Base de dados : LILACS
Pesquisa : E03.091 [Categoria DeCS]
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Id: lil-790565
Autor: Farias, Rafaela Soares; Melo, Rhayssa Santos; Machado, Yargo Farias; Lima, Fábio Martins de; Andrade, Palloma Rodrigues.
Título: O Uso da Tens, Crioterapia e Criotens na Resolução da Dor / The Use of Tens, cryotherapy and Criotens in the Resolution of Pain
Fonte: Rev. bras. ciênc. saúde;14(1):27-36, 2010. ilus, tab, graf.
Idioma: pt.
Resumo: Avaliar o efeito da Crioterapia, TENS e Criotens naresolução da dor. Material E Métodos: Trata-se de um estudoobservacional de caráter descritivo do tipo série de casos,no qual foram selecionadas dez voluntárias adultas, jovens,saudáveis e sem nenhuma patologia que comprometesse asensibilidade dolorosa. Utilizou-se a Crioterapia na forma depanqueca fria, um aparelho de TENS no modo convencional,eletrodos auto-adesivos, uma Escala Visual Analógica (EVA)e um adipômetro adaptado para quantificar o limiar doloroso.Resultados: Observou-se que a Crioterapia (t = 6,47 dml; p<0,0005), a TENS (t = 9,47; p< 0,0005) e a Criotens (t =10,8dml; p<0,0005) se mostraram eficazes no aumento do limiarda dor em pessoas saudáveis. Utilizou-se o Teste corrigidode Friedmam (Q*) para testar a variabilidade da eficácia entreas três técnicas (Crioterapia, TENS e Criotens) e os dadosnão revelaram diferenças significativas entre elas para olimiar da dor em pessoas saudáveis (Q* = 0,45; p > 0,80).Conclusão: Assim, não foi observado superioridade daCriotens em relação à Crioterapia e a TENS, no limiar dolorosoe as três técnicas são igualmente eficazes no alívio da dorem pessoas saudáveis...

The aim of the present study was to evaluate theeffect of the Cryotherapy, TENS and criotens in the increaseof the painful threshold. Material and Methods: The designof this study was a series of cases. Ten healthy volunteerswere selected for the study, without any pathology that couldcompromise the painful sensibility. Cryotherapy was used inthe form of cold pancake, TENS was appliance in theconventional way, with the aid of self-adhesive, electrodes,one Visual Analogical Scale (EVA) and an adipometer adaptedto quantify the painful threshold. Results: Cryotherapy (t=6,47dml; p<0,0005), TENS (t=9,47; p<0,0005)and criotens (t=10,8;p<0,0005) were efficient in the increase of the threshold ofthe pain in healthy persons. There was used the correctedTest of Friedman (Q*) to test the variability of the efficientbetween three techniques (cryotherapy, TENS and criotens)and the data did not reveal significant differences betweenthem for the threshold of the pain in healthy persons (Q* =0,45;p>0,80). Conclusion: Superiority of the criotens wasnot observed regarding the cryotherapy and TENS in thepainful threshold and the three evaluated techniques areequally efficient in the relief of the pain in healthy persons...
Descritores: Analgesia
Crioterapia
Estimulação Elétrica Nervosa Transcutânea
Limites: Seres Humanos
Feminino
Adulto Jovem
Tipo de Publ: Relatos de Casos
Responsável: BR8.1 - Biblioteca Central


