Regional opioid analgesia: physiopharmacological basis, drugs, equipment and clinical application
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Book |
| Language: | English |
| Published: |
Dordrecht [u.a.]
Kluwer
1991
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| Series: | Developments in critical care medicine and anesthesiology
20 |
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | XXI, 633 S. Ill., graph. Darst. |
| ISBN: | 0792301625 |
Staff View
MARC
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| 100 | 1 | |a Castro, Joris de |e Verfasser |4 aut | |
| 245 | 1 | 0 | |a Regional opioid analgesia |b physiopharmacological basis, drugs, equipment and clinical application |c by J. de Castro ; J. Meynadier ; M. Zenz |
| 264 | 1 | |a Dordrecht [u.a.] |b Kluwer |c 1991 | |
| 300 | |a XXI, 633 S. |b Ill., graph. Darst. | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b n |2 rdamedia | ||
| 338 | |b nc |2 rdacarrier | ||
| 490 | 1 | |a Developments in critical care medicine and anesthesiology |v 20 | |
| 650 | 4 | |a Analgesia | |
| 650 | 4 | |a Analgesics |x therapeutic use | |
| 650 | 4 | |a Analgesics, Opioid |x therapeutic use | |
| 650 | 4 | |a Conduction anesthesia | |
| 650 | 4 | |a Endorphins |x therapeutic use | |
| 650 | 4 | |a Opioids |x Therapeutic use | |
| 650 | 4 | |a Pain |x drug therapy | |
| 650 | 0 | 7 | |a Opiate |0 (DE-588)4075669-5 |2 gnd |9 rswk-swf |
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| 650 | 0 | 7 | |a Spinalanästhesie |0 (DE-588)4137116-1 |2 gnd |9 rswk-swf |
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| 689 | 0 | 0 | |a Lokalanästhesie |0 (DE-588)4036262-0 |D s |
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| 700 | 1 | |a Meynadier, Jacques |e Verfasser |4 aut | |
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Record in the Search Index
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| adam_text | REGIONAL OPIOID ANALGESIA PHYSIOPHARMACOLOGICAL BASIS, DRUGS, EQUIPMENT
AND CLINICAL APPLICATION BY J. DE CASTRO, M.D. DEPARTMENT OF
ANAESTHESIOLOGY, UNIVERSITE LIBRE DE BRUXELLES, HOPITAL ST. PIERRE,
BRUXELLES, BELGIUM J. MEYNADIER, M.D. DEPARTMENT OF ANAESTHESIOLOGY AND
INTENSIVE CARE, CENTRE OSCAR LAMBRET, LILLE, FRANCE M. ZENZ, M.D.
UNIVERSITY CLINIC FOR ANAESTHESIOLOGY, CRITICAL CARE AND PAIN
MANAGEMENT, BERGMANNSHEIL BOCHUM, GERMANY PREFACE BY E.K. ZSIGMOND, M.D.
