Dolor

Guías Prácticas para el Manejo del Dolor Crónico

La aparición de este documento en el último número de Anesthesiology viene a reemplazar el publicado hace 13 años atrás.

Por Dr. Rudy H. Garrido.

En su génesis se encuentran la Sociedad Americana de Anestesiología y la Sociedad Americana de Anestesia Regional y Medicina del Dolor, con Richard W. Rosenquist a la cabeza de este grupo.

Esta publicación no abarca el amplio espectro de pacientes con este tipo de patología, sino que se centra en aquellos casos de dolor somático, neuropático o visceral de origen no oncológico. Niños, los pacientes con cefalea o dolor agudo postoperatorio o neuralgias de cabeza o cuello no se contemplan en la revisión.

Después de puntualizar la metodología de trabajo y de análisis utilizadas, esta guía se introduce en dar recomendaciones respecto a la evaluación del paciente, al enfoque multidisciplinario y finalmente a diversas técnicas de tratamiento que van desde la infiltración de puntos gatillo, bloqueos, corticoides epidurales, uso de toxina botulínica hasta el uso de acupuntura, entre otras.

Creo que el documento es fiel reflejo de un trabajo metódico y serio de un selecto grupo de profesionales. Constituyen recomendaciones, que pueden o no ser aceptadas, pero brindan al lector interesado un “punto de vista norteamericano” respecto a los principales aspectos de evaluación y tratamiento en los pacientes con dolor crónico. Recomiendo al menos leer su resumen final.

Para leer el artículo, haz click sobre la foto:

→ Anesthesiology 2010; 112:810 –33.

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Anestesiología se reserva el derecho de eliminar los comentarios inapropiados o mal intencionados.
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