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Id: biblio-830444
Autor: Gonzalez Brizuela, Yasel; Velázquez González, Katia; Tamargo Barbeito, Teddy Osmin.
Título: Eficacia analgésica y seguridad de dosis única de morfina intratecal / Analgesic effectiveness and safety of single-dose intrathecal morphine
Fonte: Rev. cuba. anestesiol. reanim;15(3):174-186, sept.-dic. 2016. graf, tab.
Idioma: es.
Resumo: Introducción: el dolor posoperatorio del hemiabdomen superior es intenso y su control es imprescindible para evitar complicaciones. Objetivos: evaluar la eficacia analgésica y seguridad de dosis única de morfina intratecal en el posoperatorio de la cirugía de hemiabdomen superior de gran envergadura. Método: ensayo clínico aleatorizado a simple ciegas en 40 pacientes, tras intervenciones de hemiabdomen superior. Se emplearon dosis única de morfina intratecal (MIT) de 1 o 2 µg/kg de peso del paciente de acuerdo al grupo de tratamiento. Análisis estadístico con las pruebas Chi cuadrado (x2), exacta de Fisher, análisis de varianza univariado, la prueba de W de Mauchly y la prueba F univariada; nivel de significación de 0,05. Resultados: la administración de opioides durante el acto quirúrgico fue similar en ambos grupos (3,1 ± 2,2 mL vs. 4,1 ± 2,7 mL). En el grupo de dosis de 2 µg/kg de peso de MIT a las 12 y 24 h los pacientes no refirieron dolor; existieron diferencias entre los tratamientos en cuanto al alivio del dolor (p< 0,001) y también entre los momentos en que se midió el mismo (p= 0,001). Se utilizó analgesia de rescate en 25 por ciento de los pacientes. Solo se presentó como complicación la depresión respiratoria. Conclusiones: la dosis única de 2 µg/kg de morfina intratecal es un método eficaz para la analgesia posoperatoria en la cirugía de hemiabdomen superior, la incidencia de complicaciones fue baja y se demostró que ambas dosis son seguras(AU)

Introduction: The superior hemiabdomen postoperative pain is severe and essential to be managed in order to avoid complications. Objectives: To assess the analgesic effectiveness and safety of single-dose intrathecal morphine in the postoperative period of the upper hemiabdomen major surgery. Method: Single-blind randomized clinical trial in 40 patients, after upper hemiabdomen interventions. We used single doses of intrathecal morphine (ITM) of 1 or 2 mg/kg per patient weight according to the treatment group. The statistical analysis used the Chi-square test, Fisher's exact test, univariate analysis of variance, Mauchly's test and Univariate F-test; the significance level was 0.05. Results: Opioids administration during surgery was similar in both groups (3.1 ± 2.2 mL vs. 4.1 ± 2.7 mL). In the 2 mg/kg of ITM dose group, the patients reported no pain after 12 and 14 hours; there were differences between treatments regarding pain relief (p< 0.001) and also between the time when it was measured (p= 0.001). Rescue analgesia was used in 25 percent of the patients. Respiratory depression was the only onset complication. Conclusions: ITM at a single dose of 2 µg/kg is an effective method for postoperative analgesia in upper hemiabdomen surgery, the incidence of complications was low and both doses proved safe(AU)
Descritores: Dor Pós-Operatória/tratamento farmacológico
Dose Única/efeitos dos fármacos
Morfina/uso terapêutico
-Analgesia/normas
Tipo de Publ: Ensaio Clínico Controlado Aleatório
Responsável: CU1.1 - Biblioteca Médica Nacional


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Id: lil-294471
Autor: Brunow de Carvalho, Werther.
Título: Sedacao e analgesia
Fonte: Pediatr. (Asunción);27(supl.1):119-27, oct. 2000. tab.
Idioma: es; en.
Descritores: Analgesia
Sedação Consciente
Responsável: PY30.1 - Biblioteca


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Id: lil-294462
Autor: Sola, Augusto.
Título: Dolor en el recién nacido: analgesia y sedación
Fonte: Pediatr. (Asunción);27(supl.1):67-75, oct. 2000. tab.
Idioma: es; en.
Descritores: Dor
Analgesia
Recém-Nascido
Responsável: PY30.1 - Biblioteca


