Páginas

lunes, 12 de febrero de 2018

Dolor postoperatorio / Postoperative pain

Febrero 5, 2018. No. 2985
Nuevos enfoques en el tratamiento del dolor agudo postoperatorio
N. Esteve Pérez , C. Sansaloni Perelló , M. Verd Rodríguez , H. Ribera Leclercy C. Mora Fernández
Rev. Soc. Esp. del Dolor, Vol. 24, N.º 3, Mayo-Junio 2017
Aspectos básicos del dolor postoperatorio y la analgesia multimodal preventiva
Dr. Jorge Rosa-Díaz, Dr. Víctor Navarrete-Zuazo, Dra. Miosotis Díaz-Mendiondo
Revista Mexicana de Anestesiología Volumen 37, No. 1, enero-marzo 2014
Avances recientes en el manejo del dolor agudo: comprensión de los mecanismos del dolor agudo, la prescripción de opiáceos y el papel de la terapia del dolor multimodal.
Recent advances in acute pain management: understanding the mechanisms of acute pain, the prescription of opioids, and the role of multimodal pain therapy.
F1000Res. 2017 Nov 29;6:2065. doi: 10.12688/f1000research.12286.1. eCollection 2017.
Abstract
In this review, we discuss advances in acute pain management, including the recent report of the joint American Pain Society and American Academy of Pain Medicine task force on the classification of acute pain, the role of psychosocial factors, multimodal pain management, new non-opioid therapy, and the effect of the "opioid epidemic". In this regard, we propose that a fundamental principle in acute pain managementis identifying patients who are most at risk and providing an "opioid free anesthesia and postoperative analgesia". This can be achieved by using a multimodal approach that includes regional anesthesia and minimizing the dose and the duration of opioid prescription. This allows prescribing medications that work through different mechanisms. We shall also look at the recent pharmacologic and treatment advances made in acute pain and regional anesthesia.
KEYWORDS: acute pain; multimodal therapy; pharmacogenetics; psychosocial factors
Safe Anaesthesia Worldwide
Delivering safe anaesthesia to the world's poorest people
World Congress on Regional Anesthesia & Pain Medicine
April 19-21, 2018, New York City, USA
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