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Prise En Charge De La Douleur Aigue Du Patient Sous Buprenorphine
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Book Synopsis Douleur chez les patients sous médicament de substitution aux opiacés by : Vincent Bounes
Download or read book Douleur chez les patients sous médicament de substitution aux opiacés written by Vincent Bounes and published by . This book was released on 2013 with total page 62 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chez le patient traité par médicaments de substitution aux opiacés, les phénomènes douloureux, qu'ils soient aigus ou chroniques, sont considérés comme fréquents. Leur reconnaissance et leur prise en charge sont rendues complexes du fait de l'existence d'une hyperalgésie et de possibles réticences à la prescription d'opiacés. Dans la première partie de nos travaux, un état des lieux sur les connaissances et les pratiques de médecins non spécialistes de l'addiction sur la prise en charge de la douleur de patients sous médicament de substitution aux opiacés montre un besoin de formation sur les phénomènes d'hyperalgésie, de tolérance à la douleur et de tolérance croisée aux opioïdes. La deuxième partie de notre travail met en évidence une persistance significativement moindre à 12 mois chez les patients exposés à un phénomène douloureux aigu, y compris après ajustement sur le médicament de substitution. Elle révèle également une réponse différentielle sur le devenir à long terme des patients selon le médicament de substitution, avec un moindre maintien chez les patients traités par buprénorphine. Enfin, la troisième partie de notre travail décrit les pratiques de prise en charge de la douleur aiguë chez des patients traités par buprénorphine ou méthadone et leurs résultats analgésiques. Elle met l'emphase sur la nécessité de faire diminuer les scores de douleur d'au moins 30% lors de la prise en charge de ces patients, afin de diminuer l'impact à long terme de cette douleur sur leur traitement de substitution. Cette thèse souligne enfin l'intrication complexe entre douleur aiguë, douleur persistante et maintien du traitement substitution, et met en évidence les difficultés de suivi chez ces patients.
Book Synopsis Prise en charge de la douleur aigüe du patient sous buprénorphine by : Inès Merlet
Download or read book Prise en charge de la douleur aigüe du patient sous buprénorphine written by Inès Merlet and published by . This book was released on 2020 with total page 170 pages. Available in PDF, EPUB and Kindle. Book excerpt: L'efficacité des traitements de substitution aux opiacés est largement démontrée en santé publique et sur le plan individuel. Cependant, ils présentent des limites en cas de douleur aigüe, particulièrement pour les patients traités par buprénorphine. D'une part, les phénomènes d'hyperalgésie induite par les opioïdes sont à prendre en compte, et doivent être évalués dans la prise en charge. D'autre part, la manipulation des antalgiques chez ces patients impose le respect de recommandations, en ville et à l'hôpital. Ce travail, illustré par un cas clinique, a pour objectif de mettre en avant la complexité du sujet, et de proposer des pistes d'amélioration de prise en charge. D'un point de vue pharmacologique, le recours à un ultra-opioïde semble pertinent, mais son utilisation est une solution dangereuse et ne doit pas être réalisée. Enfin, l'arrivée sur le marché des nouvelles formes de buprénorphine élargit le questionnement de la prise en charge en cas d'urgence.
Book Synopsis Gestion de la douleur aiguë chez les patients sous traitement substitutif aux opiacés by : Antoine Lombrici
Download or read book Gestion de la douleur aiguë chez les patients sous traitement substitutif aux opiacés written by Antoine Lombrici and published by . This book was released on 2015 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt: Le développement des Traitements de Substitution aux Opiacés constitue une grande avancée dans la prise en charge des patients pharmacodépendants. Cependant l'utilisation de ces traitements (Méthadone, Buprénorphine Haut Dosage) au long court entraîne des phénomènes de tolérance croisée et d'hyperalgésie qui compliquent la prise en charge de la douleur aiguë chez les patients. L'analyse de la littérature médicale et scientifique disponible a permis de mettre à jour des recommandations générales de traitement sur la gestion des médicaments substitutifs, associées ou non à des traitements non opiacés comme opiacés. Ces recommandations ne sont malheureusement émises que sur un faible nombre de petites études et d'avis d'experts. Des études de grande ampleur sont encore nécessaires pour permettre une meilleure connaissance de ces pratiques et de leurs efficacités.
