Nobel Laureate Albert Schweitzer called it "the most terrible of the lords of humankind." Joins us from the biblical "give birth in pain" with which God punished Eve, until now, has been a fellow-sufferer of man wherever he goes. Pain, defined by the IASP as "an unpleasant sensory and emotional experience associated with actual tissue damage, potential or described as such" is the third leg of the specialty of Anesthesiology, Reanimation and Pain Therapy. It is we, who are dedicated to the inexact science of anesthesia, experts in the treatment of this terrible master. Always keeping note that, to treat pain, we should not honor the Greek translation of the word anesthesia: numbness. And the pain is, as stated by the IASP, a subjective aspect that can not be downplayed.
In children, the pain is under treated for many years for several reasons. First, training in pain was low (still is, although this is slowly changing) and, secondly, the choice of opioid was afraid of possible side effects. In addition, there was a social tendency to minimize pain considering it a sign of weakness of character and avoided in children if, big mistake, that did not remember painful episode.
For all that, to put my bit in the knowledge of this third leg of the specialty, I dived full (after the lapse of summer, where the dwarves have left me no breathing) in a full review postoperative pain management in children.
But as the house is to start with the foundation, I have broken the topic into a series of revisions: Today is the first. Let's talk about the anatomical and physiological bases of pain. You can download the patch by clicking here .
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