CHICAGO INTRODUCTION BY T.L. YAKSH, PH.D. SAN DIEGO KLUWER ACADEMIC
PUBLISHERS DORDRECHT / BOSTON / LONDON IX TABLE OF CONTENTS
ACKNOWLEDGEMENTS V PREFACE BY E.K. ZSIGMOND, M.D., (CHICAGO) VII
CONTENTS IX THE BOOK UNDER EIGHT HEADINGS XIX ABBREVIATIONS XXI
INTRODUCTION BY T.L. YAKSH, PH.D., (SAN DIEGO) 1 PART I: ANATOMICAL,
PHARMACOLOGICAL, PHYSIOLOGICAL AND TECHNICAL BASIS OF SPINAL REGIONAL
OPIOID ADMINISTRATION CHAPTER 1. DEVELOPMENTS, ADVANTAGES AND DRAWBACKS
OF REGIONAL OPIOID ANALGESIA 11 CHAPTER 2. 2.1 2.2 2.3 CHAPTER 3. 3.1
3.2 3.3 3.3.1 3.3.2 3.3.2.1 3.3.2.2 3.3.2.3 3.4 3.4.1 3.4.2 3.5 ANATOMY
AND PHYSIOLOGY NOCICEPTION AND NOCICEPTIVE PATHWAYS ANATOMY OF OPIOID
RECEPTORS ANATOMY OF THE EPIDURAL AND THE INTRATHECAL SPINAL SPACE
MICROPHARMACOLOGY OF ANTINOCICEPTIVE SUBSTANCES IN THE SPINAL CORD
ENDORPHINS MULTIPLE OPIOID RECEPTORS OPIOID AGONISTS, OPIOID ANTAGONISTS
AGONISTS ANTAGONISTS PURE ANTAGONISTS MIXED AGONIST-ANTAGONISTS PARTIAL
AGONIST-ANTAGONISTS ENDOGENOUS NON-OPIOID NEUROPEPTIDES AND NEUROAMINES
SUBSTANCE P OTHER PEPTIDES AND AMINES OTHER EXOGENOUS SUBSTANCES WITH
SPINAL ANTINOCICEPTIVE ACTION 19 19 25 29 35 35 38 43 43 43 43 43 44 44
47 47 48 CHAPTER 4. PHARMACOKINETICS OF OPIOIDS 51 4.1 MOLECULAR WEIGHT
[DALTON] 54 4.2 LIPID SOLUBILITY, HYDROSOLUBILITY 55 4.3 IONIZATION 60
4.4 PROTEIN BINDING 61 4.5 DISTRIBUTION VOLUME 63 4.6 PLASMA HALF LIFE
TIMES 65 4.7 CLEARANCE 66 4.8 PERMEABILITY ACROSS BIOLOGICAL MEMBRANES
67 4.9 DIFFUSION OF SPINAL OPIOIDS 69 4.10 SPECIFIC RECEPTOR BINDING
ACTIVITY 72 4.11 REDIFFUSION 75 4.12 PHYSICAL CHARACTERISTICS OF OPIOID
SOLUTIONS 77 4.12.1 VOLUME, DENSITY, SPECIFIC GRAVITY, BARICITY 77 4.12
2 CHANGES IN BODY TEMPERATURE 78 4.12.3 CHANGES IN INTRASPINAL PRESSURE
78 4.13 SPECIAL PHARMACOKINETICS OF SPINAL OPIOIDS 79 4.14
PHARMACOKINETIC VARIABILITY 79 CHAPTER 5. PHARMACODYNAMICS OF OPIOIDS 85
5.1 ANALGESIA 85 5.1.1 RELATIONSHIP BETWEEN ADMINISTRATION ROUTE AND
DOSE 86 5.1.2 RELATIONSHIP BETWEEN DOSE AND DEPTH OF ANALGESIA 87 5.1.3
RELATIONSHIP BETWEEN DOSE AND DURATION OF ANALGESIA 87 5.1.4
RELATIONSHIP BETWEEN LIPID SOLUBLE SUBSTANCES AND DURATION OF ANALGESIA
88 RELATIONSHIP BETWEEN ANALGESIA AND PAIN AETIOLOGY 88 CARDIOVASCULAR
SYSTEM AND SYMPATHETIC NERVOUS SYSTEM 89 RESPIRATORY SYSTEM 89 MUSCULAR
SYSTEM AND GASTROINTESTINAL SYSTEM 91 CENTRAL NERVOUS SYSTEM 92
ENDOCRINE AND METABOLIC SYSTEM 92 SIDE EFFECTS 95 GENERALITIES 95 SIDE
EFFECTS OF EPIDURAL OPIOIDS 98 EARLY AND DELAYED RESPIRATORY DEPRESSION
98 AETIOLOGY AND CHARACTERISTICS 98 MONITORING 100 FACTORS INCREASING OR
REDUCING THE RISK OF DELAYED RESPIRATORY DEPRESSION 103 6.2.1.4 DOSE
RESPONSE CURVES 105 5.1. 5.2 5.3 5.4 5.5 5.6 5 CHAPTER 6 6.1 6.2 6.2.