Book Synopsis Le médecin généraliste face à la douleur aiguë des patients sous traitement de substitution aux opiacés by : Marie Audigié
Download or read book Le médecin généraliste face à la douleur aiguë des patients sous traitement de substitution aux opiacés written by Marie Audigié and published by . This book was released on 2018 with total page 182 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : le traitement de la douleur aiguë nociceptive des patients sous traitement de substitution aux opiacés (TSO) est complexe en raison de préjugés et d'une physiologie particulière de la douleur chez ces patients. L'absence de recommandations clairement établies sur ce sujet accentue cette difficile prise en charge. L'objectif était d'étudier les représentations, les ressentis et les pratiques des médecins sur ce sujet. Méthode : cette étude descriptive transversale a été menée auprès des médecins généralistes exerçant dans les Alpes-Maritimes et recevant des patients sous TSO. Ils ont été tirés au sort et interrogés entre octobre 2017 et janvier 2018 via un questionnaire en ligne. Résultats : sur les 42 médecins inclus dans l'étude, 60 % ont exprimé une gêne face à la plainte douloureuse des patients sous TSO et 81 % avaient des préjugés les rendant réticents à la prescription d'antalgiques opiacés. Les pratiques d'analgésie étaient disparates selon l'intensité de la douleur et le type de TSO prescrit. Face à une douleur modérée, 28 % à 32 % des médecins avaient des pratiques permettant une analgésie optimale. En cas de douleur intense, alors que 24 % des médecins avaient des pratiques permettant une analgésie optimale des patients sous méthadone, chez les patients sous buprénorphine ils n'étaient que 5 %. Seuls 18 % à 32 % des médecins ont modulé le TSO pour prendre en charge la douleur. Quelque soit le TSO, le fait d'être plus fréquemment confronté à ces patients a aidé à l'optimisation de la prise en charge (p
Book Synopsis Pharmacology of Pain by : Pierre Beaulieu
Download or read book Pharmacology of Pain written by Pierre Beaulieu and published by Lippincott Williams & Wilkins. This book was released on 2015-06-01 with total page 978 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pharmacology of Pain provides a complete review of the pharmacology of pain, including mechanisms of drug actions, clinical aspects of drug usage, and new developments. This authoritative book describes the different systems involved in the perception, transmission, and modulation of pain and discusses the available options for pharmacological treatment of pain. Who should buy this book? Pharmacology of Pain is a particularly useful resource for: Basic researchers and clinicians, including physicians, dentists, pharmacists, nurses, and physical therapists Other professionals in the field of pain research and treatment Students and trainees
Book Synopsis Pain in Infants, Children, and Adolescents by : Neil L. Schechter
Download or read book Pain in Infants, Children, and Adolescents written by Neil L. Schechter and published by Lippincott Williams & Wilkins. This book was released on 2003 with total page 924 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Second Edition is a significant revision of the leading text and clinical reference on pediatric pain. Written by an international group of experts from all relevant disciplines, this new edition is a vital reference for all pain practitioners, and for nurses, psychologists, PTs, anesthesiologists, and pediatricians dealing with acute and chronic pediatric pain. This edition includes new and expanded information on NSAIDs, opioids, and regional anesthesia. New chapters cover sedation, pain in the ICU, multidisciplinary pain services, palliative care, and the long-term consequences of pain. User-friendly new features include many more illustrations of techniques.
Book Synopsis Die Morphiumsucht by : Eduard Levinstein
Download or read book Die Morphiumsucht written by Eduard Levinstein and published by . This book was released on 1878 with total page 158 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Community Management of Opioid Overdose by : World Health Organization
Download or read book Community Management of Opioid Overdose written by World Health Organization and published by . This book was released on 2015-09-08 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: An estimated 69000 people die each year from opioid overdose. Opioid overdose is easily reversed with the opioid antidote naloxone and with basic life support. Such care is generally only available in medical settings, however. These guidelines recommend that people who are likely to witness an opioid overdose, including people who use opioids, and their family and friends should be given access to naloxone and training in its use so that they can respond to opioid overdose in an emergency if a medical response is not available. Naloxone can be injected or administered intra-nasally and has minimal effects in people who have not used opioids. While naloxone administered by bystanders is a potentially life-saving emergency interim response to opioid overdose, it should not be seen as a replacement for comprehensive medical care.
