Titre : Anesthésie et analgésie

Anesthésie et analgésie : Questions médicales fréquentes

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Jevtovic-Todorovic", "url": "https://questionsmedicales.fr/author/Vesna%20Jevtovic-Todorovic", "affiliation": { "@type": "Organization", "name": "Department of Anesthesiology, Anschutz Medical Campus, University of Colorado, Aurora, CO 80045, USA." } }, { "@type": "Person", "name": "Slobodan M Todorovic", "url": "https://questionsmedicales.fr/author/Slobodan%20M%20Todorovic", "affiliation": { "@type": "Organization", "name": "Department of Anesthesiology, Anschutz Medical Campus, University of Colorado, Aurora, CO 80045, USA." } }, { "@type": "Person", "name": "Ivan Šklebar", "url": "https://questionsmedicales.fr/author/Ivan%20%C5%A0klebar", "affiliation": { "@type": "Organization", "name": "Clinical Department of Anaesthesiology, Reanimatology and Intensive Care, \"Sveti Duh\" University Hospital, Zagreb, Croatia." } } ], "citation": [ { "@type": "ScholarlyArticle", "name": "A Novel Two-Step Ultrasound-Guided Technique for Anesthesia and Postsurgery Analgesia in Gluteal Augmentation Surgery.", "datePublished": "2023-08-15", "url": "https://questionsmedicales.fr/article/37593073", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.7759/cureus.43546" } }, { "@type": "ScholarlyArticle", "name": "[Opioid-free anesthesia : Wrong track or meaningful exit from the era of opioid-based analgesia?]", "datePublished": "2024-04-03", "url": "https://questionsmedicales.fr/article/38568253", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1007/s00101-024-01397-2" } }, { "@type": "ScholarlyArticle", "name": "Post-cesarean Delivery Analgesia Using Spinal Anesthesia: Ropivacaine-Fentanyl vs. Ropivacaine-Sufentanil.", "datePublished": "2023-07-26", "url": "https://questionsmedicales.fr/article/38024008", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.5812/aapm-138067" } }, { "@type": "ScholarlyArticle", "name": "Ultrasound-guided ilioinguinal-iliohypogastric nerve block with local anesthesia and fentanyl analgesia versus local anesthesia and fentanyl analgesia prior to Shouldice inguinal hernia repair in adults: a retrospective matched-pair analysis among 100 individuals.", "datePublished": "2024-08-02", "url": "https://questionsmedicales.fr/article/39095663", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1007/s10029-024-03101-0" } }, { "@type": "ScholarlyArticle", "name": "Thoracotomy Patients Under General Anesthesia: A Comparison on Intra-Operative Anesthetic and Analgesic Requirements, When Combined with Either Epidural Analgesia or Continuous Unilateral Paravertebral Analgesia.", "datePublished": "2024-01-12", "url": "https://questionsmedicales.fr/article/38722115", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.4103/aca.aca_83_23" } } ], "breadcrumb": { "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "questionsmedicales.fr", "item": "https://questionsmedicales.fr" }, { "@type": "ListItem", "position": 2, "name": "Anesthésie et analgésie", "item": "https://questionsmedicales.fr/mesh/D000760" } ] } }, { "@type": "MedicalWebPage", "name": "Article complet : Anesthésie et analgésie - Questions et réponses", "headline": "Questions et réponses médicales fréquentes sur Anesthésie et analgésie", "description": "Une compilation de questions et réponses structurées, validées par des experts médicaux.", "datePublished": "2026-04-28", "inLanguage": "fr", "hasPart": [ { "@type": "MedicalWebPage", "name": "Diagnostic", "headline": "Diagnostic sur Anesthésie et analgésie", "description": "Comment évaluer le besoin d'anesthésie ?\nQuels tests sont nécessaires avant l'anesthésie ?\nComment identifier une allergie à l'anesthésie ?\nQuels signes indiquent une complication anesthésique ?\nComment évaluer la douleur postopératoire ?", "url": "https://questionsmedicales.fr/mesh/D000760?page=2#section-diagnostic" }, { "@type": "MedicalWebPage", "name": "Symptômes", "headline": "Symptômes sur Anesthésie et analgésie", "description": "Quels sont les effets secondaires courants de l'anesthésie ?\nComment reconnaître une réaction allergique à l'anesthésie ?\nQuels symptômes indiquent une surdose anesthésique ?\nQuels signes de douleur persistante après anesthésie ?