Acil Serviste Akut Ağrı Yönetimi: Olgu Temelli Multimodal Stratejiler
Özet
Akut ağrı, acil servise başvuruların en sık nedenlerinden biridir ve hastaların önemli bir kısmı yetersiz analjezi (oligoanaljezi) yaşamaktadır. Güncel kanıtlar, multimodal analjezi stratejilerinin tek ajan kullanımına üstün olduğunu göstermektedir. Avrupa Acil Tıp Derneği 2025 güncellenen kılavuzu, ağrı yönetiminde Kanal-Enzim-Reseptör Hedefli Analjezi yaklaşımını önermekte ve opioid dışı ajanların (parasetamol, non-steroidal antiinflamatuar ilaçlar düşük doz ketamin, lidokain, rejyonel bloklar) farklı kombinasyonlarını ön plana çıkarmaktadır. Bu bölümde, renal kolik ile başvuran bir olgu üzerinden acil serviste akut ağrı yönetimi, güncel kanıt temelli multimodal stratejiler, düşük doz ketamin kullanımı ve opioid koruyucu yaklaşımlar tartışılmaktadır.
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