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Revista Cubana de Anestesiología y Reanimación

2012, Number 1

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Revista Cubana de Anestesiología y Reanimación 2012; 11 (1)

Pathophysiology of acute pain: cardiovascular, respiratory alterations and of other systems and organs

Pérez-Castañeda JT

Language: Spanish
References: 26
Page:
PDF size: 44.27 Kb.


ABSTRACT

Introduction: The acute pain is a complex constellation of sensory and emotional experiences related to the autonomous responses produced by damage to somatic or visceral structures. Pain's route transmits the nociceptive information through the peripheral and central nervous system and it is completely integrated with the motor and sympathetic system at medullar level and of the upper nervous centers leading to a reflex motor activity, sympathetic hyperactivity and affective and behavioral responses. Objective: To define the path physiologic mechanisms triggered in presence of acute pain and the alterations that consequently are generated in different organs and systems. Development: The responses generated at segmental, suprasegmental and cortical level lead to pathophysiological alterations in the cardiovascular, respiratory system and in other organs and systems. These alterations could to modify negatively the course of lesion or disease provoked the pain as well as severe hemodynamic disorders leading to the death of patient. Conclusions: Although the acute pain plays a biologic and protective role when it is persistent or not mitigated, it provokes pathophysiological alterations in different organs and systems harmful for patient. Despite the quick progress achieved on the knowledge of its pathophysiology and the development of novel and effective techniques for its treatment, the therapeutical behavior of patient presenting with acute pain is inappropriate.


REFERENCES

  1. Soler E. El dolor postoperatorio en la actualidad: un problema de calidad asistencial. Farm Hosp 2000; 24(3):123-135.

  2. Smaili N, Smaili B, Baez D, Somoza P, Hurtado F, Smaili Ng. Manejo del dolor agudo en el postoperatorio. Rev Med Int y Med Crítica 2004; 1(3):16-25.

  3. González O, González E, Toro R. Fisiopatología del dolor. Rev Ven Anest 2005; 1(3):26-33.

  4. Arbaiza D. Neurofisiología del dolor. Boletín El dolor 2005; 14:14-20.

  5. Ready L.B, Thomas E.W. Management of acute pain. A practical guide. IASP Publication.Seatle.2002. pp.123-133.

  6. Finkel D.M, Schlegel H.R. El dolor postoperatorio. Conceptos Básicos y Fundamentos para un Tratamiento Adecuado. Rev Hosp General Agudos J.M Ramos Mejía Buenos Aires. Edición electrónica. 2003 7(1). En línea. Consultada: 20 marzo 2011. URL disponible en:http://www.ramosmejia.org.ar

  7. Brennan F, Cousins M J. El alivio del dolor como un derecho humano. Rev Soc Esp Dolor 2005; 12:17-23.

  8. Bonica JJ, Loeser JD. History of Pain Concepts and Therapies. En: Loeser JD. Bonica's management of pain. 3rd ed. Philadelphia: Lippincott Williams and Wilkins. 2004. 3-16.

  9. De Lille Fuentes R. Di no al dolor inútil .Rev Mex Anest 2010;33 (1) 215-219.

  10. Poggi L, Ibarra O. Manejo del dolor postquirúrgico. Acta Medica Peruana 2007;24(2) 27.

  11. Martínez - Vázquez J, Torres LM. Prevalencia del dolor postoperatorio. Alteraciones fisiopatologías y sus repercusiones. Rev Soc Esp Dolor 2000; 7:465-476.

  12. Rodríguez Varela M. Dolor. Anestesiología Clínica 2006; 12:315-352.

  13. American Society of Anesthesiologists Task Force for Acute Pain Management. Practice guidelines for acute pain management in the periopertive setting. Anaesthesiology 2004; 52:1573-1581.

  14. Álvarez A. Tratamiento del dolor. Rev Iberoamer del dolor 2005; (3) 167-180.

  15. Gan TJ. Patient preferences for acute pain treatment. Br J Anaesth 2004; 92:681-688.

  16. Guevara López U, Covarrubias Gómez A, Hernández Ortiz A. Parámetros de practica para el manejo del dolor agudo. Cir Ciruj 2005; 5:393-404.

  17. Whizard-Lugo VM, Flores Carrillo J.C, Marín Salazar G, Benavides Vásquez A. Diagnostico y tratamiento del dolor agudo en el paciente critico. Anestesia en México 2008; 20 (2):85-90.

  18. Sánchez García J. Aspectos psicosociales del dolor en los pacientes críticos. Enfermería Científica 2003; 24:184-185.

  19. Adbi S, Zhou Y. Manejo del dolor en pacientes quemados. Curr Opin Anaesthesiol 2002; 15:563-567.

  20. Ministerio de Salud de Chile. Guía clínica gran quemado. 55. Santiago: MINSAL; 2007.

  21. Nava Lara E, Hernández Fabela P. Jiménez Gómez J.L, Blanco Becerra J.G, Dickter Cohen S. Uso de opiodes en la analgesia epidural postoperatoria. Rev Mex Anest 1995; 18:216-222.

  22. Reyes-Chiquete D. Dolor agudo en paciente con cáncer. Rev. Mex Anest 2005; 28(1):175-176.

  23. García-Núñez L.M, Gonzalez L, Cerrato Villalobos R. Sedación y analgesia pre hospitalaria en víctimas de trauma militar. Rev Mex Anest 2006; (3)163-173.

  24. Fajardo Pérez M I, Pérez Pérez R, Samper Noa J A, Pérez Lemus F, López Sánchez I. Dolor torácico agudo.Rev SEMG 2003; 58:607-622.

  25. Héctor Zegarra M. Dolor agudo en emergencias. Rev Col Anest 2004; (4): 21-25.

  26. Harstall C, Ospina M. Pain: Clin Updates 2005; (2):134-152.




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