相关实验视频
Updated: Jul 10, 2025
05:25
Author Spotlight: Enhancing Coronary Artery Revascularization
Published on: September 15, 2023
743
在冠状动脉旁路移植中术后疼痛管理:综合性审查
Bruna Bertolini1, Márcia M Dos Santos Felix1, Érica V de Andrade1
1Stricto sensu Graduate Program Health Care. Federal University of Triângulo Mineiro, Uberaba, MG, Brazil.
概括
本综述确定了冠状动脉旁路移植手术后有效的药理和非药理疼痛缓解方法. 药物策略是常见的,非药物疗法安全地补充它们.
科学领域:
- 心脏病学 心脏病学
- 疼痛管理 疼痛管理
- 麻醉学 麻醉学
背景情况:
- 冠状动脉旁路移植 (CABG) 手术后的术后疼痛是一个重大问题.
- 有效的疼痛管理对于患者的康复和减少并发症至关重要.
研究的目的:
- 系统地识别和审查CABG手术后手术后疼痛缓解的药理和非药理干预措施.
- 评估各种疼痛管理策略的有效性和安全性.
主要方法:
- 2010年至2019年以英语,西班牙语和葡萄牙语出版的综合性研究综述.
- 在CINAHL,LILACS,PubMed和Web of Science数据库中进行了搜索.
- 从200个已识别的研究中选择了11项研究,使用医学教育研究研究质量工具评估了方法质量.
主要成果:
- 药理干预包括甲,吗啡,利多卡因凝,雷米芬坦尼尔,苏芬坦尼尔和内福帕姆.
- 非药物干预包括低水平激光疗法,发光二极管,第四类激光和皮肤间神经刺激.
- 麻醉技术包括德克斯梅德托米丁,超声波引导的胸部神经阻塞,高胸部外周止痛,以及外科手术期间的腹阻塞.
结论:
- 药理学策略主要用于CABG后的术后疼痛缓解,证明有效性和安全性,除了nefopam.
- 非药物干预作为药物治疗的安全和有效辅助剂,被患者耐受良好.
- 麻醉技术为在术后期管理疼痛提供了额外的选择.
更多相关视频
09:12Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery
Published on: March 27, 2018
9.5K
12:00Evaluation of a Novel Laser-assisted Coronary Anastomotic Connector - the Trinity Clip - in a Porcine Off-pump Bypass Model
Published on: November 24, 2014
15.5K
相关概念视频
01:25Analgesia and Pain Management
632
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...
632
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
91
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
91