Consideraciones para el manejo del dolor con opioides en pacientes en situación de enfermedad terminal.
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| Title: | Consideraciones para el manejo del dolor con opioides en pacientes en situación de enfermedad terminal. |
|---|---|
| Alternate Title: | Considerations for the management of pain with opioids in terminally ill patients. |
| Authors: | Osley Garzón-Duque, Maria1, Orrego-Villegas, Elizabeth2, Arenas-Quintero, Federico3, Fernández-Correa, Tomás3, Patricia Probst-Girón, Natalie3 |
| Source: | CES Medicina. ene-abr2023, Vol. 37 Issue 1, p95-113. 19p. |
| Abstract (English): | Introduction: as life expectancy and the incidence of chronic and terminal diseases increase in Latin America, the number of patients requiring palliative care also grows, while the specialized personnel for its management is still limited, thus general practitioners and caregivers being the ones who must support pain management. Objectives: provide theoretical and practical tools, both to general practitioners and to the relatives of patients who require palliative care, that facilitate proper pain management in this type of patient. Materials and methods: a narrative review of the literature was carried out through different databases, publications of palliative care and anesthesia societies, as well as grey literature. Results: among the main results, it was found that the majority of terminally ill patients present moderate or severe pain among their chief symptoms. Of these, a significant percentage did not present adequate pain control at the time of death, mainly due to inappropriate use of opioids, among others due to fear and ignorance on the part of the treating physicians and caregivers. Opioids as a pharmacological group have multiple advantages for use in palliative care, including the possibility of titrating them as needed, rotating opioids, and having multiple routes of administration. Discussion: despite the wide availability of opioids, there are still significant barriers to adequate pain management at the end of life, including the lack of knowledge on the part of general practitioners. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Introducción: a medida que aumenta la expectativa de vida y la incidencia de enfermedades crónicas y terminales en América Latina, también crece el número de pacientes que requieren cuidados paliativos, y el personal especializado para su manejo aun es limitado, siendo los médicos generales y cuidadores quienes deben apoyar el manejo del dolor. Objetivos: brindar herramientas teóricas y prácticas, tanto a médicos generales como a los parientes de pacientes que requieran cuidados paliativos, que les faciliten realizar un adecuado manejo del dolor en este tipo de pacientes. Materiales y métodos: se realizó una revisión narrativa a partir de la sistematización de una búsqueda de diferentes bases de datos, publicaciones de sociedades de cuidados paliativos y anestesia, además de literatura gris. Resultados: entre los principales resultados se vio que la mayoría de los pacientes con enfermedades terminales presentan dolor moderado o severo entre sus síntomas principales. De estos un porcentaje importante no presentaba un control adecuado del dolor al momento de fallecer, principalmente por un uso inadecuado de los opioides, entre otros por miedo y desconocimiento por parte de los médicos tratantes y los cuidadores. Los opioides como grupo farmacológico presentan múltiples ventajas para el uso en cuidados paliativos, entre ellos la posibilidad de titularlos a necesidad, realizar rotación de opioides y disponer de múltiples vías de administración. Discusión: a pesar de la amplia disponibilidad de opioides continúa habiendo barreras significativas para un adecuado manejo del dolor al final de la vida, entre ellos la falta de conocimiento por parte de los médicos generales. [ABSTRACT FROM AUTHOR] |
| Copyright of CES Medicina is the property of Universidad CES and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: lth DbLabel: MedicLatina An: 163838046 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Consideraciones para el manejo del dolor con opioides en pacientes en situación de enfermedad terminal. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Considerations for the management of pain with opioids in terminally ill patients. