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[article]
Titre : |
Validity Of Creatine Kinase As An Indicator Of Muscle Injury In Spine Surgery And Its Relation With Postoperative Pain |
Type de document : |
texte imprimé |
Auteurs : |
Domingo LOMBAO, Auteur |
Année de publication : |
2014 |
Article en page(s) : |
p.545-550 |
Langues : |
Anglais (eng) |
Mots-clés : |
creatine kinase muscle pain spine fusion analgesia |
Résumé : |
Purpose : to confirm the validity of postoperative creatine kinase (CK) values as an indicator of muscle lesion, assess the relationship of CK with variables indicating surgical invasiveness and investigate an association between CK values and excessive postoperative pain. Material and Method : The study included 96 patients (mean age 62.8 years) who underwent instrumented spine fusion for degenerative lumbosacral disease. Serum CK concentration was determined on the first postoperative day. All patients received intravenous paracetamol and metamizole, and in cases of intense pain, rescue analgesia with iv meperidine. Patients were categorized according to whether or not they required rescue analgesia. Data on the number of levels fused, the duration of surgery, and operative bleeding were recorded in each patient. Results : CK values were higher in men and in younger patients. Significant correlations were found between CK and the number of fused levels and duration of surgery. Only 17.7% of patients required rescue analgesia. CK levels did not significantly differ between patients who did not need rescue analgesia (1135 IU/L) and those who did (1421.5 IU/L). Conclusion : Serum CK concentration is a valid marker of surgical muscle injury and is affected by the age and sex. Factors such as the magnitude and duration of surgery show a relationship with postoperative CK values. The incidence of severe postoperative pain is not significantly related to CK level. |
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in Acta Orthopaedica Belgica > Vol 80/4 (Décembre 2014) . - p.545-550
[article] Validity Of Creatine Kinase As An Indicator Of Muscle Injury In Spine Surgery And Its Relation With Postoperative Pain [texte imprimé] / Domingo LOMBAO, Auteur . - 2014 . - p.545-550. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol 80/4 (Décembre 2014) . - p.545-550
Mots-clés : |
creatine kinase muscle pain spine fusion analgesia |
Résumé : |
Purpose : to confirm the validity of postoperative creatine kinase (CK) values as an indicator of muscle lesion, assess the relationship of CK with variables indicating surgical invasiveness and investigate an association between CK values and excessive postoperative pain. Material and Method : The study included 96 patients (mean age 62.8 years) who underwent instrumented spine fusion for degenerative lumbosacral disease. Serum CK concentration was determined on the first postoperative day. All patients received intravenous paracetamol and metamizole, and in cases of intense pain, rescue analgesia with iv meperidine. Patients were categorized according to whether or not they required rescue analgesia. Data on the number of levels fused, the duration of surgery, and operative bleeding were recorded in each patient. Results : CK values were higher in men and in younger patients. Significant correlations were found between CK and the number of fused levels and duration of surgery. Only 17.7% of patients required rescue analgesia. CK levels did not significantly differ between patients who did not need rescue analgesia (1135 IU/L) and those who did (1421.5 IU/L). Conclusion : Serum CK concentration is a valid marker of surgical muscle injury and is affected by the age and sex. Factors such as the magnitude and duration of surgery show a relationship with postoperative CK values. The incidence of severe postoperative pain is not significantly related to CK level. |
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./index.php?lvl=notice_display&id=34676 |
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Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place Exclu du prêt |
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[article]
Titre : |
Analgesic gas for rehabilitation of frozen shoulder: Protocol for a randomized controlled trial |
Type de document : |
texte imprimé |
Auteurs : |
Arnaud Dupeyron ; Marie Dénarié ; Dominique Richard ; et al. |
Année de publication : |
2019 |
Article en page(s) : |
p. 43-48 |
Note générale : |
Doi : 10.1016/j.rehab.2018.07.007 |
Langues : |
Anglais (eng) |
Mots-clés : |
Adhesive capsulitis Shoulder Physical therapy Rehabilitation Analgesia |
Résumé : |
Background
There is little evidence regarding the best way to treat adhesive capsulitis. Physical therapy can reduce pain and improve function and range of motion. However, we lack clear indications on the regimen, techniques or intensity of physical therapy to achieve better results. Intensive physical therapy seems to be confined to the later stages of adhesive capsulitis (chronic stage) given that rehabilitation-induced pain could worsen the outcomes. Here we describe a protocol for a study comparing the efficacy of a standardized program of intensive mobilization under analgesic gas to a similar program under placebo gas and questioning the impact of pain.
Method/Design
A randomized, double-blind, multicenter study — the MEOPA Trial — was designed to include adults with strictly defined clinical adhesive capsulitis for a 14-day intensive physical rehabilitation program under an equimolar mixture of oxygen and nitrous oxide or sham gas administration. Efficacy will be assessed by the Constant-Murley score. Data for secondary criteria including pain, disability, quality of life and perceived efficacy by the patient or physiotherapist will be collected over 6 months.
