Techniques in regional anesthesia & pain management最新文献_第6页

Contrast agents used in interventional pain: Management, complications, and troubleshooting 造影剂在介入性疼痛中的应用:管理、并发症和排除

Techniques in regional anesthesia & pain management Pub Date : 2014-01-01 DOI: 10.1053/j.trap.2015.01.010

Javier De Andrés Ares MD, FIPP , Gisela Roca Amatriain MD, PhD , Consuelo Nieto Iglesias MD, PhD , Maite Bovaira Forner MD, PhD, FIPP , María Luisa Franco Gay MD

{"title":"Contrast agents used in interventional pain: Management, complications, and troubleshooting","authors":"Javier De Andrés Ares MD, FIPP , Gisela Roca Amatriain MD, PhD , Consuelo Nieto Iglesias MD, PhD , Maite Bovaira Forner MD, PhD, FIPP , María Luisa Franco Gay MD","doi":"10.1053/j.trap.2015.01.010","DOIUrl":"10.1053/j.trap.2015.01.010","url":null,"abstract":"<div><p><span>Contrast agents (CAs) are one of the medications most used by interventional pain practitioners. They are used to confirm target, to distinguish different surrounding tissues, and to deliver adequate medication to specific areas of pathology. The high tolerance of modern CAs has been achieved through successive developments in chemical pharmacologic technology. Different CAs vary greatly in their chemical properties and toxic effects. Adverse reactions can occur while administering these substances and can be classified into acute and delayed. Acute reactions range from mild symptoms, such as urticaria and itching, to more severe reactions, such as </span>cardiopulmonary arrest and death. Pain practitioners should be familiar with the clinical pharmacology of CAs, be aware of their potentially life-threatening reactions, and know how to prevent and treat them. All staff members should be able to recognize a potentially serious adverse reaction, as rapid response is critical.</p></div>","PeriodicalId":93817,"journal":{"name":"Techniques in regional anesthesia & pain management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.trap.2015.01.010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58059642","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}

引用次数: 4

Radiofrequency techniques: Complications and troubleshooting 射频技术:并发症和故障排除

Techniques in regional anesthesia & pain management Pub Date : 2014-01-01 DOI: 10.1053/j.trap.2015.01.005

Gisela Roca MD, PhD , Javier de Andrés Ares MD, FIPP , Maria Luisa Franco Gay MD , Consuelo Nieto MD, PhD , Maria Teresa Bovaira MD, FIPP

引用次数: 3

Interdisciplinary management of headache disorders 头痛疾病的跨学科管理

Techniques in regional anesthesia & pain management Pub Date : 2013-10-01 DOI: 10.1053/j.trap.2014.07.005

Andrea L. Nicol MD, MS , Nancy Hammond MD , Shamsha Velani Doran MD

{"title":"Interdisciplinary management of headache disorders","authors":"Andrea L. Nicol MD, MS , Nancy Hammond MD , Shamsha Velani Doran MD","doi":"10.1053/j.trap.2014.07.005","DOIUrl":"10.1053/j.trap.2014.07.005","url":null,"abstract":"<div><p>Chronic pain related to headache disorders<span><span> causes significant burden of disease not only for the patients having these conditions, but also on society as a whole and often is associated with high utilization of health care<span> systems. Despite advances in treatment<span>, however, most patients with chronic headache continue to be undertreated or misdiagnosed. Appropriate evaluation using an in-depth history and physical examination, with imaging or laboratory studies as indicated by the findings of the examination, is paramount in selecting appropriate therapeutic options for treatment. Several studies on the effect of interdisciplinary care </span></span></span>in patients<span> with headache have shown improved outcomes for pain intensity, medication use, overall disability and work absence, and general mental health. Thus, it is recommended that care for patients with chronic headache disorders be interdisciplinary. Interdisciplinary care should include neurologic care and pharmacotherapy, physical therapies, complementary and alternative medicine, and psychological therapies. Consideration for interventional pain procedures or surgical procedures is recommended for patients with appropriate diagnoses or for those with pain refractory to conservative management.</span></span></p></div>","PeriodicalId":93817,"journal":{"name":"Techniques in regional anesthesia & pain management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.trap.2014.07.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58059053","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}

引用次数: 6

The interdisciplinary management of pediatric pain: Time for more integration 儿科疼痛的跨学科管理:是时候进一步整合了

Techniques in regional anesthesia & pain management Pub Date : 2013-10-01 DOI: 10.1053/j.trap.2014.07.006