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Osley+Garzón-Duque%2C+Maria%22">Osley Garzón-Duque, Maria</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Orrego-Villegas%2C+Elizabeth%22">Orrego-Villegas, Elizabeth</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Arenas-Quintero%2C+Federico%22">Arenas-Quintero, Federico</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Fernández-Correa%2C+Tomás%22">Fernández-Correa, Tomás</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Patricia+Probst-Girón%2C+Natalie%22">Patricia Probst-Girón, Natalie</searchLink><relatesTo>3</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22CES+Medicina%22">CES Medicina</searchLink>. ene-abr2023, Vol. 37 Issue 1, p95-113. 19p. – Name: Abstract Label: Abstract (English) Group: Ab Data: Introduction: as life expectancy and the incidence of chronic and terminal diseases increase in Latin America, the number of patients requiring palliative care also grows, while the specialized personnel for its management is still limited, thus general practitioners and caregivers being the ones who must support pain management. Objectives: provide theoretical and practical tools, both to general practitioners and to the relatives of patients who require palliative care, that facilitate proper pain management in this type of patient. Materials and methods: a narrative review of the literature was carried out through different databases, publications of palliative care and anesthesia societies, as well as grey literature. Results: among the main results, it was found that the majority of terminally ill patients present moderate or severe pain among their chief symptoms. Of these, a significant percentage did not present adequate pain control at the time of death, mainly due to inappropriate use of opioids, among others due to fear and ignorance on the part of the treating physicians and caregivers. Opioids as a pharmacological group have multiple advantages for use in palliative care, including the possibility of titrating them as needed, rotating opioids, and having multiple routes of administration. Discussion: despite the wide availability of opioids, there are still significant barriers to adequate pain management at the end of life, including the lack of knowledge on the part of general practitioners. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Introducción: a medida que aumenta la expectativa de vida y la incidencia de enfermedades crónicas y terminales en América Latina, también crece el número de pacientes que requieren cuidados paliativos, y el personal especializado para su manejo aun es limitado, siendo los médicos generales y cuidadores quienes deben apoyar el manejo del dolor. Objetivos: brindar herramientas teóricas y prácticas, tanto a médicos generales como a los parientes de pacientes que requieran cuidados paliativos, que les faciliten realizar un adecuado manejo del dolor en este tipo de pacientes. Materiales y métodos: se realizó una revisión narrativa a partir de la sistematización de una búsqueda de diferentes bases de datos, publicaciones de sociedades de cuidados paliativos y anestesia, además de literatura gris. Resultados: entre los principales resultados se vio que la mayoría de los pacientes con enfermedades terminales presentan dolor moderado o severo entre sus síntomas principales. De estos un porcentaje importante no presentaba un control adecuado del dolor al momento de fallecer, principalmente por un uso inadecuado de los opioides, entre otros por miedo y desconocimiento por parte de los médicos tratantes y los cuidadores. Los opioides como grupo farmacológico presentan múltiples ventajas para el uso en cuidados paliativos, entre ellos la posibilidad de titularlos a necesidad, realizar rotación de opioides y disponer de múltiples vías de administración. Discusión: a pesar de la amplia disponibilidad de opioides continúa habiendo barreras significativas para un adecuado manejo del dolor al final de la vida, entre ellos la falta de conocimiento por parte de los médicos generales. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of CES Medicina is the property of Universidad CES and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.21615/cesmedicina.7197 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 19 StartPage: 95 Titles: – TitleFull: Consideraciones para el manejo del dolor con opioides en pacientes en situación de enfermedad terminal. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Osley Garzón-Duque, Maria – PersonEntity: Name: NameFull: Orrego-Villegas, Elizabeth – PersonEntity: Name: NameFull: Arenas-Quintero, Federico – PersonEntity: Name: NameFull: Fernández-Correa, Tomás – PersonEntity: Name: NameFull: Patricia Probst-Girón, Natalie IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Text: ene-abr2023 Type: published Y: 2023 Identifiers: – Type: issn-print Value: 01208705 Numbering: – Type: volume Value: 37 – Type: issue Value: 1 Titles: – TitleFull: CES Medicina Type: main |
| ResultId | 1 |