6.2. 6.2. 6.2. 1 .1.1 .1.2 .1.3 XI 6.2.1.5 PROPHYLAXIS 106 6.2.1.6
TREATMENT 107 6.2.2 PRURITUS 110 6.2.3 NAUSEA AND VOMITING 112 6.2.4
URINARY RETENTION 113 6.2.5 CONSTIPATION 116 6.2.6 DROWSINESS 116 6.2.7
OTHER RARER SIDE EFFECTS 116 6.2.8 OVERDOSE, ADDICTION, DEPENDENCE,
TOLERANCE AND WITHDRAWAL SYNDROME 117 6.3 SIDE EFFECTS OF INTRATHECAL
OPIOIDS 119 6.3.1 RESPIRATORY DEPRESSION 119 6.3.2 OTHER SIDE EFFECTS
120 6.3.3 PREVENTION OF SIDE EFFECTS AFTER INTRATHECAL ADMINISTRATION
122 6.4 TOLERANCE, TACHYPHYLAXIS 122 6.4.1 DEFINITION AND
CHARACTERISTICS 122 6.4.2 RAPIDITY OF APPEARANCE 123 6.4.3 REVERSIBILITY
OF TOLERANCE 125 6.4.4 CROSS TOLERANCE 125 6.4.5 METHODS OF DELAYING
TOLERANCE DEVELOPMENT 126 6.5 SIDE EFFECTS DUE TO THE TECHNIQUE USED 128
6.5.1 FIBROTIC REACTIONS 128 6.5.2 NEURONAL DEGENERATION 128 6.5.3
INFECTION 129 6.5.4 VIRUS REACTIVATION 129 CHAPTER 7. DRUGS 131 7.1 PURE
OPIOID AGONISTS 133 7.1.1 MORPHINE 133 7.1.2 DIAMORPHINE (HEROIN) 138
7.1.3 PETHIDINE (MEPERIDINE) 139 7.1.4 METHADONE 144 7.1.5 HYDROMORPHONE
145 7.1.6 NICOMORPHINE 146 7.1.7 FENTANYL 147 7.1.8 ALFENTANIL 153 7.1.9
SUFENTANIL 157 7.1.10 LOFENTANIL 162 7.1.11 DADL 163 7.1.12
METENKEPHALIN 164 7.1.13 BETA-ENDORPHIN 165 7.1.14 SPIRADOLINE 5
UI-62,0066E 165 XLL 7.2 7.2.1 7.2.2 7.2.3 7.2.4 7.2.5 7.2.6 7.3 7.3.1
7.3.2 7.3.3 7.4 7.4.1 7.4.2 7.4.3 7.4.4 7.4.5 7.4.6 7.4.7 7.4.8 7.4.9
7.4.10 7.5 7.6 7.6.1 7.6.1.1 7.6.1.2 7.6.1.3 7.6.2 7.6.3 7.6.4 7.6.5
7.6.5.1 7.6.5.2 7.6.6 7.6.6.1 7.6.6.2 7.6.6.3 7.6.6.4 MIXED OPIOID
AGONIST-ANTAGONISTS AND PARTIAL AGONIST- ANTAGONISTS BUPRENORPHINE
NALBUPHINE BUTORPHANOL PENTAZOCINE MEPTAZINOL TRAMADOL PURE OPIOID
ANTAGONISTS NALOXONE NALMEFENE NALTREXONE NON-OPIOID DRUGS CALCITONIN
DROPERIDOL BACLOFEN MIDAZOLAM KETAMINE CLONIDINE LYSINE-ACETYLSALICYLATE
SOMATOSTATIN ENKEPHALINASE AND AMINOPEPTIDASE INHIBITORS CHOLECYSTOKININ
INHIBITORS: PROGLUMIDE OR XYLAMIDE ADRENALINE (EPINEPHRINE) DRUG-RELATED
PROBLEMS PHYSICAL PROPERTIES SOLUTIONS STEREOSPECIFICITY PH
PRESERVATIVE-FREE PRODUCTS DOSES DRUG INTERACTIONS DRUG ASSOCIATIONS
LOCAL ANAESTHETICS OTHER DRUG ASSOCIATIONS DRUG ADMINISTRATION
MODALITIES PATIENT S POSITION INJECTION VOLUMES LEVEL OF ADMINISTRATION
INJECTION ROUTES 165 165 168 170 171 172 173 174 175 177 177 177 178 180
181 182 183 184 188 189 193 194 194 196 196 196 196 196 197 198 200 200
