Post-trauma and postoperative painful neuropathy

Fonseca, Paulo Renato Barreiros da; Gatto, Bruno Emanuel Oliva; Tondato, Vinicius Alves

doi:10.5935/1806-0013.20160050

Cited by 8 publications

(15 citation statements)

References 57 publications

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“…Estimates of the incidence of chronic postoperative neuropathic pain vary depending on the type of surgery and surgical technique. The incidence after limb amputation is 50-85%; after thoracotomy 30-50%; after mastectomy 20-50%; after inguinal hernia repair 11.5-47%; after hysterectomy 32%; after hip arthroplasty 28%; after cholecystectomy 3-56%; after colectomy 28%; after vasectomy 15%; after caesarean section 6-18% and after vaginal delivery 4-10% (Fonseca, Gatto, and Tondato 2016).…”

Section: Epidemiologymentioning

confidence: 99%

Traumatic Neuropathic Pain

Lutfia

Arsiazi

Farihah

et al. 2022

KESANS

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Peripheral neuromas caused by trauma or injury and surgical procedures can cause traumatic neuropathic pain, functional impairment and psychological distress, which can lead to decreased quality of life. Traumatic neuropathic pain can cause the patient to feel a burning, stabbing, stinging and nauseating sensation. Based on studies, the incidence of neuropathic pain due to peripheral nerve injury varies from 2.8 to 5% in the population. Estimates of the incidence of chronic postoperative neuropathic pain vary depending on the type of surgery and surgical technique. Various techniques for the prevention and treatment of traumatic neuromas have been recommended, including massage therapy, electrical stimulation, lipofilling, methods of transposition of nerve endings into muscle, bone or vein, and confining the injured nerve with synthetic or biological materials. The challenge in the treatment of traumatic neuromas today is that patients are resistant to analgesics, so standardized treatment is needed. Conclusion : The current challenge in the treatment of traumatic neuromas is that patients are resistant to analgesics, so standardized treatment is needed.

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Section: Epidemiologymentioning

confidence: 99%

Traumatic Neuropathic Pain

Lutfia

Arsiazi

Farihah

et al. 2022

KESANS

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“…Dengan menyesuaikan konsentrasi kombinasi sufentanil-tramadol, analgesia pascabedah dapat ditingkatkan. 31 Antagonis Reseptor NMDA Obat golongan antagonis reseptor NMDA, seperti ketamin pada dosis subanestetik efektif dalam mengurangi kebutuhan morfin dalam 24 jam pertama setelah pembedahan. Obat ini merupakan modulator sensitisasi sentral dan bermanfaat sebagai analgesik selain opioid (tramadol dan morfin) setelah pembedahan mayor pada abdomen dan telah terbukti berguna untuk mengobati nyeri neuropatik yang tidak responsif.…”

Section: Penatalaksanaanunclassified

“…Namun, efek analgesik jangka panjang dari antagonis NMDA belum terbukti memuaskan. 31 Sebuah penelitian mempelajari efek ketamin intravena 10 mg pada periode perioperatif. Meskipun tidak terdapat perbedaan dalam kejadian nyeri breakthrough dalam 24 jam pertama, penelitian menunjukkan bahwa mungkin ada manfaatnya dalam mengurangi nyeri dua minggu setelah SS.…”

Section: Penatalaksanaanunclassified

“…Hal ini dapat menghemat biaya. 31 Terapi Fisik dan Perilaku Terapi fisik pada manajemen nyeri neuropatik meliputi terapi panas dan dingin, diatermi gelombang pendek, transcutaneus electrical nerve stimulation[TENS], laser dan teknik neurostimulasi seperti stimulasi otak dalam dan stimulasi magnetik transkranial. Rehabilitasi juga merupakan bagian penting dari manajemen nyeri neuropatik.…”

Section: Stimulasi Medula Spinalisunclassified

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Mengenal Nyeri Neuropatik Akut Pasca Seksio Sesarea

