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当前围手术期疼痛监测及潜在方向。

Current perioperative nociception monitoring and potential directions.

机构信息

Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China; Laboratory of Anesthesia and Critical Care Medicine, National-Local Joint Engineering Research Centre of Translational Medicine of Anesthesiology, China.

Department of Anesthesiology, Yan'an Hospital of Kunming City, Kunming Medical University, Kunming, Yunnan, China.

出版信息

Asian J Surg. 2024 Jun;47(6):2558-2565. doi: 10.1016/j.asjsur.2024.03.090. Epub 2024 Mar 27.

DOI:10.1016/j.asjsur.2024.03.090
PMID:38548545
Abstract

Perioperative nociception-antinociception balance is essential for the prevention of adverse postoperative events. Estimating the nociception level helps optimize intraoperative management. In the past two decades, various nociception monitoring devices have been developed for the identification of intraoperative nociception. However, each type of nociception monitoring device has advantages and disadvantages, limiting their clinical application in particular patients and settings. Therefore, this review aimed to summarize the information on nociceptor monitoring in current clinical settings, explore each technique's particularities, and possible future directions to provide a reference for clinicians and researchers.

摘要

围术期痛觉-抗痛觉平衡对于预防不良术后事件至关重要。评估痛觉水平有助于优化术中管理。在过去的二十年中,已经开发出各种痛觉监测设备来识别术中痛觉。然而,每种类型的痛觉监测设备都有其优缺点,限制了它们在特定患者和特定环境中的临床应用。因此,本综述旨在总结当前临床环境中痛觉感受器监测的信息,探讨每种技术的特点和可能的未来方向,为临床医生和研究人员提供参考。

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