201 203 204 204 204 206 207 XLLL CHAPTER 8. 8.1 8.1.1 8.1.2 8.1.2.1
8.1.2.2 8.1.2.3 8.1.2.4 8.1.3 8.2 8.2.1 8.2.2 8.2.2.1 8.2.2.2 8.2.2.3
8.2.3 8.2.3.1 8.2.3.2 8.2.3.3 8.2.4 8.2.4.1 8.2.4.2 8.2.4.3 8,3 8.3.1
8.3.1.1 8.3.1.2 8.3.2 8.3.3 8.3.4 8.3.5 8.3.6 8.3.6.1 8.3.6.2 8.3.7
8.3.8 8.3.9 8.3.10 8.3.10.1 8.3.10.2 8.3.10.3 8.4 EQUIPMENT AND DRUG
DELIVERY SYSTEMS EQUIPMENT EPIDURAL, INTRATHECAL NEEDLES CATHETERS
MATERIALS AND MODELS CATHETER PROBLEMS EXTERNALIZED OR TUNNELLED
CATHETER OPEN OR CLOSED SYSTEMS MICROPORE FILTERS DRUG DELIVERY SYSTEMS
PORTS SPECIAL DRUG DELIVERY SYSTEMS ROQUEFEUIL S SELF-ADMINISTRATION
SYSTEM MULLER AND LAUGNER S SELF-ADMINISTRATION DEVICE
SELF-ADMINISTRATION DEVICE SECOR PUMPS PROS AND CONS OF PUMP DEVICES
EXTERNAL PUMPS IMPLANTABLE PUMPS DRESSINGS TRANSPARENT DRESSING CROSS
ELASTIC WOUND DRESSING UNGUENT DRUG ADMINISTRATION TECHNIQUES SINGLE
SHOT TECHNIQUE EPIDURAL INTRATHECAL CATHETER PLACEMENT PERCUTANEOUS
CATHETER FIXATION SUBCUTANEOUS TUNNELLING PORT IMPLANTATION PUMP
IMPLANTATION IMPLANTATION TECHNIQUE FOR THE INFUSAID PUMP IMPLANTATION
TECHNIQUE FOR THE SYNCHROMED PUMP INTRACEREBROVENTRICULAR PORT
IMPLANTATION INJECTION INTO A PORT, REFILL OF A PUMP INJECTION-INFUSION
TECHNIQUES PROS AND CONS OF CONTINUOUS INFUSION ADVANTAGES DRAWBACKS
DRUG SELECTION FOR CONTINUOUS INFUSION NURSING 211 211 211 212 213 215
217 218 218 219 219 222 222 222 223 227 228 229 232 235 235 236 236 237
237 237 238 238 239 239 244 244 244 245 246 255 256 259 260 262 262 262
XIV 8.4.1 CATHETER PROBLEMS 263 8.4.2 PORT PROBLEMS 265 8.4.3 PUMP
PROBLEMS 266 PART II: CLINICAL PRACTICE OF SPINAL OPIOID ADMINISTRATION
CHAPTER 9. CLINICAL APPLICATIONS, GENERALITIES 271 CHAPTER 10.
INTRAOPERATIVE USE 273 10.1 EPIDURAL ADMINISTRATION 273 10.1.1 OPIOIDS
IN ASSOCIATION WITH GENERAL ANAESTHESIA 273 10.1.2 EPIDURAL SOMATOSTATIN
274 10.1.3. EPIDURAL OPIOIDS IN ASSOCIATION WITH LOCAL ANAESTHETICS 274
10.2 INTRATHECAL ADMINISTRATION 276 10.2.1 INTRATHECAL MORPHINE IN
ASSOCIATION WITH THIOPENTONE ANAESTHESIA 277 10.2.2 INTRATHECAL
PETHIDINE FOR SPINAL ANAESTHESIA IN HIGH DOSES (1 MG/KG) 277 10.2.3
INTRATHECAL ASSOCIATION OF OPIOIDS WITH LOCAL ANAESTHETICS 280 10.2.4
INTRATHECAL ASSOCIATION OF AN OPIOID AND CLONIDINE 282 10.3 PARTICULAR
PROBLEM: EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY 283 CHAPTER 11.
