Navegando por Palavras-chave "Pain management"
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- ItemAcesso aberto (Open Access)Analgesics use for kidney failure(Sociedade Brasileira para o Estudo da Dor, 2014-09-01) Sakata, Rioko Kimiko [UNIFESP]; Nunes, Marcelo Henrique Gomes; Universidade Federal de São Paulo (UNIFESP)BACKGROUND AND OBJECTIVES: The use of drugs to treat renal failure has particularities due to pharmacokinetic changes present in such population. This study aimed at supplying subsidies for a rational choice of analgesics to be used in patients with renal failure. CONTENTS: Information is provided about pain prevalence and etiology in renal failure patients. In addition, the use of anti-inflammatory drugs, opioid analgesics and adjuvant drugs for pain management is addressed. CONCLUSION: Adjusting pharmacological therapy to renal function impairment may provide effective treatment with less adverse effects.
- ItemAcesso aberto (Open Access)Dependência de opioide em pacientes com dor crônica(Sociedade Brasileira para o Estudo da Dor, 2011-06-01) Nascimento, Daiana Ciléa Honorato [UNIFESP]; Sakata, Rioko Kimiko [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)BACKGROUND AND OBJECTIVES: Although opioids are useful to treat chronic non-oncologic pain, there are caveats, especially due to abuse and dependence. This study aimed at reviewing the use of opioids in chronic non-oncologic pain. CONTENTS: Definitions of tolerance, abuse and dependence, the incidence of opioid use and dependence in chronic pain patients, risk factors, dependence signs, strategies to decrease risk and pain treatment in dependent patients were described. CONCLUSION: Both diagnosis and treatment of opioid-dependent patients may be difficult. However, pain cannot be subtracted and the physician must be aware of changes indicating abuse. So, the medical understanding about opioids dependence has to be accurate to allow for better management.