外周神经刺激在术后疼痛缓解中的新兴作用
Annie M Cho1, Jennifer S Xiong1, Stacey L Burns2
1Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
Current pain and headache reports
|August 9, 2023
概括
周围神经刺激 (PNS) 显示为一种低风险的,用于治疗急性术后疼痛的阿片类药物节省选择. 需要进一步的研究才能充分理解它对外科病人短期和长期的影响.
科学领域:
- 疼痛管理 疼痛管理
- 神经调节是一种神经调节.
- 外科手术止痛疗法
背景情况:
- 周围神经刺激 (PNS) 已在慢性疼痛管理中建立.
- 它在急性术后疼痛中的应用是研究的一个新领域.
- 有效的急性疼痛管理对于预防慢性术后疼痛至关重要.
研究的目的:
- 审查PNS关于急性术后疼痛的当前文献.
- 评估PNS作为一种止痛药的新兴作用.
- 突出PNS作为一种潜在的阿片类药物节约策略.
主要方法:
- 审查当前的科学文献.
- 对在术后期评估皮肤穿PNS的研究进行分析.
- 综合关于PNS可行性和有效性的证据.
主要成果:
- 在手术后,PNS是一个低风险的,节省阿片类药物的止痛药选择.
- 新出现的证据支持PNS作为急性术后疼痛的有效辅助.
- 研究表明,在这种情况下,穿皮PNS的可行性.
结论:
- PNS是一种有前途的急性术后疼痛管理模式.
- 它为阿片类药物提供了一个有价值的替代品,解决正在进行的阿片类药物流行病.
- 进一步的研究是必要的,以澄清PNS在急性疼痛的长期影响.
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
12
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...
12
Local Anesthetics: Differential Sensitivity of Nerve Fibers
869
Local anesthetics (LAs) block the sodium channels of nerve trunks, sensory nerve endings, and neuromuscular junctions. Although LAs can block all kinds of nerves, the sensitivity of nerve fibers differs according to nerve types and structures. LAs are known to block myelinated fibers faster than unmyelinated ones. Also, they block pain or sensory neurons at low concentrations without affecting the motor neurons involved in muscle contractions. This helps relieve labor pain without affecting the...
869
Analgesia and Pain Management
657
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...
657


