Xem 1-20 trên 204 kết quả Manage pain
  • Harrison's Internal Medicine Chapter 12. Pain: Pathophysiology and Management Pain: Pathophysiology and Management: Introduction The task of medicine is to preserve and restore health and to relieve suffering. Understanding pain is essential to both these goals. Because pain is universally understood as a signal of disease, it is the most common symptom that brings a patient to a physician's attention. The function of the pain sensory system is to protect the body and maintain homeostasis. It does this by detecting, localizing, and identifying tissue-damaging processes.

    pdf5p ongxaemnumber1 26-11-2010 35 8   Download

  • The field of Pain Medicine has evolved over the last 20 years to include an increasing array of sophisticated and technologically complex diagnostic and therapeutic procedures. Concurrent to this advancement has been the development of a battery of pharmacological options to treat pain, from extended-release formulations of analgesics to antidepressants and anticonvulsants designed to treat specific types of pain syndromes.

    pdf578p cronus75 18-01-2013 20 6   Download

  • Cash availability is the lifeblood of the organization. With it, assuming there is proper management and economical, efficient, and Ceffective operations, the company can grow and prosper—without it the organization perishes. Like the absence of water to anything living, the absence of cash to the business means death—slow, torturous, physically painful, and men- tally agonizing. Business owners, managers, shareholders, ...

    pdf333p 951847623 09-04-2012 134 77   Download

  • Cash availability is the lifeblood of the organization. With it, assuming there is proper management and economical, efficient, and Ceffective operations, the company can grow and prosper—without it the organization perishes. Like the absence of water to anything living, the absence of cash to the business means death—slow, torturous, physically painful, and men- tally agonizing.

    pdf113p transang4 01-10-2012 35 11   Download

  • Treatment of Neuropathic Pain It is important to individualize treatment for patients with neuropathic pain. Several general principles should guide therapy: the first is to move quickly to provide relief; a second is to minimize drug side effects. For example, in patients with postherpetic neuralgia and significant cutaneous hypersensitivity, topical lidocaine (Lidoderm patches) can provide immediate relief without side effects. Anticonvulsants (gabapentin or pregabalin, see above) or antidepressants can be used as first-line drugs for patients with neuropathic pain.

    pdf5p ongxaemnumber1 26-11-2010 41 6   Download

  • The research in this paper seeks ways for manufacturing companies to accomplish projects in real time with less cost. This paper describes a new model using critical success factors of implementing projects in small- and medium-sized enterprises (SMEs). The factors in the conceptual model were identified in past studies and are validated from interviews with 20 project managers in the electronics industry in Iran. Several prior researches have suggested critical success factors for reducing time and cost in the development of a new product. These factors are...

    pdf12p tay_thi_le 21-02-2013 24 6   Download

  • Sensitization When intense, repeated, or prolonged stimuli are applied to damaged or inflamed tissues, the threshold for activating primary afferent nociceptors is lowered and the frequency of firing is higher for all stimulus intensities. Inflammatory mediators such as bradykinin, nerve growth factor, some prostaglandins, and leukotrienes contribute to this process, which is called sensitization. In sensitized tissues, normally innocuous stimuli can produce pain. Sensitization is a clinically important process that contributes to tenderness, soreness, and hyperalgesia.

    pdf5p ongxaemnumber1 26-11-2010 26 5   Download

  • Antidepressants, anticonvulsants, and antiarrhythmics have not been approved by the U.S. Food and Drug Administration (FDA) for the treatment of pain.bGabapentin in doses up to 1800 mg/d is FDA approved for postherpetic neuralgia.Note: 5-HT, serotonin; NE, norepinephrine.Since they are effective for these common types of pain and are available without prescription, COX inhibitors are by far the most commonly used analgesics. They are absorbed well from the gastrointestinal tract and, with occasional use, have only minimal side effects.

    pdf6p ongxaemnumber1 26-11-2010 29 5   Download

  • Antidepressant Medications The tricyclic antidepressants [amitriptyline, imipramine, nortriptyline, desipramine (TCAs; Table 12-1)] are extremely useful for the management of patients with chronic pain. Although developed for the treatment of depression, the tricyclics have a spectrum of dose-related biologic activities that include the production of analgesia in a variety of clinical conditions. Although the mechanism is unknown, the analgesic effect of TCAs has a more rapid onset and occurs at a lower dose than is typically required for the treatment of depression.

