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Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
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Local Anesthetics: Common Agents and Their Applications01:23

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Local anesthetics (LAs) are commonly used for various applications in medical and dental procedures. Some of the common agents used are cocaine, lidocaine, and bupivacaine.
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Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia01:30

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Depending on the target organ, local anesthetics (LAs) can be administered via various routes. In surface anesthesia, LAs are applied directly to the surface of the skin or mucous membranes. It is widely used for topical skin numbing before venipuncture or minor surgical procedures. Commonly used surface local anesthetics are lidocaine or benzocaine sprays or creams. Surface anesthesia occurs within 5 minutes and lasts for about 60 minutes. One of the main disadvantages of topical anesthesia is...
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Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

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Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
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Peripheral Artery Disease V: Postoperative Nursing Management01:23

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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

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Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
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Subcutaneous Trigeminal Nerve Field Stimulation for Refractory Facial Pain
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Pain Control in Dermatologic Conditions.

Vijay Kodumudi1, David Lam2, Kanishka Rajput3

  • 1University of Connecticut School of Medicine, 263 Farmington Ave., Farmington, CT, 06030, USA.

Current Pain and Headache Reports
|April 6, 2021
PubMed
Summary
This summary is machine-generated.

Effective pain management for severe dermatologic conditions involves treating the underlying disease and may require advanced interventions. Dermatologists should manage patient expectations and pursue further research for condition-specific pain control algorithms.

Keywords:
Acute painChronic painHidradenitis suppurativaPain in dermatologic conditionsPostherpetic neuralgiaPyoderma gangrenosum

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Area of Science:

  • Dermatology
  • Pain Management
  • Clinical Review

Background:

  • Dermatologic conditions often cause significant pain, impacting quality of life and daily function.
  • Pain management is complex due to disease burden and psychosocial factors.

Purpose of the Study:

  • To review pain management strategies for particularly painful dermatologic conditions.
  • To highlight current approaches and areas for future research.

Main Methods:

  • Literature review of pain management in selected dermatologic conditions.
  • Analysis of treatment modalities from mild to severe pain.

Main Results:

  • Treatment of underlying disease is central to pain control.
  • Topical agents, systemic immunosuppressants, and OTC analgesics manage mild to moderate pain.
  • Severe pain may necessitate neuropathic agents and interventional pain procedures.

Conclusions:

  • Pain management requires a multi-faceted approach, including addressing the primary dermatologic disease.
  • Dermatologists play a key role in setting patient expectations and managing pain within their expertise.
  • Further research is needed to develop specific treatment algorithms for pain in various dermatologic conditions.