Yoğun Bakım’da Ağrı Tedavi Yöntemleri
Özet
Yoğun bakım hastalarında ağrı yönetimi, hasta konforunu artırmak, stres yanıtını azaltmak ve komplikasyonları önlemek açısından büyük önem taşımaktadır. Girişimsel ağrı tedavi yöntemleri, farmakolojik tedavilere yanıt vermeyen veya opioid kullanımını sınırlamak isteyen hastalar için etkili alternatifler sunar. Bu bölümde, epidural ve spinal bloklar, sinir blokları, radyofrekans ablasyon, intratekal ilaç uygulamaları ve vertebral girişimler (vertebroplasti, kifoplasti) gibi girişimsel teknikler detaylandırılmaktadır.
Girişimsel ağrı yönetimi, yoğun bakım hastalarında ağrının kontrol altına alınmasını sağlayarak mobilizasyonu artırabilir, mekanik ventilasyon süresini kısaltabilir ve genel prognozu iyileştirebilir.
Pain management in intensive care patients is crucial for improving patient comfort, reducing stress response, and preventing complications. Interventional pain management techniques provide effective alternatives for patients who do not respond to pharmacological treatments or require opioid-sparing strategies. This chapter details interventional techniques such as epidural and spinal blocks, nerve blocks, radiofrequency ablation, intrathecal drug administration, and vertebral interventions (vertebroplasty, kyphoplasty).
Interventional pain management can facilitate better pain control, enhance mobilization, reduce mechanical ventilation duration, and improve overall prognosis in critically ill patients.
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