    pdf5p ongxaemnumber1 26-11-2010 35 5   Download

  • Central Mechanisms The Spinal Cord and Referred Pain The axons of primary afferent nociceptors enter the spinal cord via the dorsal root. They terminate in the dorsal horn of the spinal gray matter (Fig. 12-3). The terminals of primary afferent axons contact spinal neurons that transmit the pain signal to brain sites involved in pain perception. When primary afferents are activated by noxious stimuli, they release neurotransmitters from their terminals that excite the spinal cord neurons. The major neurotransmitter they release is glutamate, which rapidly excites dorsal horn neurons.

    pdf5p ongxaemnumber1 26-11-2010 41 5   Download

  • A quick reference to the management of pain for specialists as well as general medical practitioners and residents. Written in a concise bulleted format, the content is limited to only the essential facts necessary for assessment and treatment of common pain conditions and presentations. A perfect review tool for both the anesthesia and pain medicine board exams.

    pdf402p mientrung102 30-01-2013 13 5   Download

  • Opioid and COX Inhibitor Combinations When used in combination, opioids and COX inhibitors have additive effects. Because a lower dose of each can be used to achieve the same degree of pain relief, and their side effects are nonadditive, such combinations can be used to lower the severity of dose-related side effects. Fixed-ratio combinations of an opioid with acetaminophen carry a special risk. Dose escalation as a result of increased severity of pain or decreased opioid effect as a result of tolerance may lead to levels of acetaminophen that are toxic to the liver.

    pdf5p ongxaemnumber1 26-11-2010 31 4   Download

  • Sympathetically Maintained Pain Patients with peripheral nerve injury can develop a severe burning pain (causalgia) in the region innervated by the nerve. The pain typically begins after a delay of hours to days or even weeks. The pain is accompanied by swelling of the extremity, periarticular osteoporosis, and arthritic changes in the distal joints. The pain is dramatically and immediately relieved by blocking the sympathetic innervation of the affected extremity.

    pdf9p ongxaemnumber1 26-11-2010 33 4   Download

  • Pain transmission and modulatory pathways. A. Transmission system for nociceptive messages. Noxious stimuli activate the sensitive peripheral ending of the primary afferent nociceptor by the process of transduction. The message is then transmitted over the peripheral nerve to the spinal cord, where it synapses with cells of origin of the major ascending pain pathway, the spinothalamic tract. The message is relayed in the thalamus to the anterior cingulate (C), frontal insular (F), and somatosensory cortex (SS). B. Painmodulation network.

    pdf5p ongxaemnumber1 26-11-2010 27 3   Download

  • Algorithms for management of acute low back pain, age ≥18 years. A. Symptoms

    pdf5p ongxaemnumber1 29-11-2010 26 3   Download

  • Polycystic Ovarian Syndrome: Treatment The major abnormality in patients with PCOS is the failure of regular, predictable ovulation. Thus, these patients are at risk for the development of dysfunctional bleeding and endometrial hyperplasia associated with unopposed estrogen exposure. Endometrial protection can be achieved with the use of oral contraceptives or progestins (medroxyprogesterone acetate, 5–10 mg, or prometrium, 200 mg daily for 10–14 days of each month).

    pdf5p konheokonmummim 30-11-2010 28 3   Download

  • Acute Pelvic Pain: Treatment Treatment of acute pelvic pain depends on the suspected etiology but may require surgical or gynecologic intervention. Conservative management is an important consideration for ovarian cysts, if torsion is not suspected, to avoid unnecessary pelvic surgery and the subsequent risk of infertility due to adhesions. The majority of unruptured ectopic pregnancies are now treated with methotrexate, which is effective in 84–96% of cases. However, surgical treatment may be required.

    pdf5p konheokonmummim 30-11-2010 28 3   Download

  • This book is the end result of many influences, all of which have contributed to its final shape. We would like to thank all those people who have contributed to the development and formation of the ideas behind this book. This is a long list. In recent years it includes our students and colleagues at the University of Glamorgan. Prior to this our many colleagues in our own clinical practices who we have worked with and our past teachers and mentors who moulded our ideas about working with people.

    pdf215p cronus75 16-01-2013 21 3   Download

  • Cute pelvic pain is a common presenting com-plaint in women. The diagnosis of pelvic pain in women can be challenging because many symp-toms and signs are insensitive and unspecific. Prompt diagnosis and effective management pre-vent complications and may help preserve fertility .

    pdf13p thaodien102 06-11-2015 6 2   Download

  • (BQ) Part 1 book "ECG Notes - Intrerpretation & management guide" presents the following contents: Obstructed airway - Unconscious, CPR and obstructed airway positions, pulseless electrical Activity, ischemic chest pain, patient ECG record,...

    pdf96p thangnamvoiva4 01-07-2016 2 2   Download

Đồng bộ tài khoản