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Id: biblio-887460
Autor: Taffarel, Pedro; Bonetto, German; Jorro Barón, Facundo; Meregalli, Claudia.
Título: Sedación y analgesia en pacientes con asistencia ventilatoria mecánica en unidades de cuidados intensivos pediátricos de Argentina / Sedation and analgesia in patients on mechanical ventilation in pediatric intensive care units in Argentina
Fonte: Arch. argent. pediatr;116(2):196-203, abr. 2018. tab, graf.
Idioma: en; es.
Resumo: Introducción. Los niños en unidades de cuidados intensivos pediátricos (UCIP) están expuestos a padecer dolor, estrés y ansiedad debido a su enfermedad, el tratamiento o el ambiente. La adecuada sedación y analgesia son fundamentales para su cuidado, especialmente, en aquellos que requieren asistencia ventilatoria mecánica (AVM). Objetivo. Determinar la práctica habitual en la sedación y analgesia de los pacientes que requieren ARM en UCIP de Argentina. Material y métodos. Estudio descriptivo, transversal, multicéntrico, realizado a través de encuestas enviadas por correo electrónico. Resultados. Se encuestaron y respondieron 45 UCIP. El 18% (N= 8) utiliza un protocolo de sedoanalgesia de seguimiento estricto, mientras que el 58% (N= 26) siguen un protocolo "tácito" producto de la automatización en la práctica. Las drogas más utilizadas son el midazolam para sedación y fentanilo para analgesia. El 31% (N= 14) de las UCIP monitorizan la sedación con escalas de evaluación (Ramsay modificada y/o Comfort). El 4% (N= 2) realizan la interrupción diaria de la sedación en forma programada. En pacientes de difícil sedación, la dexmedetomidina es la droga más utilizada como coadyuvante. El 73% (N= 33) de las unidades utilizan bloqueantes neuromusculares ante indicaciones precisas, y un monitoreo clínico. El 20% (N= 9) de las UCIP tienen un protocolo de destete para la sedoanalgesia, la morfina y lorazepam son las drogas más frecuentemente utilizadas. Conclusión. Existe un bajo porcentaje de protocolización en la práctica habitual del manejo de la sedoanalgesia en pacientes con AVM en las UCIP encuestadas.

Introduction. Children in pediatric intensive care units (PICUs) are exposed to experiencing pain, stress and anxiety due to their disease, treatment or care setting. Adequate sedation and analgesia are key to their care, particularly in patients requiring mechanical ventilation (MV). Objective. To determine the usual practice in sedation and analgesia management in patients requiring MV in PICUs in Argentina. Material and methods. Descriptive, crosssectional, multi-center study conducted by means of e-mailed surveys. Results. A total of 45 PICUs were surveyed, 18% (N= 8) of which follow a sedation and analgesia protocol strictly, while 58% (N= 26) follow an "implied" protocol based on routine practice. The most commonly used drugs were midazolam, for sedation, and fentanyl, for analgesia. In 31% (N= 14) of the PICUs, sedation was monitored through assessment scales (modified Ramsay and/or Comfort scales). In 4% (N= 2) of units, daily, scheduled interruptions of sedation was implemented. In patients who are difficult to sedate, dexmedetomidine was the most commonly used adjuvant. In 73% (N= 33) of the units, neuromuscular blocking agents were used in compliance with precise guidelines and under clinical monitoring. In 20% (N= 9) of the PICUs there was a sedation and analgesia weaning protocol in place, and morphine and lorazepam are the most commonly used drugs. Conclusion. Only a low percentage of surveyed PICUs had a protocol in place for the routine management of sedation and analgesia in patients on MV.
Descritores: Unidades de Terapia Intensiva Pediátrica/normas
Sedação Consciente/estatística & dados numéricos
Sedação Profunda/estatística & dados numéricos
/estatística & dados numéricos
AMERICAN NURSES' ASSOCIATIONABELSON MURINE LEUKEMIA VIRUS/estatística & dados numéricos
Analgesia/estatística & dados numéricos
-Respiração Artificial
Estudos Transversais
Pesquisas sobre Serviços de Saúde
Limites: Seres Humanos
Criança
Tipo de Publ: Estudo Multicêntrico
Responsável: AR94.1 - Centro de Información Pediatrica


