Berna Chantal, Luthy Christophe, Samer Caroline F, Spechbach Hervé, Pautex Sophie, Piguet Valérie
Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA 02114, USA.
Rev Med Suisse. 2013 Jun 26;9(392):1360, 1362-5.
Diagnostic or therapeutic procedures can lead to breakthrough pain. Thanks to a wise choice of analgesic medication started in due time, this type of pain can be avoided or decreased. The therapeutic options of this preventive approach are presented according to the expected breakthrough pain type and intensity. Specific situations are presented through case discussions. The main pharmacokinetic information needed to prescribe the right analgesic at the right time is summarized in a convenient table. When associated to non-pharmacological measures such as empathy, patient positioning and high quality procedures, preventive analgesia provides patients the best possible relief from breakthrough pain.
诊断或治疗程序可能导致爆发性疼痛。通过及时明智地选择镇痛药物，这类疼痛可以避免或减轻。根据预期的爆发性疼痛类型和强度，介绍了这种预防方法的治疗选择。通过病例讨论介绍了具体情况。在一个方便的表格中总结了在正确时间开具正确镇痛药所需的主要药代动力学信息。当与共情、患者体位摆放和高质量操作等非药物措施相结合时，预防性镇痛可为患者提供尽可能最佳的爆发性疼痛缓解。
