Severe non-opioid-induced pruritus following spinal block
نویسندگان
چکیده
منابع مشابه
Neuraxial opioid-induced pruritus: a review.
When intrathecal and epidural opioids are administered, pruritus occurs as an unwanted and troublesome side effect. The reported incidence varies between 30% and 100%. The exact mechanisms of neuraxial opioid-induced pruritus remain unclear. Postulated mechanisms include the presence of an "itch center" in the central nervous system, medullary dorsal horn activation, and antagonism of inhibitor...
متن کاملNeuraxial opioid-induced pruritus: An update
Pruritus is a troublesome side-effect of neuraxial (epidural and intrathecal) opioids. Sometimes it may be more unpleasant than pain itself. The prevention and treatment still remains a challenge. A variety of medications with different mechanisms of action have been used for the prevention and treatment of opioid-induced pruritus, with mixed results. The aim of this article is to review the cu...
متن کاملAn Update on Neuraxial Opioid Induced Pruritus Prevention
The incidence of pruritus after intrathecal administration of opioids varies between 30-100% without large differences depending on the drug involved, being higher in the pregnant woman and in mixtures with adrenaline. Usually, this adverse effect occurs on the face and trunk and is mediated by a mechanism that is unknown, although the modulation of the serotonin system seems to play an importa...
متن کاملOpioid antagonists in the treatment of opioid-induced constipation and pruritus.
OBJECTIVE To describe the role of opioid antagonists in the treatment of opioid-induced constipation and pruritus. DATA SOURCES A MEDLINE search was performed (1966-February 2000) for narcotics and opioid antagonists. Results were limited to English-language and clinical trials. Background information was obtained from pharmacology and pharmacotherapy references and review articles. Hand sear...
متن کاملTargeting the Opioid Pathway for Uremic Pruritus
Background: Patients undergoing hemodialysis or peritoneal dialysis often experience pruritus which is associated with morbidity and mortality. One proposed treatment approach is to target the opioid pathway using either μ-opioid antagonists or κ-opioid agonists. Objective: To review the efficacy of targeting the opioid pathway for pruritus among dialysis patients (uremic pruritus). Design: Sys...
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ژورنال
عنوان ژورنال: Scripta Medica
سال: 2012
ISSN: 2490-3329,2303-7954
DOI: 10.5937/scriptamed1202114p