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Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

889
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
889

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电治疗术后疼痛控制:一个系统的审查.

Marco Antônio Hélio Silva1, Albert Ambram2, Lucas Longo3

  • 1ORCID: 0000-0002-2320-7472, is a Medical Doctor with a private practice in Rio de Janeiro, Brazil; Professor at Universidade Federal Fluminense, Niteroi, Rio de Janeiro, Brazil; and Acupuncture Physician at Coastal Health Institute, Jacksonville, Florida.

Alternative therapies in health and medicine
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概括
此摘要是机器生成的。

电针 (EA) 有效地减少了手术后疼痛 (POP) 和阿片类药物消耗. 这一系统性审查表明EA是一种有前途的补充疗法,可以增强外科恢复和控制疼痛.

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科学领域:

  • 综合医学是一个整体的医学.
  • 疼痛管理 疼痛管理
  • 神经调节是一种神经调节.

背景情况:

  • 术后疼痛 (POP) 的有效管理对于手术恢复至关重要.
  • 传统的止痛药,如阿片类药物,可以引起显著的不良影响.
  • 电针 (EA) 提供了一个潜在的替代或补充策略来缓解POP.

研究的目的:

  • 系统地审查评估EA的研究,以对POP管理进行评估.
  • 评估EA作为缓解疼痛的神经调节技术的有效性.
  • 综合证据证据EA在增强手术恢复中的作用.

主要方法:

  • 对过去5年内发表的研究进行系统审查.
  • 搜索了7个主要的数据库,寻找相关的文章.
  • 包括18项研究 (第二级证据),评估了对POP的EA.

主要成果:

  • 大多数研究报告EA后疼痛强度的统计显著减少.
  • 经验分析表明了增强疼痛控制和改善恢复指标的潜力.
  • 有证据表明EA可能会减少对阿片类药物的需求.

结论:

  • 作为治疗术后疼痛的辅助疗法,EA显示出前景.
  • 需要进一步进行高质量的研究,以确认EA的有效性和优化治疗参数.
  • EA可能提供一种阿片类药物节约的疼痛管理方法.