Please enable JavaScript.
Coggle requires JavaScript to display documents.
Acute Pain: Addressing and Assessing acute pain - Coggle Diagram
Acute Pain: Addressing and Assessing acute pain
Gate Control Theory
Reasons why pain Should be treated
Referred vs Radiating Pain
Referred Pian
Can be defined as pain from deep organ arising from a dermatome or dermatomes of the body wall distant or remote
Radiating Pain
Pain that is spreading outward, and that starts in one area and spreads along distribution of nerves
Assessment
Management of Pain
Patient-controlled Analgesia
Neuraxial Analgesia
Epidural Analgesia
Placement of medications or indwelling catheter in epidural space
Intrathecal Analgesia
Hydrophillic Opioids: Penetrate spinal cord and bind to receptors
Lipophillic opioids: Bind to non-specific receptors, cross dura
Contraindications
Increases ICP, Coagulopathy, Systemic Infection
Complications
Hypotension dural puncture, epidural hematoma, infection, respiratory depression
Peripheral Nerve Blocks
Single injection peripheral nerve blockade provides pain control
Continuous peripheral nerve block extend the benefits of PNB
Contraindications
Patient refusal, infection of block, anticoagulation
Complicatiosn