\nQuels symptômes d'une anesthésie régionale ratée ?", "url": "https://questionsmedicales.fr/mesh/D000760?page=2#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Anesthésie et analgésie", "description": "Comment prévenir les complications anesthésiques ?\nQuelles précautions avant une anesthésie ?\nComment réduire l'anxiété liée à l'anesthésie ?\nQuels conseils pour le suivi postopératoire ?\nComment informer le patient sur l'anesthésie ?", "url": "https://questionsmedicales.fr/mesh/D000760?page=2#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Anesthésie et analgésie", "description": "Quels types d'anesthésie existent ?\nComment gérer la douleur postopératoire ?\nQuelles sont les alternatives à l'anesthésie ?\nComment choisir le type d'anesthésie ?\nQuels médicaments sont utilisés en anesthésie ?", "url": "https://questionsmedicales.fr/mesh/D000760?page=2#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Anesthésie et analgésie", "description": "Quelles sont les complications possibles de l'anesthésie générale ?\nComment gérer une réaction allergique à l'anesthésie ?\nQuels risques d'anesthésie régionale ?\nComment prévenir les nausées postopératoires ?\nQuels signes d'une embolie gazeuse ?", "url": "https://questionsmedicales.fr/mesh/D000760?page=2#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Anesthésie et analgésie", "description": "Quels facteurs augmentent le risque d'anesthésie ?\nComment l'obésité influence-t-elle l'anesthésie ?\nQuels médicaments augmentent les risques anesthésiques ?\nComment le tabagisme affecte-t-il l'anesthésie ?\nQuels antécédents médicaux influencent l'anesthésie ?", "url": "https://questionsmedicales.fr/mesh/D000760?page=2#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment évaluer le besoin d'anesthésie ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "L'évaluation se fait par l'examen médical et l'anamnèse du patient." } }, { "@type": "Question", "name": "Quels tests sont nécessaires avant l'anesthésie ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Des tests sanguins, ECG et radiographies peuvent être requis selon l'état du patient." } }, { "@type": "Question", "name": "Comment identifier une allergie à l'anesthésie ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Un historique médical détaillé et des tests cutanés peuvent aider à identifier les allergies." } }, { "@type": "Question", "name": "Quels signes indiquent une complication anesthésique ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "Des signes comme des difficultés respiratoires ou des réactions cutanées doivent alerter." } }, { "@type": "Question", "name": "Comment évaluer la douleur postopératoire ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "L'évaluation se fait par des échelles de douleur et l'observation des signes vitaux." } }, { "@type": "Question", "name": "Quels sont les effets secondaires courants de l'anesthésie ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les nausées, vomissements et somnolence sont des effets secondaires fréquents." } }, { "@type": "Question", "name": "Comment reconnaître une réaction allergique à l'anesthésie ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Des éruptions cutanées, démangeaisons ou œdème peuvent indiquer une réaction allergique." } }, { "@type": "Question", "name": "Quels symptômes indiquent une surdose anesthésique ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Confusion, convulsions et dépression respiratoire peuvent signaler une surdose." } }, { "@type": "Question", "name": "Quels signes de douleur persistante après anesthésie ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Une douleur intense ou persistante au site opératoire peut nécessiter une évaluation." } }, { "@type": "Question", "name": "Quels symptômes d'une anesthésie régionale ratée ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Une douleur persistante ou une sensation de picotement peut indiquer un échec de l'anesthésie." } }, { "@type": "Question", "name": "Comment prévenir les complications anesthésiques ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Une évaluation préopératoire rigoureuse et une surveillance attentive sont essentielles." } }, { "@type": "Question", "name": "Quelles précautions avant une anesthésie ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Éviter de manger ou de boire avant l'anesthésie et informer sur les médicaments pris." } }, { "@type": "Question", "name": "Comment réduire l'anxiété liée à l'anesthésie ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Des techniques de relaxation, des informations claires et un soutien psychologique peuvent aider." } }, { "@type": "Question", "name": "Quels conseils pour le suivi postopératoire ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Suivre les instructions du médecin, surveiller les signes de complications et gérer la douleur." } }, { "@type": "Question", "name": "Comment informer le patient sur l'anesthésie ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Fournir des informations claires sur le processus, les risques et les bénéfices de l'anesthésie." } }, { "@type": "Question", "name": "Quels types d'anesthésie existent ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Il existe l'anesthésie générale, régionale et locale, chacune adaptée à des procédures spécifiques." } }, { "@type": "Question", "name": "Comment gérer la douleur postopératoire ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Des analgésiques, des blocs nerveux ou des thérapies complémentaires peuvent être utilisés." } }, { "@type": "Question", "name": "Quelles sont les alternatives à l'anesthésie ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Des techniques comme l'hypnose ou l'acupuncture peuvent être envisagées pour certaines procédures." } }, { "@type": "Question", "name": "Comment choisir le type d'anesthésie ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Le choix dépend de la procédure, de l'état de santé du patient et des préférences du médecin." } }, { "@type": "Question", "name": "Quels médicaments sont utilisés en anesthésie ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Des agents anesthésiques comme le propofol, le sévoflurane et des opioïdes sont couramment utilisés." } }, { "@type": "Question", "name": "Quelles sont les complications possibles de l'anesthésie générale ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent des problèmes respiratoires, des réactions allergiques et des nausées." } }, { "@type": "Question", "name": "Comment gérer une réaction allergique à l'anesthésie ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "L'administration d'antihistaminiques ou de corticostéroïdes peut être nécessaire en cas de réaction." } }, { "@type": "Question", "name": "Quels risques d'anesthésie régionale ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Les risques incluent des hématomes, des infections et des lésions nerveuses." } }, { "@type": "Question", "name": "Comment prévenir les nausées postopératoires ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "L'utilisation de médicaments antiémétiques et une hydratation adéquate peuvent aider." } }, { "@type": "Question", "name": "Quels signes d'une embolie gazeuse ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Des douleurs thoraciques, des difficultés respiratoires et une cyanose peuvent indiquer une embolie." } }, { "@type": "Question", "name": "Quels facteurs augmentent le risque d'anesthésie ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "L'âge avancé, les maladies cardiaques et les antécédents d'allergies augmentent les risques." } }, { "@type": "Question", "name": "Comment l'obésité influence-t-elle l'anesthésie ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "L'obésité peut compliquer l'intubation et augmenter le risque de complications respiratoires." } }, { "@type": "Question", "name": "Quels médicaments augmentent les risques anesthésiques ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Les anticoagulants et certains antidépresseurs peuvent augmenter le risque de complications." } }, { "@type": "Question", "name": "Comment le tabagisme affecte-t-il l'anesthésie ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Le tabagisme augmente le risque de complications respiratoires et de cicatrisation altérée." } }, { "@type": "Question", "name": "Quels antécédents médicaux influencent l'anesthésie ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Des antécédents de maladies respiratoires, cardiaques ou neurologiques peuvent influencer le choix anesthésique." } } ] } ] }