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Id: biblio-887423
Autor: Aguilar de la Red, Yurena; Manrique Martín, Gema; Guerrero Márquez, Gloria; González Herrero, Concepción; Vázquez López, Paula; Míguez Navarro, Concepción.
Título: Evaluación del manejo del dolor de la patología facial y oral en un Servicio de Urgencias Pediátrico y tras el alta domiciliaria / Assessment of orofacial pain management in a pediatric emergency department and at home after discharge
Fonte: Arch. argent. pediatr;116(1):28-34, feb. 2018. graf, tab.
Idioma: en; es.
Resumo: Introducción. El manejo inadecuado del dolor es frecuente en Urgencias. El objetivo fue analizar el manejo del dolor de niños con patología infecciosa o traumática del área facial/oral en Urgencias y evaluar el cumplimiento y satisfacción sobre la analgesia prescrita al momento del alta. Población y métodos. Estudio transversal, observacional y analítico en niños que acudieron a Urgencias con patología infecciosa/traumática de la región facial/oral durante 2 meses. Se recogieron el manejo del dolor en Urgencias, la analgesia prescrita para el domicilio y, tras el contacto telefónico con los padres, el tratamiento realizado y su adecuación al dolor del niño. Resultados. Fueron incluidos 252 pacientes (edad media de 4,5 años, desvío estándar 3,89). En 8,7%, figuraba la evaluación del dolor en triaje y, en 3,6%, en el informe médico. Se administró analgesia en Urgencias al 41,3%. Al momento del alta, en un 13,9%, no se prescribió analgesia; en 25,4%, se prescribió pautada y, en 60,3%, a demanda. Los pediatras usaron más analgesia pautada que los cirujanos (34,4% vs. 16,5%, p < 0,01). En el domicilio, no administraron analgesia en el 39,3%; en un 36,1%, pautada y, en un 23%, a demanda. Existió escasa correlación entre la pauta al momento del alta y la administrada en el domicilio (kappa: 0,178). Se consideró la analgesia adecuada en el 84%, con más frecuencia en patología traumática que infecciosa (85,7% vs. 14,3%, p < 0,01). Conclusiones. Se observó escasa evaluación y tratamiento del dolor en Urgencias. La prescripción más usada fue a demanda en vez de pautada, al contrario de lo recomendado en las guías. El control analgésico fue mejor en patología traumática que infecciosa.

Introduction. An inadequate pain management is common in the emergency department. Our objective was to analyze pain management among children with an orofacial infection or trauma in the emergency department and to assess compliance and satisfaction with analgesia prescribed at discharge. Population and methods. Cross-sectional, observational and analytical study in children attending the emergency department for an orofacial infection or trauma over 2 months. Pain management in the emergency department, analgesia prescribed at home and, following a call to parents, treatment provided and its adequacy to control pain were registered. Results. In total, 252patients (mean age: 4.5 years, SD: 3.89) were included. Pain assessment was recorded at the triage for 8.7%, and in the medical report, for 3.6%. Analgesia was administered to 41.3% in the emergency room. At discharge, no analgesia was prescribed to 13.9%; scheduled analgesia, to 25.4%; and as needed, to 60.3%. Pediatricians prescribed scheduled analgesia more frequently than surgeons (34.4% versus 16.5%, p < 0.01). At home, no analgesia was administered to 39.3%; scheduled analgesia, to 36.1%; and as needed, to 23%. There is little correlation between prescription at discharge and at home (Kappa: 0.178). Analgesia was considered adequate in 84% of cases, and was more frequent in trauma injuries than in infections (85.7% versus 14.3%, p < 0.01). Conclusions. Pain assessment and management was scarce in the emergency department. The most common prescription was as needed, contrary to what is recommended in the guidelines. Analgesic control worked better for trauma injuries than for infections.
Descritores: Dor Facial/terapia
Manejo da Dor
Serviços de Assistência Domiciliar
Analgesia
-Pais
Alta do Paciente
Pediatria
Medição da Dor
Dor Facial/etiologia
Estudos Transversais
Resultado do Tratamento
Satisfação do Paciente
Fidelidade a Diretrizes
Serviço Hospitalar de Emergência
Traumatismos Faciais/complicações
Infecção/complicações
Limites: Seres Humanos
Masculino
Feminino
Lactente
Pré-Escolar
Criança
Adolescente
Tipo de Publ: Estudo Observacional
Responsável: AR94.1 - Centro de Información Pediatrica