POSTOPERATIVE PAIN 285 11.1 POTENTIAL ADVANTAGES AND DRAWBACKS 285
11.1.1 BETTER PAIN RELIEF? 286 11.1.2 IMPROVED PULMONARY FUNCTION? 288
11.1.3 REDUCED SIDE EFFECTS? 290 11.1.4 BETTER IN SELECTED GROUPS OF
PATIENTS? 294 11.1.5 SUPERIOR TO OTHER ANALGESIA METHODS? 294 11.1.6
BETTER CLINICAL OUTCOME? 301 11.2 SELECTION OF PATIENTS 302 11.2.1
SPINAL OPIOIDS IN CHILDREN 303 11.3 SELECTION OF DRUGS AND ROUTES OF
ADMINISTRATION 304 11.3.1 MORPHINE AND METHADONE 305 11.3.2 EPIDURAL
LIPOPHILIC OPIOIDS 307 11.3.3 ASSOCIATIONS OF OPIOID AND LOCAL
ANAESTHETIC 314 11.3.4 NON-OPIOID PRODUCTS 321 11.4 SELECTION OF
INJECTION TECHNIQUE 322 11.4.1 REPEATED BOLUS INJECTION AND PATIENT
CONTROLLED ANALGESIA (PCA) 322 XV 11.4.2 11.4.3 11.5 11.6 11.7 11.8 11.9
CHAPTER 12. 12.1 12.2 12.3 12.4 12.5 12.6 12.7 CHAPTER 13. 13.1 13.1.1
13.1.2 13.1.3 13.1.4 13.2 13.2.1 13.2.1.1 13.2.1.2 13.2.1.3 13.2.1.4
13.2.1.5 13.2.2 13.2.2.1 13.2.2.2 13.2.2.3 13.2.2.4 13.2.2.5 13.2.3 13.3
13.3.1 13.3.1.1 13.3.1.2 CONTINUOUS INFUSION CONTINUOUS PLUS ON DEMAND
INFUSION SELECTION OF EQUIPMENT: PUMPS AND PORTS PRECAUTIONS AND
SURVEILLANCE SIDE EFFECTS INDICATIONS AND CONTRA-INDICATIONS FOR
POSTOPERATIVE EPIDURAL OPIOID ANALGESIA NURSING OTHER APPLICATIONS IN
ACUTE PAIN SITUATIONS POSTTRAUMATIC PAIN INTENSIVE CARE UNIT PATIENTS
MYOCARDIAL INFARCTION VISCERAL PAIN AFTER ARTERIAL EMBOLISATION ACUTE
PANCREATITIS HEADACHE FOLLOWING DURAL PUNCTURE DIAGNOSIS OF PAIN
AETIOLOGY OBSTETRICS POTENTIAL ADVANTAGES, DRAWBACKS AND INDICATIONS
JUSTIFICATION OF BETTER ANALGESIA POTENTIAL ADVANTAGES POTENTIAL
DISADVANTAGES POTENTIAL INDICATIONS LABOUR AND DELIVERY PAIN EPIDURAL
OPIOIDS MORPHINE PETHIDINE FENTANYL MORPHINE + BUPIVACAINE LIPOPHILIC
OPIOID + LOCAL ANAESTHETIC INTRATHECAL OPIOIDS MORPHINE BETA-ENDORPHIN
FENTANYL + BUPIVACAINE NALOXONE INFUSION FOR REDUCTION OF SIDE EFFECTS
NALTREXONE ORALLY FOR REDUCTION OF SIDE EFFECTS GLOBAL EVALUATION
POSTCAESAREAN SECTION EPIDURAL OPIOIDS MORPHINE METHADONE 323 323 325
325 326 327 327 329 329 331 332 333 333 333 334 337 337 337 338 338 338
339 339 339 341 341 342 342 347 348 348 349 349 350 350 351 351 351 352
XVI 13.3.1.3 HYDROMORPHONE 352 13.3.1.4 PETHIDINE 353 13.3.1.5 FENTANYL
353 13.3.1.6 SUFENTANIL 353 13.3.1.7 BUTORPHANOL 354 13.3.1.8 MEPTAZINOL
354 13.3.1.9 BUPRENORPHINE 355 13.3.1.10 OPIOIDS ASSOCIATED WITH LOCAL
ANAESTHETICS 355 13.3.2 INTRATHECAL OPIOIDS 357 13.4 SIDE EFFECTS OF
SPINAL OPIOIDS IN OBSTETRICS 357 13.4.1 MATERNAL SIDE EFFECTS 357 13.4.2
FOETAL SIDE EFFECTS 358 13.5 POST-PARTUM EPISIOTOMY 358 13.6
PROSTAGLANDIN ABORTION 358 13.7 PRE-ECLAMPSIA 359 13.8 PRECAUTIONS AND
SURVEILLANCE 359 13.9 SURVEY OF THE PRINCIPAL CLINICAL REPORTS 359
