COVID-19 and try to reduce its impact, not only in the social sphere but also in the health sphere, modifying the guidelines for action in the health services. Within these recommendations that include the Pain Treatment Units, patients with suspected or confirmed SARS-CoV-2 infection may be waiting for medical consult or interventional procedures for the management of chronic pain refractory to other therapies. A series of guidelines aimed at reducing the risk of infection of health personnel, other patients and the community are included in this manuscript.

Keywords:
Pain management
Chronic pain
Opioids
Steroids
SARS-CoV-2
COVID-19
Resumen

La infección por SARS-CoV-2 ha evolucionado hasta convertirse progresivamente en una pandemia y en una emergencia de salud pública de importancia internacional que ha obligado a las organizaciones de salud a nivel mundial, regional y local a adoptar una serie de medidas para hacer frente a la COVID-19 e intentar disminuir su impacto, no solo en el ámbito social sino también en el ámbito sanitario, modificándose las pautas de actuación en los servicios de salud. Dentro de estas recomendaciones, que incluyen las unidades de tratamiento del dolor, los pacientes con sospecha o infección confirmada por SARS-CoV-2 pueden encontrase en situación de espera para consulta médica o técnicas invasivas para el manejo de dolor crónico refractario a otras terapias. Se recogen en este manuscrito una serie de pautas encaminadas a disminuir el riesgo de infección del personal de salud, de otros pacientes y de la comunidad.

Palabras clave:
Manejo del dolor
Dolor crónico
Opioides
Esteroides
SARS-CoV-2
COVID-19

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