Discussion
This randomized controlled trial has been designed to test the effectiveness of intensive physical therapy under a simple and safe analgesic method. This study will also address the effect of pain during rehabilitation in adhesive capsulitis. Furthermore, results from the 6-month multidimensional follow-up of painful mobilization for this condition could be extrapolated to other musculoskeletal conditions. |
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./index.php?lvl=notice_display&id=82638 |
in Annals of physical and rehabilitation medicine > Vol. 62, n°1 (Janvier 2019) . - p. 43-48
[article] Analgesic gas for rehabilitation of frozen shoulder: Protocol for a randomized controlled trial [texte imprimé] / Arnaud Dupeyron ; Marie Dénarié ; Dominique Richard ; et al. . - 2019 . - p. 43-48. Doi : 10.1016/j.rehab.2018.07.007 Langues : Anglais ( eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°1 (Janvier 2019) . - p. 43-48
Mots-clés : |
Adhesive capsulitis Shoulder Physical therapy Rehabilitation Analgesia |
Résumé : |
Background
There is little evidence regarding the best way to treat adhesive capsulitis. Physical therapy can reduce pain and improve function and range of motion. However, we lack clear indications on the regimen, techniques or intensity of physical therapy to achieve better results. Intensive physical therapy seems to be confined to the later stages of adhesive capsulitis (chronic stage) given that rehabilitation-induced pain could worsen the outcomes. Here we describe a protocol for a study comparing the efficacy of a standardized program of intensive mobilization under analgesic gas to a similar program under placebo gas and questioning the impact of pain.
Method/Design
A randomized, double-blind, multicenter study — the MEOPA Trial — was designed to include adults with strictly defined clinical adhesive capsulitis for a 14-day intensive physical rehabilitation program under an equimolar mixture of oxygen and nitrous oxide or sham gas administration. Efficacy will be assessed by the Constant-Murley score. Data for secondary criteria including pain, disability, quality of life and perceived efficacy by the patient or physiotherapist will be collected over 6 months.
Discussion
This randomized controlled trial has been designed to test the effectiveness of intensive physical therapy under a simple and safe analgesic method. This study will also address the effect of pain during rehabilitation in adhesive capsulitis. Furthermore, results from the 6-month multidimensional follow-up of painful mobilization for this condition could be extrapolated to other musculoskeletal conditions. |
Permalink : |
./index.php?lvl=notice_display&id=82638 |
| ![Analgesic gas for rehabilitation of frozen shoulder: Protocol for a randomized controlled trial vignette](./images/vide.png) |
Exemplaires (1)
|
Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place Exclu du prêt |
![détail détail](./getgif.php?nomgif=plus)
[article]
Titre : |
Stase ou occlusion digestive haute : diagnostic différentiel et traitement |
Type de document : |
texte imprimé |
Auteurs : |
Julie Merlin ; Adeline LINSART |
Année de publication : |
2020 |
Article en page(s) : |
p. 55-60 |
Langues : |
Français (fre) |
Mots-clés : |
gut stasis upper gastrointestinal obstruction dietary fibre analgesia fluidotherapy |
Résumé : |
Lors de ralentissement du transit digestif, il convient de distinguer stase gastrique et occlusion digestive, afin de mettre en place les mesures de gestion appropriées. Seules sont traitées ici la stase et l’occlusion digestives hautes.
Résumé
La stase et l’occlusion digestives hautes sont deux affections distinctes et graves chez le lapin. Elles doivent être traitées rapidement. Lors de stase digestive haute, l’apparition de signes cliniques, souvent frustes, est progressive et les causes sont variées. Un contenu gastrique très compact est caractéristique à la radiographie et à la palpation. La prise en charge repose sur une analgésie, une fluidothérapie, l’utilisation de prokinétiques et une réalimentation. La plupart des cas évoluent favorablement si la prise en charge est précoce. L’occlusion digestive haute survient brutalement, à la suite d’une obstruction digestive. Les signes cliniques sont soudains. À la radiographie, l’estomac est dilaté, avec un contenu liquidien et aérique. La stabilisation de l’animal est primordiale (analgésie, fluidothérapie intraveineuse, réchauffement, vidange gastrique). L’échec du traitement médical doit conduire à une prise en charge chirurgicale. |
Permalink : |
./index.php?lvl=notice_display&id=89757 |
in Le Point vétérinaire > Numéro spécial 2020 volume 51 (Décembre 2020) . - p. 55-60
[article] Stase ou occlusion digestive haute : diagnostic différentiel et traitement [texte imprimé] / Julie Merlin ; Adeline LINSART . - 2020 . - p. 55-60. Langues : Français ( fre) in Le Point vétérinaire > Numéro spécial 2020 volume 51 (Décembre 2020) . - p. 55-60
Mots-clés : |
gut stasis upper gastrointestinal obstruction dietary fibre analgesia fluidotherapy |
Résumé : |
Lors de ralentissement du transit digestif, il convient de distinguer stase gastrique et occlusion digestive, afin de mettre en place les mesures de gestion appropriées. Seules sont traitées ici la stase et l’occlusion digestives hautes.
Résumé
La stase et l’occlusion digestives hautes sont deux affections distinctes et graves chez le lapin. Elles doivent être traitées rapidement. Lors de stase digestive haute, l’apparition de signes cliniques, souvent frustes, est progressive et les causes sont variées. Un contenu gastrique très compact est caractéristique à la radiographie et à la palpation. La prise en charge repose sur une analgésie, une fluidothérapie, l’utilisation de prokinétiques et une réalimentation. La plupart des cas évoluent favorablement si la prise en charge est précoce. L’occlusion digestive haute survient brutalement, à la suite d’une obstruction digestive. Les signes cliniques sont soudains. À la radiographie, l’estomac est dilaté, avec un contenu liquidien et aérique. La stabilisation de l’animal est primordiale (analgésie, fluidothérapie intraveineuse, réchauffement, vidange gastrique). L’échec du traitement médical doit conduire à une prise en charge chirurgicale. |
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./index.php?lvl=notice_display&id=89757 |
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