CHAPTER 14. CANCER PAIN 363 14.1 ANALGESIC LADDER 363 14.2 POTENTIAL
ADVANTAGES 366 14.3 SELECTION OF PATIENTS 367 14.4 SELECTION OF DRUGS
370 14.4.1 OPIOIDS 370 14.4.2 ASSOCIATIONS OF AN OPIOID AND A LOCAL
ANAESTHETIC 371 14.4.3 ASSOCIATIONS OF AN OPIOID AND ANOTHER PRODUCT 371
14.5 ADMINISTRATION MODALITIES 372 14.5.1 INJECTION ROUTE: EPIDURAL OR
INTRATHECAL ? 372 14.5.2 INTRATHECAL ISOBARIC OR HYPERBARIC SOLUTION ?
374 14.5.3 REPEATED BOLUS OR CONTINUOUS PLUS ON-DEMAND INFUSION? 374
14.5.3.1 PERCUTANEOUS EPIDURAL CATHETER FOR BOLUS INJECTION 374 14.5.3.2
TUNNELLED EPIDURAL CATHETER 376 14.5.3.3 TUNNELLED INTRATHECAL CATHETER
377 14.5.3.4 EXTERNAL UNIDIRECTIONAL VALVES 377 14.5.3.5 IMPLANTED PORTS
378 14.5.4 CONTINUOUS PLUS ON-DEMAND INFUSION WITH PUMPS AND PORTS 380
14.5.4.1 PORTABLE INFUSION PUMP 381 14.5.4.2 IMPLANTED INFUSION PUMP
WITH EPIDURAL CATHETER 382 14.5.4.3 IMPLANTED INFUSION PUMP WITH
INTRATHECAL CATHETER 383 14.6 POTENTIAL DRAWBACKS OF SPINAL OPIOID DRUGS
385 XV11 14.6.1 14.6.2 14.6.2.1 14.6.2.2 14.6.2.3 14.6.2.4 14.6.2.5
14.6.2.6 14.6.3 14.7 14.7.1 14.7.2 14.8 14.9 14.9.1 14.9.2 14.9.3 14.9.4
14.9.5 14.9.6 14.10 CHAPTER 15. 15.1 15.2 SIDE EFFECTS TECHNICAL
PROBLEMS PAIN ON EPIDURAL INJECTION FIBROUS MASS INFECTION CATHETER
DISLODGEMENT OR OCCLUSION PORT FAILURE PUMP FAILURE DOSE ESCALATION AND
TOLERANCE MULTICENTER SURVEY EPIDURAL ADMINISTRATION INTRATHECAL
ADMINISTRATION INTRACISTERNAL OPIOIDS INTRACEREBROVENTRICULAR OPIOIDS
INDICATIONS AND CONTRA-INDICATIONS TECHNIQUE EFFECTS REINJECTION AND
DAILY NURSING SIDE EFFECTS AND COMPLICATIONS RESULTS CURRENT CARE AND
NURSING PROBLEMS DURING REGIONAL OPIOID ANALGESIA CHRONIC NON-MALIGNANT
PAIN TREATMENT WITH EPIDURAL OPIOIDS TREATMENT WITH INTRATHECAL ODIOIDS
AND/OR NON-OOIOID 385 386 386 386 387 388 388 389 389 390 390 397 398
401 403 405 408 408 409 411 414 425 426 DRUGS 429 CHAPTER 16. PERINEURAL
OPIOID ANALGESIA (PNOA) 433 CHAPTER 17. COMPARATIVE EVALUATION OF THE
RISKLBENEFIT RATIO 437 17.1 EPIDURAL OPIOID ANALGESIA VERSUS PERORAL,
INTRAVENOUS OR INTRAMUSCULAR OPIOIDS 439 17.2 EPIDURAL OPIOIDS VERSUS
INTRAVENOUS PATIENT CONTROLLED ANALGESIA 441 17.3 EPIDURAL OPIOIDS
VERSUS EPIDURAL ANAESTHESIA WITH A LOCAL ANAESTHETIC 442 17.4 EPIDURAL
OPIOID VERSUS INTRATHECAL OPIOID 444 17.5 ADVANTAGES AND DRAWBACKS OF
INTRATHECAL OPIOID ANALGESIA 445 17.6 LIMITS AND CONTRA-INDICATIONS OF
REGIONAL OPIOID ANALGESIA 446 XV111 CHAPTER 18. FUTURE DIRECTIONS IN
SPINAL OPIOID RESEARCH AND CONCLUSIONS 449 CHAPTER 19. WHAT IS REGIONAL
OPIOID ANALGESIA ? 453 CHAPTER 20. TECHNICAL DATA OF EQUIPMENT FOR
SPINAL OPIOID THERAPY 457 457 460 461 461 462 463 467 BIBLIOGRAPHY AND