Download or read book Cancer Pain written by Eduardo D. Bruera and published by Cambridge University Press. This book was released on 2010 with total page 657 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the second edition of the widely praised book by Drs Eduardo D. Bruera and Russell K. Portenoy on all aspects of cancer pain.
Book Synopsis Adverse Syndromes and Psychiatric Drugs by : Peter Haddad
Download or read book Adverse Syndromes and Psychiatric Drugs written by Peter Haddad and published by Oxford University Press. This book was released on 2004-05-27 with total page 334 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pharmacotherapy is an important part of the treatment of major phychiatric disorders. Although psychiatric drugs can have benefits for patients, adverse syndromes are common, causing distress for patients. This book will help psychiatrists, GPs pharmacists and nurses manage adverse syndromes associated with psychiatric drugs.
Book Synopsis Understanding Suicide by : Philippe Courtet
Download or read book Understanding Suicide written by Philippe Courtet and published by Springer. This book was released on 2016-03-05 with total page 444 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this book international experts address a range of key current issues relating to suicide. The opening chapters discuss nosology, definitions, clinical determinants, and conceptual models of the suicide process and consider the evidence regarding potential biomarkers of suicide risk based on neuroscientific research. Adopting a neo-Durkheimian perspective, the role of various social factors in the genesis of suicidal behavior is then explored in depth. Practical user-friendly tools that facilitate risk assessment by clinicians are provided, and detailed consideration is given to efficient and innovative strategies for the prevention of suicide and the treatment of suicidal behavior, such as psychotherapy, psychopharmacological approaches, and effective organization of care, including surveillance and the use of online tools. The final part of the book focuses on the need for and development of a personalized approach within the field of suicide prevention.
Book Synopsis Goodman and Gilman's Manual of Pharmacology and Therapeutics by : Louis Sanford Goodman
Download or read book Goodman and Gilman's Manual of Pharmacology and Therapeutics written by Louis Sanford Goodman and published by McGraw Hill Professional. This book was released on 2008 with total page 1232 pages. Available in PDF, EPUB and Kindle. Book excerpt: Put the authority of Goodman & Gilman's in the palm of your hand! 5 STAR DOODY'S REVIEW! "...the most authoritative and trusted source of pharmacological information, has now spawned a portable pocket drug guide....This manual extracts the essential core drug information from the eleventh edition of the parent book, referring the reader to the online version of the parent book for historical aspects, many chemical and clinical details, and additional figures and references. This makes G & G a very useful book. This will be of use to individuals in training or practice in the fields of pharmacy, medicine, nursing, or allied health disciplines where knowledge of drug actions are important....Each chapter provides the core essential information provided in the parent book in a very readable format. Readers can use this easy to handle and read manual for essential information along with the online version of the parent book as a reference for more in-depth specific information on drugs."--Doody's Review Service The Goodman & Gilman Manual of Pharmacology and Therapeutics offers the renowned content of Goodman & Gilman's Pharmacological Basis of Therapeutics, Eleventh Edition, condensed into an ultra-handy, streamlined reference. More than just a pocket drug guide, this indispensable resource offers: A carry-along source of essential fundamental information, with all the authority of Goodman & Gilman's Pharmacological Basis of Therapeutics, Eleventh Edition The benefits of the world's leading pharmacology text in a convenient, portable format Comprehensive, yet streamlined and clinically relevant coverage of the pharmacological basis of therapeutics High-yield overview of pharmacokinetics, pharmacodynamics, and the foundations of pharmacology Expert insights into the properties, mechanisms, and uses of all the major drug classes Considerations of vital patient-specific issues
Book Synopsis Cancer-Related Breakthrough Pain by : Andrew Davies
Download or read book Cancer-Related Breakthrough Pain written by Andrew Davies and published by Oxford University Press, USA. This book was released on 2019-05-27 with total page 113 pages. Available in PDF, EPUB and Kindle. Book excerpt: Breakthrough pain is a common occurrence in patients with cancer pain, and is often associated with a deleterious effect on daily life, impairing quality of life substantially. It is a heterogeneous condition, and management needs to be individualized. This valuable pocketbook discusses the clinical features of breakthrough cancer pain and the different strategies for management. It covers assessment, treatment, and reassessment. It also reviews the evidence for pharmacological interventions, like rapid onset opioids, as well as non-pharmacological interventions and disease modifying treatments. This new edition has been thoroughly updated to account for recent developments within the field. These updates ensure that Cancer-Related Breakthrough Pain (Oxford Pain Management Library) continues to be an invaluable resource for specialists and trainees in palliative care and pain management, as well as being a quick reference guide for GPs, specialist nurses, and other healthcare professionals.
