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Techniques in regional anesthesia & pain management最新文献

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Indications for lumbar artificial disc replacement 腰椎人工椎间盘置换术的适应症
Techniques in regional anesthesia & pain management Pub Date : 2013-04-01 DOI: 10.1053/j.trap.2014.01.008
Greg Imbarrato DO
{"title":"Indications for lumbar artificial disc replacement","authors":"Greg Imbarrato DO","doi":"10.1053/j.trap.2014.01.008","DOIUrl":"10.1053/j.trap.2014.01.008","url":null,"abstract":"<div><p><span>There is a trend in spinal surgery to pursue motion-sparing alternatives to lumbar fusion. This article discusses the indications for lumbar disc </span>arthroplasty<span>. As with most surgical procedures, patient selection is crucial. Carefully selected patients may benefit from this new technology. However, many patients may not be appropriate for disc replacement and will still necessitate a lumbar fusion for treatment of their degenerative disc disease.</span></p></div>","PeriodicalId":93817,"journal":{"name":"Techniques in regional anesthesia & pain management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.trap.2014.01.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58058022","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
Lumbar microdiscectomy 腰椎显微椎间盘切除术
Techniques in regional anesthesia & pain management Pub Date : 2013-04-01 DOI: 10.1053/j.trap.2014.01.005
Derek Kroll DO
{"title":"Lumbar microdiscectomy","authors":"Derek Kroll DO","doi":"10.1053/j.trap.2014.01.005","DOIUrl":"https://doi.org/10.1053/j.trap.2014.01.005","url":null,"abstract":"<div><p><span>Lumbar disc herniations are seen frequently in pain management practices. Specialists are well versed in the nonsurgical treatments for lumbar </span>radiculopathy<span>. Although most disc herniations would resolve without the need for surgery; it should be considered when patients have refractory pain or motor deficit. The following article discusses the surgical treatment for lumbar disc herniation—microdiscectomy. Pertinent literature has been reviewed and the surgical outcomes are highlighted.</span></p></div>","PeriodicalId":93817,"journal":{"name":"Techniques in regional anesthesia & pain management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.trap.2014.01.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138255971","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: 0
Overview of palliative care in Latin America 拉丁美洲姑息治疗概述
Techniques in regional anesthesia & pain management Pub Date : 2013-01-01 DOI: 10.1053/j.trap.2013.09.005
Nathalia Acosta T. MD , Carolina Ramirez B. MD
{"title":"Overview of palliative care in Latin America","authors":"Nathalia Acosta T. MD ,&nbsp;Carolina Ramirez B. MD","doi":"10.1053/j.trap.2013.09.005","DOIUrl":"10.1053/j.trap.2013.09.005","url":null,"abstract":"<div><p>In 1985, approximately 50 million people died in the world of which 37.9 million were in developing countries, where cancer was the cause in 10% of the cases. In these developing countries, most cancer resources are destined to curative treatments, which do not always have the best results. Roughly 12.7 million new cases are diagnosed globally each year; without substantial improvement in cancer control, it is predicted that this worldwide annual toll will rise to 21.3 million new cancer cases and 13.1 million deaths by 2030. That is why education, along with rules to facilitate the availability of opioid analgesics and the development of health programs, is one of the basic pillars for implementing a successful palliative care program, which is available for the entire population. Palliative care aims to relieve suffering and improve the quality of life for patients with advanced illnesses and their families through specific knowledge and skills, including communication with patients and family members; management of pain and other symptoms; psychosocial, spiritual, and bereavement support; and coordination of an array of medical and social services.</p></div>","PeriodicalId":93817,"journal":{"name":"Techniques in regional anesthesia & pain management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.trap.2013.09.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58057681","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
Palliative care in patients with chronic nononcological diseases 慢性非肿瘤疾病患者的姑息治疗
Techniques in regional anesthesia & pain management Pub Date : 2013-01-01 DOI: 10.1053/j.trap.2013.09.006
Marta Ximena León MD , Luis F. Giraldo MD, PhD(c), FCCP , Jorge Restrepo MD , María Leonor Rengifo-Varona MD
