Revista de la Sociedad Espanola del Dolor最新文献

{"title":"Las unidades del dolor en la era COVID-19","authors":"A. M. Matamala","doi":"10.20986/resed.2020.3823/2020","DOIUrl":"https://doi.org/10.20986/resed.2020.3823/2020","url":null,"abstract":"","PeriodicalId":35974,"journal":{"name":"Revista de la Sociedad Espanola del Dolor","volume":"27 1","pages":"143-145"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68187491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"La pandemia que nos sorprendió y que ha alterado la atención de los pacientes con dolor","authors":"I. F. Martínez","doi":"10.20986/resed.2020.3820/2020","DOIUrl":"https://doi.org/10.20986/resed.2020.3820/2020","url":null,"abstract":"","PeriodicalId":35974,"journal":{"name":"Revista de la Sociedad Espanola del Dolor","volume":"27 1","pages":"148-149"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68187763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gabapentinoides: seguridad y uso en el punto de mira","authors":"J. V. Fuentes","doi":"10.20986/resed.2019.3768/2019","DOIUrl":"https://doi.org/10.20986/resed.2019.3768/2019","url":null,"abstract":"","PeriodicalId":35974,"journal":{"name":"Revista de la Sociedad Espanola del Dolor","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68184922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Análisis comparativo de las constantes vitales en pacientes agudos hospitalizados en función de la intensidad de dolor.","authors":"Luis Suso-Martí, Ferran Cuenca-Martínez, Antonio Arredondo López, A. Gil-Martínez","doi":"10.20986/RESED.2019.3707/2018","DOIUrl":"https://doi.org/10.20986/RESED.2019.3707/2018","url":null,"abstract":"Objectives: A relevant aspect in hospitalized patient is pain intensity measurement. The objectives were fi rstly the identifi cation of associated variables to pain and secondly if there was any association between the intensity of pain and the modifi cation of the vital signs. Materials and methods: The present research was a cross-sectional study was carried out in different areas of acute hospitalization in the University Hospital La Paz. Main variable was intensity of pain measured with numeric verbal scale, and secondary variables were vital signs, body temperature, systolic blood pressure, diastolic blood pressure, mean arterial pressure, heart rate, capillary blood glucose and oxygen saturation from the data obtained in the hospital monitoring instruments. The Student's T test was used for comparison between groups. The effect size was measured by the Cohen d and the association size by the Pearson r. Results: A total of 180 patients were included. No statistically signifi cant differences were found for any of the vital signs according to pain intensity levels (p > 0.05) divide in two groups. No statistically signifi cant differences were found between vital signs as a function of pain intensity and the moment to collect measurements (morning/afternoon/evening) (p > 0.05). No statistically signifi cant associations were found between pain intensity and vital signs except a statistically signifi cant weak and negative association was observed between the diastolic blood RESUMEN Objetivos: El dolor es un aspecto de amplia repercusión en la calidad de vida de los pacientes y se ha propuesto incluirlo entre las constantes o signos vitales para que sea siempre recogido en la evaluación del paciente hospitalizado. El objetivo principal del presente estudio fue evaluar las constantes vitales en función de la intensidad de dolor en pacientes agudos hospitalizados, y el objetivo secundario fue observar si existen posibles asociaciones entre la intensidad del dolor y las constantes vitales. Material y métodos: El presente estudio fue un estudio transversal realizado en diferentes áreas de hospitalización aguda en el Hospital Universitario La Paz. La variable principal fue la intensidad de dolor y las variables secundarias fueron las constantes vitales: temperatura corporal, tensión arterial sistólica, tensión arterial diastólica, tensión arterial media, frecuencia cardiaca, glucemia capilar y saturación de oxígeno. Se utilizó la prueba t de Student para comparación entre grupos. El tamaño del efecto se midió mediante la d de Cohen y el tamaño de asociación mediante la r de Pearson. Resultados: Se incluyeron un total de 180 pacientes. No se encontraron diferencias estadísticamente signifi cativas para ninguna de las constantes vitales en función a los niveles de intensidad de dolor (p > 0,05) divididos en 2 grupos. Tampoco se hallaron diferencias estadísticamente signifi cativas entre las constantes vitales en función de la intensidad de dolor en e","PeriodicalId":35974,"journal":{"name":"Revista de la Sociedad Espanola del Dolor","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68182257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Caracterización del dolor en las pacientes con cáncer de mama que sisten a la Unidad de Oncología del Hospital San José","authors":"C. Martín, J. Pacheco, D. Estrada, C. Acevedo","doi":"10.20986/RESED.2019.3692/2018","DOIUrl":"https://doi.org/10.20986/RESED.2019.3692/2018","url":null,"abstract":"","PeriodicalId":35974,"journal":{"name":"Revista de la Sociedad Espanola del Dolor","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48424385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Antagonismo