Joy A. Weydert MD

{"title":"The interdisciplinary management of pediatric pain: Time for more integration","authors":"Joy A. Weydert MD","doi":"10.1053/j.trap.2014.07.006","DOIUrl":"10.1053/j.trap.2014.07.006","url":null,"abstract":"<div><p>Chronic pain in children is overwhelmingly prevalent and is recognized as a major health concern in this population. A biopsychosocial model<span> has been essential for understanding and treating chronic pain in children for decades through interdisciplinary or multidisciplinary pain programs, with results showing a trend for favorable outcomes. However, despite this trend, there remains a subset of patients who continue to have pain issues and disability that prevents full recovery to an optimally functional life. With our increased understanding of central sensitization, the underlying mechanism that promotes chronic pain, we need to target interventions that will calm and balance the nervous system<span><span>. With expanded use of nutritional therapies that can reduce inflammation and complementary and alternative medicine modalities that have “centrally acting” nonspecific actions, many of these children may have resolution of symptoms and an improved </span>quality of life. An integrative approach to pain management is particularly applicable in children as it seeks to have a full understanding of the underlying problem, promotes partnership with the patient and the family, and uses evidence-based medicine to employ all appropriate therapeutic approaches, both conventional and alternative.</span></span></p></div>","PeriodicalId":93817,"journal":{"name":"Techniques in regional anesthesia & pain management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.trap.2014.07.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58059159","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}

引用次数: 1

The interdisciplinary management of cancer pain 癌症疼痛的跨学科管理

Techniques in regional anesthesia & pain management Pub Date : 2013-10-01 DOI: 10.1053/j.trap.2014.07.003

Dawood Sayed MD

{"title":"The interdisciplinary management of cancer pain","authors":"Dawood Sayed MD","doi":"10.1053/j.trap.2014.07.003","DOIUrl":"10.1053/j.trap.2014.07.003","url":null,"abstract":"<div><p><span><span>For most patients, the most feared effect of cancer is the pain associated with the disease and its treatments. Poorly controlled pain </span>in patients<span> with cancer leads to suffering, poor nutrition, decreased compliance with treatment regimens, and increased mortality. Obviously, effective pain control is one of the pillars of effective global treatment of cancer in general. Historically, the treatment of pain in the cancer population was the responsibility of the medical oncologist, with escalating doses of opioids being the main form of therapy. Breakthroughs in diagnosis and treatment of cancer have led to patients living longer and potentially surviving this disease. Simple single-modal therapy with oral opioids fails to achieve adequate pain control in a significant percentage of patients. The interdisciplinary model for the management of </span></span><em>cancer</em> has long been a standard of practice, with collaboration among medical, radiation, and surgical oncologists. In this article, we describe an analogous approach to the management of <em>cancer pain</em> with collaboration among different specialties involved in the management of these patients.</p></div>","PeriodicalId":93817,"journal":{"name":"Techniques in regional anesthesia & pain management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.trap.2014.07.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58059001","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}

引用次数: 5

The interdisciplinary management of spinal disorders: A review of outcomes 脊柱疾病的跨学科管理:结果综述

Techniques in regional anesthesia & pain management Pub Date : 2013-10-01 DOI: 10.1053/j.trap.2014.07.002

Jeremy C. Peterson MD , Kyle A. Smith MD , Talal Khan MD , Paul M. Arnold MD

引用次数: 1

The interdisciplinary management of complex regional pain syndrome 复杂局部疼痛综合征的跨学科治疗

Techniques in regional anesthesia & pain management Pub Date : 2013-10-01 DOI: 10.1053/j.trap.2014.07.004

Frank Sahli MD, Forrest Monroe MD, Jared Staab DO, Smith Manion MD

引用次数: 1

Ultrasound-guided pain interventions in the hip region 超声引导下髋关节疼痛干预

Techniques in regional anesthesia & pain management Pub Date : 2013-07-01 DOI: 10.1053/j.trap.2014.01.016

Ingrid Möller PhD, MD, David Bong MD

引用次数: 0

Ultrasound-guided interventional procedures for lumbar pain 超声引导下腰痛介入治疗

Techniques in regional anesthesia & pain management Pub Date : 2013-07-01 DOI: 10.1053/j.trap.2014.01.013

Alejandro Ortega-Romero MD , Tomás Domingo-Rufes MD , Concepción del-Olmo MD , Maryem-Fama Ismael MD , Víctor Mayoral MD

引用次数: 8

Basic considerations before injections and scanning techniques 注射和扫描技术前的基本注意事项

Techniques in regional anesthesia & pain management Pub Date : 2013-07-01 DOI: 10.1053/j.trap.2014.01.010

Paloma Morillas-Sendin MD , Alejandro Ortega-Romero MD , Concepción del-Olmo MD

引用次数: 5