相关实验视频
Updated: Jul 5, 2025

07:08
Burn Injury-Induced Pain and Depression-Like Behavior in Mice
Published on: September 29, 2021
3.1K
在灾难受害者的疼痛管理
John Mitchell1,2, Patrice Forget3,4,5
1Department of Anesthesiology, Catholic University of Louvain, University Hospital CHU UCL Namur, Mont-Godinne, Belgium.
Minerva anestesiologica
|January 25, 2024
概括
灾难受害者的疼痛管理是复杂的,需要对急性和慢性疼痛进行系统评估和量身定制的治疗. 解决心理和社会因素对于有效的康复和恢复至关重要.
科学领域:
- 灾难医疗 医疗 医疗 医疗
- 疼痛管理 疼痛管理
- 公共卫生 公共卫生
背景情况:
- 疼痛是一个重要的全球健康问题,由于生物,心理和社会复杂性,人们对疼痛的了解很少,并且在灾难受害者中加剧.
- 现有的疼痛管理策略在灾难环境中面临局限性,包括资源稀缺和后勤挑战.
研究的目的:
- 在受灾人口中审查和描述疼痛及其管理的具体方面.
- 讨论灾难场景中当前疼痛管理方法的复杂性,机制和局限性.
- 提出有效疼痛管理的策略,包括缓解计划和个性化治疗途径.
主要方法:
- 对有关疼痛管理的相关文献和针对冲突受害者的具体数据进行叙述性审查.
- 分析脆弱性因素,疼痛阶段 (急性,亚急性,慢性) 和影响障碍 (上下文,资源相关,文化) 的分析.
- 包括从加沙地带 (2022) 的个人经验中提取的案例研究.
主要成果:
- 灾难中的疼痛管理受到环境,药物的可用性,技能以及文化/语言障碍的限制.
- 急性疼痛需要系统的评估和治疗,而慢性疼痛管理需要个性化护理途径.
- 在慢性阶段的康复和随访中,心理和社会因素占主导地位.
结论:
- 灾区的有效疼痛管理需要采用双重方法:系统评估和治疗急性疼痛,然后为慢性疼痛提供量身定制的个性化护理.
- 在整个康复过程中,整合心理和社会支持是必不可少的.
- 建议系统地收集数据,以指导未来的灾害相关疼痛管理策略.
相关概念视频
Analgesia and Pain Management
623
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...
623
Opioid Analgesics: Synthetic and Semisynthetic Opioids
300
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...
300
Flail Chest-II
172
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
172
Post-traumatic Stress Disorder
35
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
35
Prevention of Further Absorption of Poison
823
In cases of acute poisoning, the primary objective is to prevent further absorption of the toxic substance into the body. Immediate interventions using various decontamination techniques targeting the gastrointestinal (GI) tract can achieve this. Decontamination is crucial to prevent poison from entering the systemic circulation, which involves washing affected areas with water and mild soap and removing contaminated clothing. Once external decontamination is done, attention must be turned to...
823
Acute Pancreatitis II: Clinical Manifestations and Management
125
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
125