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Id: biblio-991034
Autor: Fuentes Díaz, Zaily.
Título: ¿Anestesia o analgesia en el paciente quirúrgico? / Anesthesia vs. analgesia in the surgical patient
Fonte: Rev. cuba. anestesiol. reanim;17(3):1-3, set.-dic. 2018.
Idioma: es.
Descritores: Analgesia/métodos
Anestesia Geral/métodos
Tipo de Publ: Carta
Responsável: CU1.1 - Biblioteca Médica Nacional


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Id: biblio-830969
Autor: Degrossi, Fernando; Gallucci, Mauricio; Gimenez, Federico; Logioco, Lucas; Skorepa, Guillermo.
Título: Bloqueo de nervio safeno interno por medio de ecografía en pacientes operados de plástica ligamentaria de rodilla / Saphenous nerve block for postoperative patients undergoing ACL reconstruction
Fonte: Artrosc. (B. Aires);23(3):106-114, 2016. ilus, tab.
Idioma: es.
Resumo: Objetivo: El propósito de este estudio fue evaluar si el bloqueo del nervio safeno interno, mejora el dolor postoperatorio y disminuir el número de rescates analgésicos en plásticas de ligamento cruzado anterior (LCA). Materiales y métodos: Este estudio prospectivo implicó una revisión de los registros de 297 pacientes postoperatorios de plástica de LCA, tratados desde el año 2012 hasta el año 2015. Para estudiar la significancia del bloqueo en cuanto al índice de dolor de los pacientes se usaron dos estadísticas: t-student de datos no relacionados y test U de Mann Whitney. Se evaluó el grado de satisfacción de los pacientes. Resultados: La analgesia postoperatoria y los rescates de analgésicos mejoraron significativamente y fueron concluyentes mejorando en el grupo con bloqueo la disminución del dolor y de los rescates analgésicos. No tuvimos secuelas ni efectos adversos. Discusión: El postoperatorio del paciente sometido a una plástica de LCA puede tener una mejor evolución con un gesto médico sencillo, pero que al paciente le brinda la posibilidad de una serie de ventajas en cuanto a el dolor, confianza, posibilidad de rehabilitación precoz, menor posibilidades de artrofibrosis y mayor confianza con su médico tratante. Tipo de estudio: Prospectivo, comparativo. Nivel de evidencia: II.

Objective: The purpose of this study was to evaluate whether blocking common peroneal nerve, improves postoperative pain and reduce the number of analgesic rescues plastic ACL. Materials and Methods: This prospective study involved a review of the records of 297 patient's postoperative ACL plastic, treated from 2012 through 2015. T-student unrelated data and Mann-Whitney U test: To study the significance of the blockade as the rate of patients' pain two statistics were used. The degree of patient satisfaction was evaluated. Results: Postoperative analgesia and analgesic rescues were conclusive improved significantly and improving the blocking group decreased pain and analgesic rescues. We had no consequences or adverse effects. Discussion: The postoperative patient undergoing plastic ACL can have a better performance with a simple medical gesture, but that the patient gives you the possibility of a number of advantages in terms of pain, trust, possibility of early rehabilitation, minor arthrofibrosis opportunities and more confidence with your treating physician. Type study: Prospective, comparative. Level of evidence: II.
Descritores: Articulação do Joelho/cirurgia
Bloqueio Nervoso/métodos
Dor Pós-Operatória
Ligamento Cruzado Anterior/cirurgia
Reconstrução do Ligamento Cruzado Anterior
-Analgesia
Estudos Prospectivos
Limites: Adulto
Responsável: AR337.1 - Biblioteca A.A.O.T.


