O papel dos bloqueios anestésicos no tratamento da dor de origem cancerosa

Oliveira, Amaury Sanchez; Torres, Henrique de Paiva

doi:10.1590/s0034-70942003000500013

Cited by 5 publications

(3 citation statements)

References 12 publications

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“…Motor block resulting from FNB can directly influence the performance of early physiotherapy, whereas intrathecal morphine poorly controls dynamic pain, 21 factors that can negatively interfere with rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

Comparison between subarachnoid morphine and femoral nerve block for analgesia after knee ligament reconstruction: a randomized clinical trial

Fiorentin

Martins

Cañola

et al. 2020

Brazilian Journal of Anesthesiology (English Edition)

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Section: Discussionmentioning

confidence: 99%

Comparison between subarachnoid morphine and femoral nerve block for analgesia after knee ligament reconstruction: a randomized clinical trial

Fiorentin

Martins

Cañola

et al. 2020

Brazilian Journal of Anesthesiology (English Edition)

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“…However, it is necessary that health graduation courses be constantly updated with regard to drug therapy concepts and protocols 16 . With regard to drugs interacting with NSAIDs, participants have answered that those more closely related are AAS (25.2%), paracetamol (28.5%) and ibuprofen (20.1%); however, all of them are also part of this class of anti-inflammatory drugs and their concomitant use may exacerbate their effects, thus bringing further risks for patients 17 .…”

Section: Discussionmentioning

confidence: 99%

Conhecimento e atitudes de fisioterapeutas sobre fármacos anti-inflamatórios não esteroides

Coelho-de-Souza¹,

Gomes²,

Abdon³

et al. 2013

Rev. dor

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MÉTODO:Utilizou-se um questionário com 18 perguntas estruturadas, englobando aspectos demográficos, conhecimento atual, prática atual e a posição do profissional quanto ao uso das AINES. RESULTADOS: Foram avaliados 119 profissionais, destes, 84,9% cursaram a disciplina de Farmacologia. Os resultados indicam a necessidade de maior educação em relação à legislação corrente sobre a prescrição de fármacos, já que 47,8% afirmam aconselhar, 3,3% prescrever e 21% recomendar o uso de AINES, atos não permitidos para esses profissionais. CONCLUSÃO: Identificou-se fragilidade no conhecimento do profissional fisioterapeuta acerca da utilização do uso dos AINES, ressaltando-se a não identificação de reações adversas, interações farmacológicas e o conhecimento sobre a legislação. Descritores: Anti-inflamatórios não esteroides, Conhecimento, Fisioterapeutas. INTRODUCTIONThe search for knowledge update in different professional areas is mandatory today, especially in public health areas. Drugs have been object of concerns and several studies carried out worldwide in the medical area, emphasizing issues regarding their potential adverse reactions, prescription standards and the influence of advertising on their choice 1,2 . According to the Code of Professional Ethics in Physical Therapy and Occupational Therapy, approved by the Resolution Coffito-10, from July 03, 1978, physical therapists are forbidden to prescribe drugs. However, they should know how physical therapy may affect drug therapy and vice-versa 3 . Aiming at providing drug knowledge to these professionals, the pharmacology discipline is mandatory for Physical Therapy students in most Brazilian courses, being classically ministered for each class of drugs: pharmacodynamics, pharmacokinetics, major drugs, clinical use and side effects 4 . However, an Australian study has pointed to the need for better education of physical therapists about drugs, especially anti-inflammatory uses, indications, contraindications, pharmacological interactions and side effects 5 . Among drugs with excessive number of prescriptions there are non-steroid anti-inflammatory drugs (NSAIDs), with emphasis to the so-called selective cyclo-oxygenases-2 (COX-2) inhibitors 6 . Many NSAIDs have gone from the status of prescription drugs to METHOD:The study consisted of a questionnaire with 18 structured questions, encompassing demographic aspects, current understanding, current practice and professionals' position about the use of NSAIDs. RESULTS: We have evaluated 119 professionals, of whom 84.9% attended the discipline of Pharmacology. Results indicate the need for further education with regard to current legislation about drug prescription, since 47.8% stated advising, 3.3% prescribing and 21% recommending the use of NSAIDs, which is not allowed for these professionals. CONCLUSION: There is poor understanding of physical therapists with regard to the use of NSAIDs, especially the non identification of adverse reactions, drug interactions and knowledge of the legislation.

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“…This cancer pain management protocol is based on three major steps, in ascending order of potency, from non-opioid analgesics and progressing to opioids when pain is moderate or severe. Non-steroid anti-inflammatory drugs (NSAIDs), weak opioids and strong opioids are proposed in this sequence 2,6,11 . Adjuvant drugs may be associated to these drugs, such as antidepressants and anticonvulsants, among others.…”

Section: Contentsmentioning

confidence: 99%

Papel do farmacêutico no seguimento farmacoterapêutico para o controle da dor de origem oncológica

Rabelo¹,

Borella²

2013

Rev. dor

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BACKGROUND AND OBJECTIVES: Pain is a frequent cancer symptom, however most of the times pharmacists of the hospital pharmacy, due to the huge bureaucratic tasks that depart them from patients, have not significantly contributed in assisting cancer pain patients. This study aimed at proposing the insertion of pharmacists in the cancer pain control team aiming at the rational use of drugs at and monitoring patients' adverse reactions. CONTENTS: For effective pain control, implementation of analgesic measures and assessment of therapeutic efficacy, it is critical to adequately use the "Guide to Cancer Pain Management" of the World Health Organization (WHO), which establishes guidelines for controlling pain of most advanced cancer patients; it is also fundamental to report patients' painful experience to health professionals. CONCLUSION: Pain measurement scales added to WHO's recommended protocol have been shown to be a critical tool for the rational use of drugs. Pharmacists, in addition to performing their daily activities, are qualified to interact in multidisciplinary teams helping controlling cancer patients' pain, by evaluating the compliance with this WHO protocol to control pain.

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O papel dos bloqueios anestésicos no tratamento da dor de origem cancerosa

Abstract: RESUMO

Cited by 5 publications

References 12 publications

Comparison between subarachnoid morphine and femoral nerve block for analgesia after knee ligament reconstruction: a randomized clinical trial

Comparison between subarachnoid morphine and femoral nerve block for analgesia after knee ligament reconstruction: a randomized clinical trial

Conhecimento e atitudes de fisioterapeutas sobre fármacos anti-inflamatórios não esteroides

Papel do farmacêutico no seguimento farmacoterapêutico para o controle da dor de origem oncológica

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