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Download Book 9 788409 035427 Título: Master lessons in multidisciplinary pain management. Clases magistrales en el trata- miento multidisciplinar del dolor Prof. Dr. D. Jordi Moya Riera Prof. Dr. D. Jaime Rodríguez Quintosa Prof. D. Raúl Fernández Moya I.S.B.N.: 978-84-09-03542-7 Edición: EIU International Maquetación: EIU International Plaça Europa 2-4 3ºC Plaça Europa 2-4 3ºC L’Hospitalet de Llobregat 08902 L’Hospitalet de Llobregat 08902 Barcelona, Spain Barcelona, Spain Tel. (+34) 930.117.180 Tel. (+34) 930.117.180 www.eiu.edu.bz [email protected] Índice CONTENIDO Naloxegol un nuevo concepto en el tratamiento del estreñimiento inducido por opioides 5 Capsaicina 8% eficaz en una lumbalgia resistente al tratamiento quirúrgico ...................... 7 Proyecto de elaboración de un protocolo de manejo del dolor en urgencias ....................... 9 Meralgia parestésica obstétrica: ¿una entidad subestimada? .............................................. 11 Manejo del dolor neuropatico en urgencias ......................................................................... 13 Hierbas o hierbajos ................................................................................................................ 17 Symptoms control in terminally ill patients: effectiveness of opioid treatment for break through dyspnea ..................................................................................................................... 21 Pie plano doloroso del adulto. Tratamiento quirúrgico ....................................................... 23 Manejo del estreñimiento crónico inducido por opiodes con naloxegol ........................... 27 Bloqueo de bier en síndrome de dolor regional complejo (sdrc) ....................................... 31 Fentanilo intranasal en el postoperatorio de hemorroidectomia ambulatoria. ................... 33 Ozonoterapia en las unidades de dolor. ................................................................................ 35 Ozonoterapia en medicina del dolor. Actualización ........................................................... 49 Pie doloroso ............................................................................................................................ 71 Una esperanza en la historia del dolor .................................................................................. 77 El papel de la capsaicina transcutánea en el tratamiento del dolor neuropático periférico rebelde al tratamiento clásico ................................................................................................ 81 Actualizaciones en el dolor crónico de espalda ................................................................... 85 Afrontando el dolor ............................................................................................................. 113 El dolor reflejado en un lienzo ............................................................................................ 123 Plasma rico en plaquetas en patología aquileo plantar. ..................................................... 155 Relevancia social del dolor. ¿Qué papel jugamos cada uno? ........................................... 163 Symptoms control in terminally ill patients: effectiveness of opioid treatment for breakthrough dyspnea ...............................................................................175 Manejo terapéutico en españa del dolor irruptivo asociado a metástasis óseas .177 Rescate inusual de una artrodesis metatarsofalángica del hallux, enuna paciente con artropatia lúpica de jaccoud ............................................................................. 179 Estudio de eficacia y seguridad de tratamiento con palexia y abstral .............................. 181 Sedación consciente más anestesia local para la operación estética de rinoplastia ......... 183 Necrosis avascular cabeza femoral bilateral post-gestacional .......................................... 185 Dolor oncológico: un caso desde el abordaje multidisciplinar. ........................................ 189 Clases magistrales en el tratamiento multidisciplinar del dolor 3 Evolución de la prevalencia del dolor en hospital plató (1997- 2017) ............................. 193 Vortioxetina en el manejo de una paciente con fibromialgia de difícil control ............... 195 Circuito pre-quirurgico del paciente programado en el proceso de artroplastia de rodilla o cadera .................................................................................................................................... 197 Eficacia del fentanilo intranasal con pectina en el manejo del dolor irruptivo oncológico en pacientes con vía oral comprometida ................................................................................. 