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相关概念视频

Analgesia and Pain Management01:25

Analgesia and Pain Management

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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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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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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...
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Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

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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
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Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

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The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
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Opioid Analgesics: Synthetic and Semisynthetic Opioids01:15

Opioid Analgesics: Synthetic and Semisynthetic Opioids

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Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
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Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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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:
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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...
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相关实验视频

Updated: Jul 8, 2025

A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery
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过渡性疼痛服务:优化复杂的手术患者.

Sophia Dunworth1,2, Atilio Barbeito1,2, Harika Nagavelli1,2

  • 1Department of Anesthesiology, Duke University School of Medicine, PO Box 3094, Durham, NC, 27701, USA.

Current pain and headache reports
|December 20, 2023
PubMed
概括
此摘要是机器生成的。

过渡性疼痛服务 (TPS) 在管理复杂的术后疼痛方面表现有前途. 实施多学科的TPS可以减少阿片类药物使用并改善患者的治疗结果.

关键词:
剧烈的疼痛是一种急性疼痛.在阿片类药物节约方面,阿片类药物手术后的疼痛是什么?过渡性疼痛服务

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科学领域:

  • 疼痛管理 疼痛管理
  • 麻醉学 麻醉学
  • 医疗保健系统 医疗保健系统

背景情况:

  • 复杂的术后疼痛对医疗保健系统构成重大挑战.
  • 过渡性疼痛服务 (TPS) 是术后疼痛护理的一个新兴模式.
  • 在美国,TPS的采用仍然有限.

研究的目的:

  • 探索与过渡性疼痛服务相关的好处和障碍.
  • 描述在高等医疗中心开发和实施TPS的过程.

主要方法:

  • 开发一个涉及麻醉师,疼痛心理学家,外科医生和高级实践提供者的多学科TPS模型.
  • 提供纵向护理:手术前的教育和优化,手术前的多模式止痛,以及90天的术后随访.

主要成果:

  • 有证据表明,TPS可以减少慢性阿片类药物使用者的术后阿片类药物消费.
  • 采用TPS与以前未使用阿片类药物的患者慢性阿片类药物使用的发病率较低有关.
  • 在第三级中心实施旨在改善复杂疼痛患者的治疗结果.

结论:

  • 过渡性疼痛服务为外科手术期间的疼痛管理提供了一种结构化的方法.
  • 通过TPS进行多学科,纵向的护理可能会减少长期的阿片类药物依赖.
  • 进一步采用TPS可能会改善复杂的术后疼痛患者的功能结果.