Book Synopsis Perioperative Pain Management by : Richard D. Urman
Download or read book Perioperative Pain Management written by Richard D. Urman and published by Oxford University Press. This book was released on 2013-05-23 with total page 141 pages. Available in PDF, EPUB and Kindle. Book excerpt: Perioperative Pain Management is an up-to-date, evidence-based guide for clinicians who diagnose and treat post-surgical patients.
Book Synopsis Office Emergencies by : Marjorie A. Bowman
Download or read book Office Emergencies written by Marjorie A. Bowman and published by . This book was released on 2003 with total page 420 pages. Available in PDF, EPUB and Kindle. Book excerpt: Inside, you'll find practical information on how to handle the most common emergencies that present in primary care offices and urgent care centers -- whether in person or over the telephone.
Book Synopsis Painful Diabetic Polyneuropathy by : Erin Lawson
Download or read book Painful Diabetic Polyneuropathy written by Erin Lawson and published by Springer Science & Business Media. This book was released on 2013-02-26 with total page 205 pages. Available in PDF, EPUB and Kindle. Book excerpt: Painful diabetic polyneuropathy is the most common and disturbing of painful conditions experienced by people with diabetes. As the diabetes rate continues to grow, the number of people suffering from painful diabetic polyneuropathy will as well – increasing both patient suffering and demands on healthcare resources. Painful Diabetic Polyneuropathy covers all aspects of these painful disorders from pathophysiology and diagnosis, treatment and prevention, future approaches and the nursing perspective, to billing issues and the patient’s experience. Written by experts in their fields, each chapter presents the full perspective of these painful disorders with an emphasis on evidence-based scientific information. Painful Diabetic Polyneuropathy is a comprehensive resource for general and family medicine practitioners, neurologists and pain medicine specialists. It will also serve as a resource for patients for education, support, and treatment sites.
Book Synopsis Veterinary Anesthesia and Analgesia by : Kurt A. Grimm
Download or read book Veterinary Anesthesia and Analgesia written by Kurt A. Grimm and published by John Wiley & Sons. This book was released on 2015-05-11 with total page 1072 pages. Available in PDF, EPUB and Kindle. Book excerpt: Veterinary Anesthesia and Analgesia: the Fifth Edition of Lumb and Jones is a reorganized and updated edition of the gold-standard reference for anesthesia and pain management in veterinary patients. Provides a thoroughly updated edition of this comprehensive reference on veterinary anesthesia and analgesia, combining state-of-the-art scientific knowledge and clinically relevant information Covers immobilization, sedation, anesthesia, and analgesia of companion, wild, zoo, and laboratory animals Takes a body systems approach for easier reference to information about anesthetizing patients with existing conditions Adds 10 completely new chapters with in-depth discussions of perioperative heat balance, coagulation disorders, pacemaker implantation, cardiac output measurement, cardiopulmonary bypass, shelter anesthesia and pain management, anesthetic risk assessment, principles of anesthetic pharmacology, and more Now printed in color, with more than 400 images