NMDA en el tratamiento de la cefalea en racimos","authors":"M. L. P. Rey, M. B. Jiménez, J F Canuel, C. D. Marchante","doi":"10.20986/resed.2019.3710/2018","DOIUrl":"https://doi.org/10.20986/resed.2019.3710/2018","url":null,"abstract":"","PeriodicalId":35974,"journal":{"name":"Revista de la Sociedad Espanola del Dolor","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68182740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Deshabituación rápida de opioides","authors":"MJ Pujante Tortosa, MC Ribera Montes, C. Roman, F. P. Pastor, Calixto Sánchez Pérez","doi":"10.20986/RESED.2019.3681/2018","DOIUrl":"https://doi.org/10.20986/RESED.2019.3681/2018","url":null,"abstract":"Introduction: For the last 15 years we have witnessed a steady increase in opioid consumption. Being aware of an undertreatment in certain pain situations, many health care providers have encouraged their physicians to prescribe opioids to avoid unnecessary suffering. Such encouragement, also by means of switching from the traditional paper prescription to the current electronic one, has led to a wide spread in opioid prescription even among those medical specialities which never did before. Besides, new synthetic opioids with apparently less side effects, favourable kinetics and easer to take, might have arosen a wrong impression of unreal harmlessness. Therefore, the increased prescription and its obvious consequence of consumption has led to an alarming increase in the number of side effects, proving our patients not to be so well controlled. We have perceived in our Health Department several different patients with opioid consumption abuse derived from medical prescription with potential life threatening side effects, that ́s why we have conducted a medical path for their detoxifi cation. Aim: To perform a safe fast opioid detoxification (FOD) in our fully monitored patients. Method and materials: To perform our FOD path we previously admit the patients in our ICU unit. After a careful clinical, psychological, social and biological assessment, and having requested their informed consent, we monitor all their vital constants in bed and we start a deep polymodal sedation up to the required level for each patient, getting even ready for oral intubation and mechanical ventilation if needed. Our regular vital maintenance is based on fl uids, deep vein thrombosis prophylaxis, digestive prophylaxis, physiotherapy, urine output and blood tests for 96 hours. Having achieved our goal, regardRESUMEN Introducción: En estos últimos 15 años, el incremento del uso de analgésicos opioides ha sido progresivo y elevado. La percepción de la existencia de cuadros de dolor mal tratados ha provocado que muchos sistemas de salud incentiven a los profesionales en el uso de opioides, para evitar episodios de sufrimiento inútiles y estériles. Dicha incentivación, el uso de receta electrónica, la facilitación y simpleza de prescripción tras la desaparición de receta de estupefacientes tradicional, supuso una liberalización signifi cativa y uso de opioides progresivo entre todas las especialidades médicas que habitualmente no los prescribían. Además, la aparición de nuevos opioides sintéticos, con aparentemente menores efectos secundarios, fáciles de usar y con buen perfi l farmacocinético, quizás ha suscitado una confi anza irreal en la inocuidad de dichos fármacos. Estos últimos años han sido años de alta prescripción y de hallazgo de efectos no deseados por los elevados consumos y prescripciones un tanto quizá alejadas de la idoneidad y poco control sobre los pacientes. Nosotros detectamos en nuestro departamento de salud varios casos de pacientes con problemas reale","PeriodicalId":35974,"journal":{"name":"Revista de la Sociedad Espanola del Dolor","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68180969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"En respuesta al artículo \"Bloqueo más radiofrecuencia térmica de los nervios esplácnicos. A propósito de un caso\"","authors":"Maria luisa Franco Gay","doi":"10.20986/RESED.2019.3714/2018","DOIUrl":"https://doi.org/10.20986/RESED.2019.3714/2018","url":null,"abstract":"","PeriodicalId":35974,"journal":{"name":"Revista de la Sociedad Espanola del Dolor","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47512715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Los analgésicos de uso común pueden aumentar el riesgo de sordera","authors":"A. AlcántaraMontero, A. GonzálezCurado","doi":"10.20986/resed.2017.3560/2017","DOIUrl":"https://doi.org/10.20986/resed.2017.3560/2017","url":null,"abstract":"","PeriodicalId":35974,"journal":{"name":"Revista de la Sociedad Espanola del Dolor","volume":"26 1","pages":"133-134"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68169003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Manejo anestésico de histerectomía más doble anexectomía por tumor borderline de ovario izquierdo en paciente con síndrome de sensibilidad química múltiple.","authors":"B. ESNAOLA IRIARTE, Sofia IRIGOYEN MIRÓ, Fernando Torre Mollinedo","doi":"10.20986/resed.2019.3705/2018","DOIUrl":"https://doi.org/10.20986/resed.2019.3705/2018","url":null,"abstract":"","PeriodicalId":35974,"journal":{"name":"Revista de la Sociedad Espanola del Dolor","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68182291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}