Pain Management in a Polytrauma Patient Essay Example | Topics and Well Written Essays - 1750 words

Pain Management in a Polytrauma Patient - Essay Example sensitive pain comprises of two other classes radicular and somatic pain. Radicular pain primarily stems from nerve roots irritation such as a disc herniation (PubMed). It follows the pin down to the nerve distribution from the root nerve at the spinal cord. In most scenarios, this class of pain associates with radiculopathy (numbness, weakness, loss of reflexes in nerve distribution). incarnate pain essentially affects the thigh and back. The problem with back pain is that polytrauma patients may not be in a position to provide appropriate history. However, doctors ordinarily provide exact diagnosis in few cases even with appropriate information. Patients suffering from neuropathic pain display characteristics of complete or partial changes in the innervations territories that signify to the central nervous or peripheral system pathology. Additionally, there is paradoxical occurrence of hypersensitivity and pain in denervate d zones and their surroundings (Thomas 125). These nerve problems occur in contrasting conditions and varied locations of the nerve lesion. Consequently, there is no single mechanism entirely responsible for maintaining and generating all the signs and symptoms in neuropathic pain. Overall treatment of neuropathic pain remains a problem, though the increasing evidence of effective neuropathic pain treatment makes it important for clinicians to know the effective drugs in relieving pain as well as their place effects. Additionally, there is need for a treatment algorithm based on evidence for treating neuropathic conditions. A direct comparison of different drugs in both their slope effects and efficacy will ideally lead to the best drug for the... Patients suffering from neuropathic pain display characteristics of complete or partial changes in the innervations territories that accommodate to the central nervous or peripheral system pathology. Additionally, there is paradoxical occurrence of hypersensitivity and pain in denervated zones and their surroundings (Thomas 125). These nerve problems occur in different conditions and different locations of the nerve lesion. Consequently, there is no single mechanism entirely responsible for maintaining and generating all the signs and symptoms in neuropathic pain. Overall treatment of neuropathic pain remains a problem, though the increasing evidence of effective neuropathic pain treatment makes it important for clinicians to know the effective drugs in relieving pain as well as their human face effects. Additionally, there is need for a treatment algorithm based on evidence for treating neuropathic conditions. A direct comparison of different drugs in both their place effects and efficacy will ideally lead to the best drug for the algorithm. However, the availability of such comparisons is limited. The other viable option is to estimate relative base hit and efficacy using the number needed to harm (NNH) and the number needed to treat (NNT) approach. Past research and studies using this approach appraise four pharmacological drug classifications that prove important in the management of neuropathic pain antidepressants, anticonvulsants, opioids, and NMDA antagonists (Medscape).