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Dolor en niños: cómo evaluarlo y tratarlo eficazmente
dc.contributor.author | Bayter Marín, Jorge Enrique | spa |
dc.contributor.author | Chona Vásquez, Jorge Enrique | spa |
dc.date.accessioned | 2020-10-27T14:22:47Z | |
dc.date.available | 2020-10-27T14:22:47Z | |
dc.date.issued | 2001-04-11 | |
dc.identifier.issn | 2382-4603 | |
dc.identifier.issn | 0123-7047 | |
dc.identifier.uri | http://hdl.handle.net/20.500.12749/10594 | |
dc.description.abstract | El dolor es definido como una experiencia emocional desagradable y como tal depende de vivencias previas que van incluso desde el segundo trimestre de gestación, cuando todos los mecanismos centrales encargados de la percepción del dolor están desarrollados. Eso solo se traduce en que el niño siente dolor y debemos estar preparados para evaluarlo y tratarlo eficazmente. En los niños menores de 2 años que no se comunican verbalmente, la evaluación del dolor es fisiológica derivada de su respuesta del estrés (taquicardia, taquipnea y sudoración palmar) y, lo más importante, la expresión facial que es el estándar de oro en la evaluación del dolor en menores de 7 años. En mayores de 7 años las escalas numéricas, análoga visual y análoga cromática pueden ser utilizadas. Después de clasificar si el dolor es leve, moderado o severo, se decide si se utiliza analgésicos no esteroideos para dolores leves a moderados (el ibuprofeno es el más utilizado) o la morfina para el manejo del dolor severo. Entendiendo la farmacocinética y la farmacodinamia, así como los efectos secundarios de los opioides e implementando una vigilancia estricta, se minimizan todos los riesgos de su utilización. Por último, siempre que se pueda utilizar bloqueos regionales, especialmente en menores de 1 año, se debe hacer ya que es el método analgésico más seguro y efectivo que evita las huellas dolorosas en el sistema nervioso central, por ende, las experiencias negativas, cambiando la percepción futura. | spa |
dc.format.mimetype | application/pdf | spa |
dc.language.iso | spa | spa |
dc.publisher | Universidad Autónoma de Bucaramanga UNAB | |
dc.relation | https://revistas.unab.edu.co/index.php/medunab/article/view/328/309 | |
dc.relation.uri | https://revistas.unab.edu.co/index.php/medunab/article/view/328 | |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/2.5/co/ | |
dc.source | MedUNAB; Vol. 4 Núm. 10 (2001): Edición especial dolor; 93-102 | |
dc.subject | Ciencias biomédicas | |
dc.subject | Ciencias de la vida | |
dc.subject | Innovaciones en salud | |
dc.subject | Investigaciones | |
dc.title | Dolor en niños: cómo evaluarlo y tratarlo eficazmente | spa |
dc.title.translated | Pain in children: how to evaluate and treat it effectively | eng |
dc.publisher.faculty | Facultad Ciencias de la Salud | spa |
dc.publisher.program | Pregrado Medicina | spa |
dc.type.driver | info:eu-repo/semantics/article | |
dc.type.local | Artículo | spa |
dc.type.coar | http://purl.org/coar/resource_type/c_6501 | |
dc.subject.keywords | Health Sciences | eng |
dc.subject.keywords | Medicine | eng |
dc.subject.keywords | Medical Sciences | eng |
dc.subject.keywords | Biomedical Sciences | eng |
dc.subject.keywords | Life Sciences | eng |
dc.subject.keywords | Innovations in health | eng |
dc.subject.keywords | Research | eng |
dc.subject.keywords | Analgesia in children | eng |
dc.subject.keywords | Pharmacological management | eng |
dc.subject.keywords | Morphine | eng |
dc.subject.keywords | Regional analgesia | eng |
dc.identifier.instname | instname:Universidad Autónoma de Bucaramanga UNAB | spa |
dc.type.hasversion | Info:eu-repo/semantics/publishedVersion | |
dc.type.hasversion | info:eu-repo/semantics/acceptedVersion | |
dc.rights.accessrights | info:eu-repo/semantics/openAccess | spa |
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dc.subject.lemb | Ciencias médicas | spa |
dc.subject.lemb | Ciencias de la salud | spa |
dc.subject.lemb | Medicina | spa |
dc.identifier.repourl | repourl:https://repository.unab.edu.co | |
dc.description.abstractenglish | Pain is defined as an unpleasant emotional experience and as such depends on previous experiences that go back even to the second trimester of gestation, when all the central mechanisms responsible for pain perception are developed. That only means that the child feels pain and we must be prepared to evaluate and treat it effectively. In children under 2 years of age who do not communicate verbally, the assessment of pain is physiological, derived from their stress response (tachycardia, tachypnea, and palmar sweating) and, most importantly, facial expression, which is the gold standard in pain evaluation in children under 7 years of age. In children over 7 years old, numerical, visual analogue and chromatic analogue scales can be used. After classifying whether the pain is mild, moderate or severe, it is decided whether to use non-steroidal analgesics for mild to moderate pain (ibuprofen is the most used) or morphine to manage severe pain. By understanding the pharmacokinetics and pharmacodynamics, as well as the side effects of opioids and implementing strict monitoring, all risks of their use are minimized. Finally, whenever regional blocks can be used, especially in children under 1 year of age, it should be done since it is the safest and most effective analgesic method that avoids painful traces in the central nervous system, therefore, negative experiences, changing future perception. | eng |
dc.subject.proposal | Analgesia en niños | spa |
dc.subject.proposal | Manejo farmacológico | spa |
dc.subject.proposal | Morfina | spa |
dc.subject.proposal | Analgesia regional | spa |
dc.type.redcol | http://purl.org/redcol/resource_type/ART | |
dc.rights.creativecommons | Atribución-NoComercial-SinDerivadas 2.5 Colombia | * |
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