Do we feel pain during anesthesia? A critical review on surgery-evoked circulatory changes and pain perception.
Best Pract Res Clin Anaesthesiol
; 31(4): 445-467, 2017 Dec.
Article
em En
| MEDLINE
| ID: mdl-29739535
ABSTRACT
The difficulty of defining the three so-called components of « an-esthesia ¼ is emphasized hypnosis, absence of movement, and adequacy of anti-nociception (intraoperative « analgesia ¼). Data obtained from anesthetized animals or humans delineate the activation of cardiac and vasomotor sympathetic reflex (somato-sympathetic reflex) and the cardiac parasympathetic deactivation observed following somatic stimuli. Sympathetic activation and parasympathetic deactivation are used as monitors to address the adequacy of intraoperative anti-nociception. Finally, intraoperative nociception through the administration of nonopioid analgesics vs. opioid analgesics is considered to achieve minimal postoperative side effects.
Palavras-chave
ANI; CARDEAN; OFA; RVLM; SPI; SSI; alpha-2 agonist; analgesia; analgesics; anesthesia; anti-nociception; cardiac baroreflex; cardiac vagal motoneurons; hyperalgesia; movement; nociception; nonopioid analgesics; nucleus ambiguus; opioid; opioid-free anesthesia; pain; presympathetic neurons; respiratory genesis; somato-sympathetic reflex; surgery; vasomotor baroreflex; vasomotor center; ventilatory depression
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Fluxo Sanguíneo Regional
/
Medição da Dor
/
Percepção da Dor
/
Analgésicos
/
Anestesia
Tipo de estudo:
Systematic_reviews
Limite:
Animals
/
Humans
Idioma:
En
Revista:
Best Pract Res Clin Anaesthesiol
Assunto da revista:
ANESTESIOLOGIA
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
França