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Id: lil-623959
Autor: Freire, Sonia M. F; Torres, Luce M. B; Roque, Nidia F; Souccar, Caden; Lapa, Antonio J.
Título: Analgesic activity of a triterpene isolated from Scoparia dulcis L. (vassourinha)
Fonte: Mem. Inst. Oswaldo Cruz;86(supl.2):149-151, 1991. graf.
Idioma: en.
Conferência: Apresentado em: Brazilian-Sino Symposium on Chemistry and Pharmacology of Natural Products, Rio de Janeiro, Dec. 10-14, 1989.
Resumo: Analgesic and anti-inflammatory activities of water (WE) and ethanolic (EE) extracts of Scoparia dulcis L. were investigated in rats and mice, and compared to the effects induced by Glutinol, a triterpene isolated by purification of EE. Oral adminsitration (p.o.) of either WE or EE (up to 2 g/Kg) did not alter the normal spontaneous activity of mice and rats. The sleeping time induced by sodium pentobarbital (50 mg/Kg, i.p.) was prolonged by 2 fold in mice pretreated with 0.5 g/Kg EE, p.o. Neither extract altered the tail flick response of mice in immersion test, but previous administration of EE (0.5 g/Kg, p.o.) reduced writhings induced by 0.8% acetic acid (0.1 ml/10 g, i.p.) in mice by 47% EE (0.5 and 1 g/Kg, p.o.) inhibited the paw edema induced by carrageenan in rats by respectively 46% and 58% after 2 h, being ineffective on the paw edema induced by dextran. No significant analgesic or anti-edema effects were detected in animals pretreated with WE (1 g/Kg, p.o.). Administration of Glutinol (30 mg/Kg, p.o.) reduced writhing induced by acetic acid in mice by 40% and the carrageenan induced paw edema in rats by 73%. The results indicate that the analgesic activity of S dulcis L. may be explained by explained by an anti-inflammatory activity probably related to the triterpene Glutinol.
Descritores: Plantas Medicinais
Anti-Inflamatórios
-Scoparia
Analgesia
Limites: Seres Humanos
Responsável: BR1.1 - BIREME


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Id: lil-623958
Autor: Yamamoto, Lucia A; Soldera, Janete C; Emim, José A. S; Godinho, Rosely O; Souccar, Caden; Lapa, Antonio J.
Título: Pharmacological screening of Ageratum conyzoides L. (mentrasto)
Fonte: Mem. Inst. Oswaldo Cruz;86(supl.2):145-147, 1991. graf.
Idioma: en.
Conferência: Apresentado em: Brazilian-Sino Symposium on Chemistry and Pharmacology of Natural Products, Rio de Janeiro, Dec. 10-14, 1989.
Resumo: The pharmacological activities of a water extract (WE) of Ageratum conyzoides L, a plant populary known for its analgesic and anti-inflamatory properties, were studied in vivo and in vitro preparations. Oral administration (p.o.) of the water extract (WE, 0.1 to 5 g/Kg) to rats and mice induced quietness and reduced the spontaneous motility. the sleeping time induced by sodium pentobarbital (50 mg/Kg, i.p.) in mice was not altered by previous treatment with We (2 g/Kg, p.o.). The same treatment did not influence the paw edema induced by carrageenan or dextran, nor did it reduce the chronic paw edema induced by complete Freund's adjuvant or formaldehyde in rats. The tail flick response in immersion test and writhings induced by 0.8%acetic acid in mice were not altered by WE either. In isolated guinea-pig ilea WE (0.4 to 4 mg/ml) did not alter the EC50 values of histamine or acetylcholine, but reduced the maximal response to the agonists by 20 to 50%. We (0.01 to 10 mg/ml) produced tonic contractions of the ileal smooth muscle proportional to the doses, reaching a maximum of 75% relatively to the maximum obtained with histamine. Those contractions were blocked by diphenhydramine (10 nM) and reduced by 32% in presence of atropine (10 nM). The results indicated that oral treatment of rodents with A. conyzoides L neither reduced the inflammatory edema nor did it decrease the reaction to pain stimuli. In vitro the extract presented an unexpected histamine-like activity characteristic of a partial agonist. The results did not confirm the popular medicinal indications of the plant.
Descritores: Plantas Medicinais
Ageratum
-Analgesia
Anti-Inflamatórios
Responsável: BR1.1 - BIREME



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