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Minerva Anestesiologica 2021 July;87(7):828-32

DOI: 10.23736/S0375-9393.20.15029-6


language: English

Chronic pain and COVID-19: pathophysiological, clinical and organizational issues

Franco MARINANGELI 1 , Antonio GIARRATANO 2, Flavia PETRINI 3, 4, 5

1 Department of Anesthesiology, Pain Treatment and Palliative Care, University of L’Aquila, L’Aquila, Italy; 2 Department of Surgical, Oncological and Oral Science (Di.Chir.On.S.), Section of Anesthesia, Analgesia, Intensive Care and Emergency, Paolo Giaccone Polyclinic Hospital, University of Palermo, Palermo, Italy; 3 President of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care (SIAARTI), Rome, Italy; 4 Unit of Anesthesia, Resuscitation, and Intensive Care, SS. Annunziata Hospital, Chieti, Italy; 5 School of Specialization in Anesthesia, Resuscitation, Intensive Care, and Pain Management, Department of Oral and Medical Sciences and Biotechnologies, Chieti-Pescara University, Chieti, Italy

During the lockdown phase of the COVID-19 pandemic, a call not to neglect the continuum of care of patients who present with chronic diseases, including pain, was made. In the field of pain, COVID-19 had an impact both from a clinical (i.e., the influence of SARS-CoV-2 infection on pain) and organizational (i.e., how patients with chronic pain should be managed in the post-COVID-19 era) perspective. Furthermore, patients with chronic pain are also frequently frail subjects, affected from multiple comorbidities and hence are at increased risk of infection. On these bases, how the necessity to continue pain therapy will be pursued in the post-COVID-19 era? In this paper, we comment on the above-mentioned topics, on the basis of available data and our experience as pain therapists.

KEY WORDS: COVID-19; SARS-CoV-2; Chronic pain

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