199 Abordaje no farmacológico del dolor crónico en la mujer. Una experiencia piloto ....... 201 Modelo integrado de clinica del dolor: hacia un equipo multidisciplinar Tratamientos del dolor oncologico con electroacupuntura: estudio piloto. Clínica del dolor teknon. Barcelona españa. .................................................................................................................................. 203 Técnicas de potenciación de la analgesia endógena en pacientes con dolor crónico no oncológico: impacto en satisfacción del usuario, calidad de vida y consumo farmacológico................................. ....................................................................................... 205 Dexametasona. Un antiinflamatorio de uso en anestesiologia. Nuestra experiencia. ..... 207 Dolor oncológico y estreñimiento inducido por opioides ................................................. 209 Hernioplastia inguinal ambulatoria en la ucsi del hospital platón: revisión de los últimos 11 años. ...................................................................................................................................... 215 Tratamiento del dolor post operatorio hemorroides .......................................................... 219 Estudio prospectivo para valorar la eficacia y seguridad del implante de fracción estromal vascular de la grasa con un mínimo de 40 millones de adsc como tratamiento de la gonartrosis ii-iii-iv ................................................................................................................................... 223 Meralgia parestésica obstétrica: ¿una entidad subestimada? ............................................ 233 Hacer y deshacer en dolor neuropático. Efectos de los antidepresivos en el asta posterior .. 235 Embolización radiológica en el tratamiento de la capsulitis adhesiva de hombro ........... 237 Estudio onco-adhiérete: percepción de los médicos acerca de la adherencia al tratamiento opioide en pacientes con dolor irruptivo oncológico ........................................................ 239 Fentanilo intranasal en el postoperatorio de hemorroidectomia ambulatoria .................. 241 ¿Por qué se ha cronificado mi dolor? ................................................................................. 243 Estudio scenarios. Sensibilización central en paciente con dolor articular: criterios diagnósticos .......................................................................................................................... 247 Manejo de lesión de nervio peroneo común tras esguince de tobillo. A propósito de un caso........ .................................................................................................................................................... 251 Manejo del dolor en paciente con cirrosis hepatica. A propósito de un caso. ................. 255 Tríptic informatiu pel pacient amb tractament de rizolisi per radiofreqüència ................ 259 4 Master lessons in multidisciplinary pain management NALOXEGOL UN NUEVO CONCEPTO EN EL TRATAMIENTO DEL ESTREÑIMIENTO INDUCIDO POR OPIOIDES Dr. Rafael Gálvez Mateos Unidad del Dolor Hospital Universitario “Virgen de las Nieves”. Granada INTRODUCCIÓN ntre los fármacos más utilizados y con mayor eficacia analgésica frente al do- Elor intenso se encuentran los derivados opioides. Al igual que otros fármacos, los opioides no están exentos de efectos adversos, y si bien las naúseas, vómitos o mareos, permanecen temporalmente, otros, como el estreñimiento inducido por opioides (EIO), permanece y puede afectar de forma importante la calidad de vida de los pacientes. EIO está considerado entre los efectos adversos más prevalentes en los pacientes con dolor crónico sometidos a terapia analgésico con opioides (30-80% del total). El mecanismo de acción del EIO está ligado a la estimulación directa de los receptores mu opioides a nivel gastrointestinal, y conlleva una reducción del peristaltismo, de la secreciones intestinales, retraso en la evacuación y anomalías del funcionamiento del esfínter rectal. El cuadro clínico del EIO conlleva estreñimiento, retraso en la defecación, junto a heces duras, dolor anal, flatulencia, digestiones pesadas, etc.... El tratamiento clásico del EIO en la práctica habitual consiste en medidas como la dieta, ejercicio y laxantes, llegando incluso al uso de enemas en los casos más difíciles. Esta serie de terapias frente al EIO, al margen de ser molestas, no siem- pre solucionan el problema, creando insatisfacción del tratamiento opioide entre los pacientes y conduciendo a veces a tomar una de las peores decisiones como puede ser la reducción o supresión de los opioides. Esta opción puede conducir no solo a la falta de analgesia, y un aumento del dolor por efecto rebote, sino también a un
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