Traiter efficacement la douleur incidente chez l&#039;adulte. Donnez le bon antalgique au bon moment

Berna, Chantal; Luthy, Christophe; Samer, Caroline Flora; Spechbach, Hervé; Pautex, Sophie Marie; Piguet, Valérie

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Title		Traiter efficacement la douleur incidente chez l'adulte. Donnez le bon antalgique au bon moment
Authors		Berna, Chantal Luthy, Christophe Samer, Caroline Flora Spechbach, Hervé Pautex, Sophie Marie Piguet, Valérie
Published in		Revue médicale suisse. 2013, vol. 9, no. 392, p. 1360-1365
Abstract		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.
Keywords		Administration, Cutaneous — Aged — Analgesics/therapeutic use — Analgesics, Opioid/administration & dosage — Anesthetics, Local/administration & dosage — Anti-Inflammatory Agents, Non-Steroidal/administration & dosage — Bone Neoplasms/complications/drug therapy/secondary — Breakthrough Pain/diagnosis/drug therapy/etiology — Carcinoma/complications/drug therapy/secondary — Drug Therapy, Combination — Empathy — Female — Humans — Kidney Failure, Chronic/complications — Lidocaine/administration & dosage — Lung Neoplasms/complications/drug therapy/pathology — Male — Middle Aged — Patient Positioning — Pleural Effusion/complications/diagnosis/drug therapy/surgery — Prilocaine/administration & dosage — Treatment Outcome
Identifiers		PMID: 23882913
Full text		Article (Published version) (565 Kb) - Free access
Structures		Faculté de médecine / Section de médecine clinique / Département d'anesthésiologie, pharmacologie, soins intensifs et urgences Faculté de médecine / Section de médecine clinique / Département de réadaptation et gériatrie Faculté de médecine / Section de médecine clinique / Département de santé et médecine communautaires
Research groups		Aspects psychosociaux des maladies chroniques (247) Groupe Desmeules Jules (pharmacologie/toxicologie) (567) Médecine palliative (709)
Citation (ISO format)		BERNA, Chantal et al. Traiter efficacement la douleur incidente chez l'adulte. Donnez le bon antalgique au bon moment. In: Revue médicale suisse, 2013, vol. 9, n° 392, p. 1360-1365. https://archive-ouverte.unige.ch/unige:33753