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Bleeding risk and interventional pain management.

机译:出血风险和介入性疼痛管理。

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摘要

PURPOSE OF REVIEW: Interventional pain management is an emerging specialty that uses procedures to diagnose and treat chronic pain. Most of these procedures are performed percutaneously and carry a risk of bleeding. Patients undergoing these treatments may be receiving exogenous anticoagulants. The pain practitioner faces a dilemma in performing an elective procedure on a patient with a bleeding risk. RECENT FINDINGS: A literature review about coagulation physiology and pathophysiology, anticoagulants, and bleeding complications in interventional pain would be useful to a busy pain physician. This review aims to meet this knowledge goal. SUMMARY: Knowledge about normal and impaired hemostasis, coupled with a bleeding risk tool, enables practitioners to make informed decisions when offering interventional pain care to their patients.
机译:审查的目的:介入疼痛管理是一种新兴的专业,它使用程序来诊断和治疗慢性疼痛。这些手术大多数是经皮进行的,有出血的危险。接受这些治疗的患者可能正在接受外源性抗凝剂。疼痛从业者在对有出血风险的患者进行选择性治疗时面临两难选择。最近的发现:介入性疼痛中有关凝血生理学和病理生理学,抗凝药和出血并发症的文献综述对忙碌的疼痛医生而言是有用的。这篇综述旨在满足这一知识目标。摘要:关于正常和止血功能的知识以及出血风险工具,使从业人员在为患者提供介入性止痛护理时能够做出明智的决定。

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