腰椎间盘的针刀治疗__培训课件.ppt

Intraspinal Analgesia: Intrathecal or epidural administration of analgesic substance which produce profound and prolonged pain relief without sympathetic, sensory or motor block. INTRASPINAL ANALGESIC DRUGS Opioids Mixed Agonist Others Morphine Meperidine Hydromorphone Fentanyl Sufentanil Alfentanil B-endorphine Dynorphine Local Anesthetics Pentazocine Nalbuphine Butorphanol Buprenorphine Dezocine Tramadol Ketamine Somatostatin Vasopressin Clonidine Calcitonin DADL Baclofen Neostigmine Midazolam Droperidol IMPLANTED DRUG DELIVERY SYSTEM Implantation of adrenal medulla The biological pump Pain Therapy in the future Gene Therapy Minimally Invasive Interventional Pain Therapy 微創介入性疼痛治療 Interventional Radiology Anesthesia And Pain Specialty is as follows: Anesthesiology 61% Neurology/ neurosurgery 11% Psychiatry/psychology 7% Physical medicine 4% Orthopedics 4% Dental 3% Internal medicine 1% Combinations or other 8% Chronic Pain Psychological Derangement Pain Behavior Psychotherapy and Pain Multidiscipline PAIN MANAGEMENT TEAM CLINICAL PSYCHOLOGIST PHYSICIAN (M.D.) ACUPUNCTURIST (HERBALIST) CHIROPRACTOR or HEMEOPATHIST or NATUROPATHIST PHYSICAL THERAPIST OCCUPATION THERAPIST SOCIAL WORKER NURSE SPECIALIST Oncology Rehabilitation Home care Hospice Pain Management Drugs Physical Modalities Interventional Therapy Surgical Ablation Psychotherapy Thank You for Your Attention * One of the most well-known theories of pain was the gate-control theory of pain introduced by Wall & Melzack in 1965. It is based on the theory that before the pain signals reach the brain they must first go through a gating mechanism in th