{"title":"Palliative care in patients with chronic nononcological diseases","authors":"Marta Ximena León MD ,&nbsp;Luis F. Giraldo MD, PhD(c), FCCP ,&nbsp;Jorge Restrepo MD ,&nbsp;María Leonor Rengifo-Varona MD","doi":"10.1053/j.trap.2013.09.006","DOIUrl":"10.1053/j.trap.2013.09.006","url":null,"abstract":"<div><p><span>The prevalence of chronic diseases has been increasing globally and in the region of the Americas. The World Health Organization states that the population older than 60 years has doubled in the last 30 years, and the cost of these diseases to health systems<span> is of immense significance. Neurologic diseases, such as dementia and </span></span>cerebrovascular disease<span><span>, as well as chronic obstructive pulmonary disease, significantly deteriorate the </span>quality of life<span> of patients owing to an increase in symptoms that are often not treated. The management of chronic symptoms, which is the basis of palliative care, becomes a major approach to the patient, his or her family, and the system. This article seeks to show the importance of joint work between physicians and palliative care specialists to define the most appropriate management for these patients and optimize quality of life.</span></span></p></div>","PeriodicalId":93817,"journal":{"name":"Techniques in regional anesthesia & pain management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.trap.2013.09.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58057721","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: 0
New frontiers in palliative care 缓和治疗的新领域
Techniques in regional anesthesia & pain management Pub Date : 2013-01-01 DOI: 10.1053/j.trap.2013.09.004
Sandra Milena Molina Giraldo MD
{"title":"New frontiers in palliative care","authors":"Sandra Milena Molina Giraldo MD","doi":"10.1053/j.trap.2013.09.004","DOIUrl":"10.1053/j.trap.2013.09.004","url":null,"abstract":"<div><p><span>Palliative care is an interdisciplinary approach provided to patients and their families when the medical expectation of recovery is negligible. Palliative care does not focus on a single disease. However, it takes into account the integrity of the human being, allowing the patient to improve his or her </span>quality of life<span><span> and relief from the suffering imposed by adverse medical conditions. The increasing need for a comprehensive approach in health care for patients and families suffering from cancer and noncancer chronic </span>degenerative diseases<span> makes palliative care an indispensable resource in today's society. The current demographic changes and the increased incidence of cancer and chronic diseases is consolidating the practice of palliative care and expanding its frontiers to face new research challenges in areas such as palliative care in children and nonmalignant diseases, public health policy, education in palliative care, and euthanasia.</span></span></p></div>","PeriodicalId":93817,"journal":{"name":"Techniques in regional anesthesia & pain management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.trap.2013.09.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58057616","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: 0
Advances in interventional procedures to manage pain and suffering in advanced oncological diseases 介入治疗晚期肿瘤疾病疼痛和痛苦的进展
Techniques in regional anesthesia & pain management Pub Date : 2013-01-01 DOI: 10.1053/j.trap.2013.09.003
Carlos Eduardo Restrepo-Garces MD , Carlos Mario Gomez MD , Santiago Jaramillo MD , Lizeth Jazmin Ramirez MD , Juan Felipe Vargas MD , Jairo Moyano MD, BSc , Carlos Guerrero MD
{"title":"Advances in interventional procedures to manage pain and suffering in advanced oncological diseases","authors":"Carlos Eduardo Restrepo-Garces MD ,&nbsp;Carlos Mario Gomez MD ,&nbsp;Santiago Jaramillo MD ,&nbsp;Lizeth Jazmin Ramirez MD ,&nbsp;Juan Felipe Vargas MD ,&nbsp;Jairo Moyano MD, BSc ,&nbsp;Carlos Guerrero MD","doi":"10.1053/j.trap.2013.09.003","DOIUrl":"10.1053/j.trap.2013.09.003","url":null,"abstract":"<div><p><span>Cancer pain is often related with suffering. Despite all the efforts and the availability of new drugs<span>, it can be severe and reluctant. The classical World Health Organization (WHO) ladder is based on a fixed treatment model; therefore, it may not fulfill the goal of an adequate pain relief. That is why a more multimodal and mobile regimen, using coadjuvants and </span></span>interventional therapies<span><span> could be useful. The present review updates the role of interventional pain management as a part of a comprehensive management, with the </span>celiac plexus block being highlighted, and also gives us a glance for the potential use of ultrasound guidance in this context.</span></p></div>","PeriodicalId":93817,"journal":{"name":"Techniques in regional anesthesia & pain management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.trap.2013.09.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58057558","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: 0
Psychological and family-related facts of suffering in patients with chronic diseases 慢性疾病患者痛苦的心理和家庭相关事实
Techniques in regional anesthesia & pain management Pub Date : 2013-01-01 DOI: 10.1053/j.trap.2013.09.002
Maria Clara Vélez MHSc , Carolina Palacio MHSc , Ana Isabel Moreno MHSc , Alicia Krikorian PhD
