火傷痛の抑制は,静脈内リンゴカイン注入によるものです
A Jönsson1, J Cassuto, B Hanson
1Department of Anaesthesia and Intensive Care Unit, Central Hospital, Mölndal, Sweden.
Lancet (London, England)
|July 20, 1991
まとめ
静脈内リンゴカイン注入は,傷口包帯中に灼熱患者の痛みを有意に軽減しました. この方法は,オピエット鎮痛薬の代替品となり,患者の快適さと回復を向上させました.
科学分野:
- 疼痛管理 疼痛管理
- バーンケア バーンケア バーンケア
- アネステシオロジー アネステシオロジー
背景:
- 灼熱による傷害は,特に傷のケア中に,しばしば激しい痛みを引き起こします.
- 現在の疼痛管理は,重大な副作用を持つオピエット鎮痛剤に大きく依存しています.
研究 の 目的:
- 火傷患者の代替鎮痛剤としての静脈内リンゴカイン注入の有効性を評価する.
- 2度目の火傷を患った患者の傷口包帯中の痛みの軽減を評価するために.
主な方法:
- 2度目の火傷を負った7人の患者を対象とした研究です.
- 静脈内リンゴカイン注入の投与.
- 灼熱後の最初の3日間の自己評価の痛みのスコアの評価.
主要な成果:
- 静脈内リンゴカイン注入は,自己評価の痛みスコアを著しく低下させた.
- 患者は治療期間中に追加のオピエット鎮痛薬を必要としなかった.
- 燃焼傷害後の最初の3日間で,効果的な痛みのコントロールが観察されました.
結論:
- 静脈内リンゴカイン注入は,灼熱患者の急性痛の管理に有望な代替手段です.
- このアプローチは,オピエット鎮痛薬とそれに関連する悪影響への依存を減らすことができます.
- リグノカイン注入は,灼傷傷の治療の重要な初期段階において,効果的な疼痛緩和を提供します.
さらに関連する動画
関連する概念動画
Blood and Nerve Supply to the Bones
Bones are dynamic organs that require a rich supply of oxygen and nutrients. Around 5% to 10% of the cardiac output supplies blood to the bones. A typical long bone has three main sources: the nutrient artery, the metaphyseal and epiphyseal arteries, and the periosteal arteries.
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
One of the advantages of...
Heart Failure Drugs: β-Blockers
β-adrenergic antagonists, commonly known as β-blockers, block the effects of sympathetic neurotransmitters such as noradrenaline (NA) and adrenaline (ADR). They have several beneficial effects in heart failure treatment. They reduce heart rate, the force of contraction, and cardiac muscle relaxation. They also slow the atrial-ventricular conduction rate and raise the threshold for arrhythmias. The concentration of β-blockers determines their effects on bronchodilation, vasodilation, and...
Antianginal Drugs: Nitrates and β-Blockers
In cardiovascular health, antianginal drugs combat angina pectoris — a condition marked by chest pain owing to diminished blood flow to the heart.
Organic nitrates, such as nitroglycerin, play a pivotal role. Once metabolized, they liberate nitric oxide, a molecular marvel. Nitric oxide triggers guanylyl cyclase and augments cGMP production. This biochemical cascade orchestrates the relaxation of vascular smooth muscles, ushering in vasodilation and enhancing coronary blood flow. Administered...
Organic nitrates, such as nitroglycerin, play a pivotal role. Once metabolized, they liberate nitric oxide, a molecular marvel. Nitric oxide triggers guanylyl cyclase and augments cGMP production. This biochemical cascade orchestrates the relaxation of vascular smooth muscles, ushering in vasodilation and enhancing coronary blood flow. Administered...
Vascular Spasm
The vascular phase, also known as vasospasm, is the initial stage of hemostasis, crucial for preventing excessive bleeding when a blood vessel is injured. After a vessel is cut, nerves in the damaged area trigger pain and other sensory impulses. Simultaneously, the smooth muscles in the vessel wall contract, resulting in a vascular spasm. This contraction reduces the vessel's diameter at the injury site, slowing or stopping blood loss through the vessel wall. Vascular spasms typically last for...
Varicose Veins II: Diagnostic Studies and Interprofessional Care
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...


