Muestra la distribución de disciplinas para esta publicación.
Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.
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| Año | 2018 | ||
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Citas Totales
Autores Afiliación Chile
Instituciones Chile
% Participación
Internacional
Autores
Afiliación Extranjera
Instituciones
Extranjeras
With fair reason we could say that the difference between non-cancer pain and oncologic pain is found in the doctor who treats them. This is based on the premise that an EVA 10 score exists for both. However, one of the problems when it comes to treating it is the expected survival time of our patient. We say, then, when we think that the patient has a life expectancy of less than three months, as in the patients of the Palliative Care Service, we do not tremble to prescribe an opioid. On the contrary, when we are going to use opioids for long periods, we immediately weigh the side effects to which we are going to see avocados. Be that as it may, opioids –as they are–, one of the fundamental pillars in our struggle against pain, we must be cautious with its use. Literature invites us to look at our patients suffering from pain from different points of view and for that, to put at their disposal a multidisciplinary team. Likewise, it refers to multimodal analgesia. He asks us to spare no effort and not to take for granted or against or in favor. It indicates to us that each patient is different, that the norm does not exist and that we must look for the intermediate point between the dose and the poison. Limit that otherwise is not always in the dose. Within this context a new ally, new in our eyes, we find cannabinoids. This article aims, based on the evidence gathered –along with some suggested doses–, to share the way of thinking of the authors about its use as part of the analgesic arsenal of algology.
| Ord. | Autor | Género | Institución - País |
|---|---|---|---|
| 1 | Moreno, E. Salvador | - |
Hospital Hernán Henríquez Aravena - Chile
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| 2 | Centeno, P. Prieto | - |
Médico Cirujano - Chile
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| 3 | Ortiz, P. Cabrera | - |
Médico Cirujano - Chile
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| Agradecimiento |
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| Actualmente, el dronabinol es un derivado sintético del THC disponible en forma de cápsulas y aprobado por la Food and Drug Administration (FDA) para el trata-miento de la náusea inducida por quimioterapia y es-timulación del apetito en pacientes con sida. Otro de-rivado sintético del THC, la nabilona, también está aprobado por la FDA para el tratamiento de las náuseas inducidas por la quimioterapia. El sativex (GW Pharmaceuticals, Cambridge, RU), aprobado en 20 países, pero sin incluir los EE.UU., contiene 27 mg/ml de THC y 25 mg/ml de cannabidiol en forma de espray orobu-cal para el tratamiento de la espasticidad o dolor neuropático asociado con la esclerosis múltiple. |