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Practice Guidelines for Chronic Pain Management

SPECIAL ARTICLESA nesthesiology 2010; 112:1 1 Copyright 2010, the American Society of Anesthesiologists, Inc. Lippincott Williams & WilkinsPractice Guidelines for Chronic pain ManagementAn Updated Report by the American Society of Anesthesiologists Task Force onChronic pain Management and the American Society of Regional Anesthesia andPain Medicine*PRACTICEG uidelinesare systematically developed recom-mendations that assist the practitioner and patient in mak-ing decisions about health care. These recommendations maybe adopted, modified, or rejected according to clinical needs andconstraints and are not intended to replace local institutionalpolicies. In addition, Practice Guidelines developed by theAmerican Society of Anesthesiologists (ASA) are not intended asstandards or absolute requirements, and their use cannot guar-antee any specific outcome. Practice Guidelines are subject torevision as warranted by the evolution of medical knowledge,technology, and Practice .

Chronic Pain Management,” adopted by the ASA in 1996 and published in 1997.1 Methodology A. Definition of Chronic Pain For these Guidelines, chronic pain is defined as pain of any etiology not directly related to neoplastic involvement, asso-ciated with a chronic medical condition or extending in du-

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