REFERENCES 509 ADDENDUM TO THE BIBLIOGRAPHY AND REFERENCES 619 INDEX OF
SUBJECTS 625 20.1 20.2 20.3 20.4 20.5 20.6 20.7 SPECIAL NEEDLES EPIDURAL
OR INTRATHECAL CATHETERS FILTERS EXTENSION TUBE FOR CONNECTION BETWEEN
PUMPS AND PORTS AND CATHETERS IMPLANTABLE CATHETER ACCESS PORT INFUSION
PUMPS MONITORING DEVICES
|
| any_adam_object | 1 |
| author | Castro, Joris de Meynadier, Jacques Zenz, Michael 1945- |
| author_GND | (DE-588)133592529 |
| author_facet | Castro, Joris de Meynadier, Jacques Zenz, Michael 1945- |
| author_role | aut aut aut |
| author_sort | Castro, Joris de |
| author_variant | j d c jd jdc j m jm m z mz |
| building | Verbundindex |
| bvnumber | BV007688718 |
| classification_rvk | YI 5600 YI 5700 |
| ctrlnum | (OCoLC)19399816 (DE-599)BVBBV007688718 |
| discipline | Medizin |
| format | Book |
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| id | DE-604.BV007688718 |
| illustrated | Illustrated |
| indexdate | 2024-07-09T17:07:40Z |
| institution | BVB |
| isbn | 0792301625 |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-005045949 |
| oclc_num | 19399816 |
| open_access_boolean | |
| owner | DE-355 DE-BY-UBR DE-29 DE-12 DE-19 DE-BY-UBM DE-20 |
| owner_facet | DE-355 DE-BY-UBR DE-29 DE-12 DE-19 DE-BY-UBM DE-20 |
| physical | XXI, 633 S. Ill., graph. Darst. |
| publishDate | 1991 |
| publishDateSearch | 1991 |
| publishDateSort | 1991 |
| publisher | Kluwer |
| record_format | marc |
| series | Developments in critical care medicine and anesthesiology |
| series2 | Developments in critical care medicine and anesthesiology |
| spelling | Castro, Joris de Verfasser aut Regional opioid analgesia physiopharmacological basis, drugs, equipment and clinical application by J. de Castro ; J. Meynadier ; M. Zenz Dordrecht [u.a.] Kluwer 1991 XXI, 633 S. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Developments in critical care medicine and anesthesiology 20 Analgesia Analgesics therapeutic use Analgesics, Opioid therapeutic use Conduction anesthesia Endorphins therapeutic use Opioids Therapeutic use Pain drug therapy Opiate (DE-588)4075669-5 gnd rswk-swf Lokalanästhesie (DE-588)4036262-0 gnd rswk-swf Spinalanästhesie (DE-588)4137116-1 gnd rswk-swf Opioide (DE-588)4172638-8 gnd rswk-swf Lokalanästhesie (DE-588)4036262-0 s Opioide (DE-588)4172638-8 s DE-604 Spinalanästhesie (DE-588)4137116-1 s Opiate (DE-588)4075669-5 s Meynadier, Jacques Verfasser aut Zenz, Michael 1945- Verfasser (DE-588)133592529 aut Developments in critical care medicine and anesthesiology 20 (DE-604)BV000011020 20 GBV Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=005045949&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Castro, Joris