Clinical Pain Management

Data

Official data in SubjectManager for the following academic year: 2021-2022

Topic

This training should aim, amongst other objectives, to provide students with insights into the processes of the nociceptive and perioperative pain syndromes and to provide them with the framework they need in differentiating some chronic pain states. Based on the curriculum of the Pain course students meet with the parts of clinical pain management and case reports from the daily practice (The completion of Pain and Pain Management course is highly suggested before this course) The Clinical Pain Management course can provide a good opportunity for taking comprehensive pieces of information from the field of clinical pain modulation, the novel techniques of pain management and some alternative methods. Our strategy is to provide an integrated approach in the field of clinical pain management.

Lectures

Practices

Seminars

• 1. Pain theories and role in the daily practice. Classification of pain, aethyology, prevalence and measurement
• 2. The pathway of pain; nociception, perception, modulation, brain cortical and integrated subcortical structures. Functional approach.
• 3. Affective, emotional and behavioural contributions to pain experience. Expectations, fears, anxiety, depression, catastrophysing. Psychological flexibility, mindfulness, cognitiv behavioural therapy.
• 4. The role of regional anaesthesia in multimodal approach of pain management.
• 5. Chronic pain patient, interview, examination. Communication with the patient, breaking bad news. The difficult patient.
• 6. Pain modulation I. Administration of peripherally acting analgesics, side effects, interactions, contraindications
• 7. Pain modulation II. The endogenous opioid and cannabinoid system Administration, side effects, interactions, contraindications; Drug delivery pumps and new PCA techniques
• 8. Pain modulation III. Low back pain, diagnosis, treatment, neurological, surgical approaches, neuromodulation
• 9. Pain modulation IV. NMDA receptor antagonists, A2-AR-agonists and other adjuvant agents in neuropathic pain; classical neuropathic disorders, chemotherapy induced neuropathy.
• 10. Fibromyalgia, CRPS, osteoarthritis, Role of exercise and yoga.
• 11. Palliative treatment; pain management techniques, psychological care in old adults with ongoing cancer pain.
• 12. Pain management in specific pain conditions, chr pancreatitis, various cancer pain states. Interventional approaches, selective nerve blockades, extended release epidural agents. Finishing the course.

Reading material

Obligatory literature

-

Literature developed by the Department

Notes

Recommended literature

Conditions for acceptance of the semester

Maximum of 15 % absence allowed

Mid-term exams

Test examination

Making up for missed classes

Discuss with the lecturer

Exam topics/questions

Pain theories and role in daily practice. Classification of pain, aetiology, prevalence and measurement
The pathway of pain; nociception, perception, modulation, brain cortical and integrated subcortical structures. Functional approach.
Affective, emotional and behavioural contributions to the pain experience. Expectations, fears, anxiety, depression, catastrophising. Psychological flexibility, mindfulness, cognitive behavioural therapy.
The role of regional anaesthesia in the multimodal approach of pain management.
Chronic pain patient, interview, examination. Communication with the patient, breaking bad news. The difficult patient.
Pain modulation I. Administration of peripherally acting analgesics, side effects, interactions, contraindications
Pain modulation II. The endogenous opioid and cannabinoid system Administration, side effects, interactions, contraindications; Drug delivery pumps and new PCA techniques
Pain modulation III. Low back pain, diagnosis, treatment, neurological, surgical approaches, neuromodulation
Pain modulation IV. NMDA receptor antagonists, A2-AR-agonists and other adjuvant agents in neuropathic pain; classical neuropathic disorders, chemotherapy-induced neuropathy.
Fibromyalgia, CRPS, osteoarthritis, Role of exercise and yoga
Palliative treatment; pain management techniques, psychological care in old adults with ongoing cancer pain.
Pain management in specific pain conditions, chronic pancreatitis, various cancer pain states. Interventional approaches, selective nerve blockades, extended-release epidural agents. Finishing the course.

Examiners

Instructor / tutor of practices and seminars

• Dr. Almási Róbert Gyula
• Dr. Balás István
• Dr. Csathó Árpád István
• Dr. Csikós Ágnes Erika
• Dr. Molnár Tihamér Szabolcs