{"title":"Psychological and family-related facts of suffering in patients with chronic diseases","authors":"Maria Clara Vélez MHSc ,&nbsp;Carolina Palacio MHSc ,&nbsp;Ana Isabel Moreno MHSc ,&nbsp;Alicia Krikorian PhD","doi":"10.1053/j.trap.2013.09.002","DOIUrl":"10.1053/j.trap.2013.09.002","url":null,"abstract":"<div><p><span><span>Illnesses that limit life or functioning have the potential to cause significant distress and lead to suffering. Suffering is a subjective and multidimensional experience that results from the person's appraisal of threat and exhaustion of coping resources. Detection and management of suffering in patients who are chronically ill have become of great interest in the last few years as relief from suffering was established as one of </span>palliative care main goals. Psychological, sociocultural, and family issues that contribute to suffering are discussed. Also, assessment strategies and instruments, as well as interventions toward relief from suffering, are described. Therapeutic approaches should be individualized and include issues in the physical, psychological, sociocultural, and spiritual domains to plan for comprehensive interventions suited to the patient's needs and to attain better symptom control. Regarding family suffering, interventions that reinforce the </span>perceived social support, facilitate communication and emotional disclosure, effect on the family's level of cohesion and flexibility, and enable role distribution, resilience, and meaning of the illness as a learning experience will reinforce adaptation and alleviate suffering.</p></div>","PeriodicalId":93817,"journal":{"name":"Techniques in regional anesthesia & pain management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.trap.2013.09.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58057484","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
Perspectives to pain associated to land mine injury 对与地雷伤害有关的疼痛的看法
Techniques in regional anesthesia & pain management Pub Date : 2012-10-01 DOI: 10.1053/j.trap.2013.08.002
Juan Felipe Vargas Silva MD , Carlos Mario Gómez B MD , Santiago Jaramillo MD , Lizeth Jazmin Ramirez MD , Carlos Oliver Valderrama MD , Carlos Eduardo Restrepo-Garces MD
{"title":"Perspectives to pain associated to land mine injury","authors":"Juan Felipe Vargas Silva MD ,&nbsp;Carlos Mario Gómez B MD ,&nbsp;Santiago Jaramillo MD ,&nbsp;Lizeth Jazmin Ramirez MD ,&nbsp;Carlos Oliver Valderrama MD ,&nbsp;Carlos Eduardo Restrepo-Garces MD","doi":"10.1053/j.trap.2013.08.002","DOIUrl":"10.1053/j.trap.2013.08.002","url":null,"abstract":"<div><p>The current problem of land mines is worrying. Large mined territories endanger civilians and military personnel. About 100,000 land mines are scattered today in Colombia, and the mortal victims are growing each day. Land mine injuries result in significant musculoskeletal and abdominal injuries throughout the world. Accurate pain assessment is necessary to effective pain management. However, it is a challenge in polytrauma<span> patients. Although it may be difficult, the initial multimodal analgesic management facilitates early rehabilitation and theoretically may prevent chronic pain progression after a land mine injury.</span></p></div>","PeriodicalId":93817,"journal":{"name":"Techniques in regional anesthesia & pain management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.trap.2013.08.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58057383","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: 3
Interventional pain management for phantom limb pain: An algorithmic approach 幻肢疼痛的介入治疗:一种算法方法
Techniques in regional anesthesia & pain management Pub Date : 2012-10-01 DOI: 10.1053/j.trap.2013.08.007
Santiago Jaramillo MD , Lizeth Jazmin Ramirez MD , Carlos Eduardo Restrepo-Garces MD , Carlos Mario Gómez B MD , Juan Felipe Vargas Silva MD
{"title":"Interventional pain management for phantom limb pain: An algorithmic approach","authors":"Santiago Jaramillo MD ,&nbsp;Lizeth Jazmin Ramirez MD ,&nbsp;Carlos Eduardo Restrepo-Garces MD ,&nbsp;Carlos Mario Gómez B MD ,&nbsp;Juan Felipe Vargas Silva MD","doi":"10.1053/j.trap.2013.08.007","DOIUrl":"10.1053/j.trap.2013.08.007","url":null,"abstract":"<div><p>Phantom limb pain<span><span> is a type of chronic pain existing in different organs, not just limbs. The incidence is very high in the postamputation period and treatment can be a challenge. The pharmaceutical treatment strategies in addition to psychological rehabilitative strategies and interventional management play a successful role in the management of these patients. For this article, we conducted a review of literature about pain management for phantom limb pain to identify the treatment modalities, which involved </span>interventional pain management, and an algorithmic approach is proposed.</span></p></div>","PeriodicalId":93817,"journal":{"name":"Techniques in regional anesthesia & pain management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.trap.2013.08.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58057797","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
Pain management in areas of military conflict 军事冲突地区的疼痛管理
Techniques in regional anesthesia & pain management Pub Date : 2012-10-01 DOI: 10.1053/j.trap.2013.08.001
Carlos Eduardo Restrepo-Garces MD
{"title":"Pain management in areas of military conflict","authors":"Carlos Eduardo Restrepo-Garces MD","doi":"10.1053/j.trap.2013.08.001","DOIUrl":"10.1053/j.trap.2013.08.001","url":null,"abstract":"","PeriodicalId":93817,"journal":{"name":"Techniques in regional anesthesia & pain management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.trap.2013.08.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58056860","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: 0
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