Ahmad

Hardiyanti

2021

JAOI

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Nyeri neuropatik akut pascabedah Seksio Sesarea (SS) ditandai dengan adanya tanda dan gejala nyeri neuropatik yang berbeda dari nyeri nosiseptif berupa alodinia dan hiperalgesia, yang ditemukan pada periode awal hingga 1 bulan pascabedah. Nyeri neuropatik akut dapat terjadi akibat cedera langsung pada saraf iliohipogastrika dan ilionguinal akibat pembedahan SS, yang selanjutnya memicu pelepasan ektopik dan perubahan kanal ion pada saraf perifer, serta memicu terjadinya sensitisasi sentral. Meskipun demikian, disfungsi saraf pascabedah biasanya merupakan kombinasi dengan nyeri nosiseptif akibat kerusakan jaringan dan peradangan. Skrining perioperatif dan faktor risiko dapat menggunakan alat skrining Douleur Neuropathique en 4 (DN4) atau DN2 untuk mencegah perkembangan menjadi nyeri persisten. Pendekatan saat ini untuk pencegahan nyeri neuropatik kronis bertujuan untuk mengoptimalkan analgesia dan mengurangi nosisepsi dari nyeri akut dengan memodifikasi teknik bedah dan memilih anestesi regional. Pengobatan nyeri neuropatik memerlukan kombinasi terapi farmakologis, fisik, dan terapi perilaku. Beberapa terapi lini pertama pada penanganan nyeri neuropati akut seperti gabapentinoid, opioid, antagonis reseptor NMDA, hingga terapi stimulasi listrik transkutan dan stimulasi medula spinalis menjadi pertimbangan untuk nyeri neuropatik akut.

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“…A DPO não apenas causa aspectos desagradáveis e repercussões patológicas (como complicações cardiovasculares, neurológicas, respiratórias e possível surgimento de uma dor crônica a partir da DPO aguda), mas também retarda a deambulação e a alta hospitalar do paciente (2,(12)(13)(14)(15) . Além disso, fatores relacionados às necessidades individuais do paciente no pré e pós-operatório, bem como aos serviços prestados pela equipe multidisciplinar, podem influenciar no completo bem-estar do paciente e na promoção de saúde.…”

Section: Introductionunclassified

Dor pós-operatória em hospital universitário: perspectivas para promoção de saúde

Franco

Sugai

Silva

et al. 2017

RBPS

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Thaís de Carvalho da SilvaUniversidade José do Rosário Vellano -UNIFENAS -Alfenas -(MG) -Brasil Roberta Bessa Veloso SilvaUniversidade José do Rosário Vellano -UNIFENAS -Alfenas -(MG) -Brasil Roberto Salvador de Souza Guimarães Universidade José do Rosário Vellano -UNIFENAS -Alfenas -(MG) -Brasil Cláudio Daniel Cerdeira Universidade Federal de Alfenas -UNIFAL -Alfenas -(MG) -Brasil Gérsika Bittencourt SantosUniversidade José do Rosário Vellano -UNIFENAS -Alfenas -(MG) -Brasil RESUMOObjetivo: Avaliar a prevalência, os fatores influentes e a magnitude da dor pós-operatória (DPO) em pacientes atendidos em um hospital universitário. Métodos: Realizou-se estudo prospectivo e transversal envolvendo 100 pacientes submetidos a diferentes procedimentos cirúrgicos, no período de março a maio de 2016, entrevistados nas primeiras 24 horas do pós-operatório e avaliados através de uma escala visual numérica (EVN). Resultados: As cirurgias mais comuns encontradas são: cesárea, apendicectomia, prostatectomia, tireoidectomia total e osteossíntese; e as anestesias: raquianestesia e geral balanceada, sendo a prevalência de DPO menor quando usada a raquianestesia. Dos pacientes, 43% (n = 43) declararam DPO, com prevalência de 44% (n = 14) para o sexo masculino e 43% (n = 29) para o feminino. Entre esses, 30% (n = 13) classificaram a DPO como de intensidade forte, 53,5% (n = 23) classificaram como moderada, e 14% (n = 6), leve. Houve maior prevalência de DPO nas faixas etárias de 25-34 e 55-64 anos, e relações causais significativas entre o sexo do paciente e as variáveis diagnóstico, tipo de cirurgia, local ou intensidade da dor. Além disso, o local da DPO relacionou-se com a faixa etária ou tipo de cirurgia, e a intensidade se relacionou com a faixa etária. Conclusão: A dor pós-operatória no hospital universitário em questão se apresentou prevalente em pacientes de ambos os sexos e dependente da faixa etária, da heterogeneidade de procedimentos cirúrgicos e de protocolos anestésicos, sendo a de intensidade moderada a mais identificada.Descritores: Dor; Cirurgia Geral; Prevalência; Epidemiologia.

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Post-trauma and postoperative painful neuropathy

Cited by 8 publications

References 57 publications

Traumatic Neuropathic Pain

Traumatic Neuropathic Pain

Mengenal Nyeri Neuropatik Akut Pasca Seksio Sesarea

Dor pós-operatória em hospital universitário: perspectivas para promoção de saúde

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