对手术后整形外科患者疼痛管理的不同方法的评估:综合性审查
Yashraj Jain1, Ranjana Lanjewar1, Yashwant Lamture1
1General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus
|December 11, 2023
概括
有效的术后疼痛管理使用多模式止痛,结合阿片类药物和非阿片类药物,如NSAID和. 这种方法最大限度地缓解疼痛,同时最大限度地降低阿片类药物风险,以改善患者的康复.
科学领域:
- 麻醉学 麻醉学
- 疼痛管理 疼痛管理
- 手术护理 手术护理
背景情况:
- 有效的术后疼痛管理对于患者的康复至关重要,影响了移动性和并发症率.
- 类阿片类止痛药对于中度至重度的疼痛至关重要,但由于副作用和依赖风险,需要仔细控制.
研究的目的:
- 概述有效的术后疼痛管理的原则.
- 强调多模式止痛策略在优化疼痛缓解和患者结果方面的作用.
主要方法:
- 使用多式止痛策略,结合各种药物和非药物干预措施.
- 结合非阿片类止痛药,如非类固醇抗炎药物 (NSAIDs) 和,以及明智的阿片类药物使用.
主要成果:
- 多模式止痛疗法增强了疼痛缓解,减少了对阿片类药物的依赖,从而减轻了相关的不良影响.
- 非阿片类止痛药在综合性疼痛管理方案中起着重要作用.
结论:
- 多模式疼痛管理策略对于有效的止痛,改善患者舒适度和加速恢复至关重要.
- 手术,麻醉和疼痛管理团队之间的密切合作对于制定个性化疼痛管理计划至关重要.
相关概念视频
General Anesthesia: Overview
223
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
223
Analgesia and Pain Management
628
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...
628
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
88
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...
88
Peptic Ulcer Disease V: Surgical Management and Nursing Care
308
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
308
Appendicitis-II: Diagnostic Studies and Management
80
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
80
Stages of General Anesthesia
454
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
454