de Meynadier, Jacques Zenz, Michael 1945- Regional opioid analgesia physiopharmacological basis, drugs, equipment and clinical application Developments in critical care medicine and anesthesiology Analgesia Analgesics therapeutic use Analgesics, Opioid therapeutic use Conduction anesthesia Endorphins therapeutic use Opioids Therapeutic use Pain drug therapy Opiate (DE-588)4075669-5 gnd Lokalanästhesie (DE-588)4036262-0 gnd Spinalanästhesie (DE-588)4137116-1 gnd Opioide (DE-588)4172638-8 gnd |
| subject_GND | (DE-588)4075669-5 (DE-588)4036262-0 (DE-588)4137116-1 (DE-588)4172638-8 |
| title | Regional opioid analgesia physiopharmacological basis, drugs, equipment and clinical application |
| title_auth | Regional opioid analgesia physiopharmacological basis, drugs, equipment and clinical application |
| title_exact_search | Regional opioid analgesia physiopharmacological basis, drugs, equipment and clinical application |
| title_full | Regional opioid analgesia physiopharmacological basis, drugs, equipment and clinical application by J. de Castro ; J. Meynadier ; M. Zenz |
| title_fullStr | Regional opioid analgesia physiopharmacological basis, drugs, equipment and clinical application by J. de Castro ; J. Meynadier ; M. Zenz |
| title_full_unstemmed | Regional opioid analgesia physiopharmacological basis, drugs, equipment and clinical application by J. de Castro ; J. Meynadier ; M. Zenz |
| title_short | Regional opioid analgesia |
| title_sort | regional opioid analgesia physiopharmacological basis drugs equipment and clinical application |
| title_sub | physiopharmacological basis, drugs, equipment and clinical application |
| topic | Analgesia Analgesics therapeutic use Analgesics, Opioid therapeutic use Conduction anesthesia Endorphins therapeutic use Opioids Therapeutic use Pain drug therapy Opiate (DE-588)4075669-5 gnd Lokalanästhesie (DE-588)4036262-0 gnd Spinalanästhesie (DE-588)4137116-1 gnd Opioide (DE-588)4172638-8 gnd |
| topic_facet | Analgesia Analgesics therapeutic use Analgesics, Opioid therapeutic use Conduction anesthesia Endorphins therapeutic use Opioids Therapeutic use Pain drug therapy Opiate Lokalanästhesie Spinalanästhesie Opioide |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=005045949&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| volume_link | (DE-604)BV000011020 |
| work_keys_str_mv | AT castrojorisde regionalopioidanalgesiaphysiopharmacologicalbasisdrugsequipmentandclinicalapplication AT meynadierjacques regionalopioidanalgesiaphysiopharmacologicalbasisdrugsequipmentandclinicalapplication AT zenzmichael regionalopioidanalgesiaphysiopharmacologicalbasisdrugsequipmentandclinicalapplication |