Sous-catégories

34 au total
└─

Analgésie

Analgesia D000698 - E03.091
└─

Anesthésie

Anesthesia D000758 - E03.155
└─

Sédation consciente

Conscious Sedation D016292 - E03.250
└─

Sédation profonde

Deep Sedation D054810 - E03.295
└─

Électronarcose

Electronarcosis D004580 - E03.340
└─

Hypotension contrôlée

Hypotension, Controlled D007023 - E03.545
└─└─

Analgésie par acupuncture

Acupuncture Analgesia D015667 - E03.091.048
└─└─

Analgésie péridurale

Analgesia, Epidural D015360 - E03.091.080
└─└─

Analgésie obstétricale

Analgesia, Obstetrical D016362 - E03.091.110
└─└─

Analgésie autocontrôlée

Analgesia, Patient-Controlled D016058 - E03.091.120
└─└─

Audioanalgésie

Audioanalgesia D001297 - E03.091.214
└─└─

Contrôle inhibiteur diffus nociceptif

Diffuse Noxious Inhibitory Control D059328 - E03.091.322
└─└─

Analgésie intrapleurale

Interpleural Analgesia D055770 - E03.091.430
└─└─

Neuroleptanalgésie

Neuroleptanalgesia D009458 - E03.091.646
└─└─

Neurostimulation électrique transcutanée

Transcutaneous Electric Nerve Stimulation D004561 - E03.091.823
└─└─

Anesthésie de conduction

Anesthesia, Conduction D000765 - E03.155.086
└─└─

Anesthésie générale

Anesthesia, General D000768 - E03.155.197
└─└─

Anesthésie intraveineuse

Anesthesia, Intravenous D000771 - E03.155.308
└─└─

Anesthésie obstétricale

Anesthesia, Obstetrical D000773 - E03.155.364
└─└─

Procédures d'anesthésie cardiaque

Anesthesia, Cardiac Procedures D000074022 - E03.155.403
└─└─

Cryoanesthésie

Cryoanesthesia D050785 - E03.155.441
└─└─

Électroacupuncture

Electroacupuncture D015671 - E03.155.519
└─└─

Anesthésie hypnotique

Hypnosis, Anesthetic D006991 - E03.155.675
└─└─└─

Anesthésie péridurale

Anesthesia, Epidural D000767 - E03.155.086.131
└─└─└─

Anesthésie locale

Anesthesia, Local D000772 - E03.155.086.231
└─└─└─

Rachianesthésie

Anesthesia, Spinal D000775 - E03.155.086.331
└─└─└─

Anesthésie par inhalation

Anesthesia, Inhalation D000769 - E03.155.197.197
└─└─└─

Anesthésie rectale

Anesthesia, Rectal D000774 - E03.155.197.364
└─└─└─

Anesthésie balancée

Balanced Anesthesia D058126 - E03.155.197.682
└─└─└─└─

Anesthésie caudale

Anesthesia, Caudal D000763 - E03.155.086.131.100
└─└─└─└─

Bloc du plexus brachial

Brachial Plexus Block D065527 - E03.155.086.711.649
└─└─└─└─

Bloc du plexus cervical

Cervical Plexus Block D066008 - E03.155.086.711.824
└─└─└─└─

Anesthésie en circuit fermé

Anesthesia, Closed-Circuit D000764 - E03.155.197.197.280
└─└─└─└─

Anesthésie intratrachéale

Anesthesia, Endotracheal D000770 - E03.155.197.197.640

Sources (3344 au total)

Post-cesarean Delivery Analgesia Using Spinal Anesthesia: Ropivacaine-Fentanyl vs. Ropivacaine-Sufentanil.

To improve the quality of intraoperative and postoperative analgesia during spinal anesthesia, intrathecal opioids are used as adjuvant drugs in combination with local anesthetics.... This study aimed to compare the intrathecal injection of ropivacaine-fentanyl with ropivacaine-sufentanil in terms of the duration of analgesia after cesarean section (CS).... This randomized, double-blind clinical trial study was conducted on women referred to Imam Khomeini Hospital of Ahvaz City for elective CS in 2021. A total of 51 patients were randomly divided into 2 ... The duration of surgery (P = 0.059) and the duration of motor block (P = 0.962) were not significantly different between the 2 groups. The mean duration of analgesia (from the time of entering recover... Adding fentanyl or sufentanil to intrathecal ropivacaine provides a similar duration of analgesia. However, fentanyl was associated with better hemodynamic stability and a lower incidence of pruritus....

Ultrasound-guided ilioinguinal-iliohypogastric nerve block with local anesthesia and fentanyl analgesia versus local anesthesia and fentanyl analgesia prior to Shouldice inguinal hernia repair in adults: a retrospective matched-pair analysis among 100 individuals.

There is limited research on the impact of an ilioinguinal-iliohypogastric nerve block on intraoperative opioid consumption when conducting groin hernia repair in adults. Thus, the aim was to evaluate... The study was a pilot retrospective chart review on patients who underwent a Shouldice Repair from November 2023 to December 2023. This study compared individuals receiving an ilioinguinal-iliohypogas... In this study 50 matched pairs of unilateral primary inguinal hernia patients were analyzed. The ilioinguinal-iliohypogastric nerve block patients had lower recorded intraoperative fentanyl (85mcg les... The administration of an ilioinguinal-iliohypogastric nerve block prior to primary inguinal hernia repair using a Shouldice Repair is associated with a significantly lower intraoperative fentanyl cons...

Thoracotomy Patients Under General Anesthesia: A Comparison on Intra-Operative Anesthetic and Analgesic Requirements, When Combined with Either Epidural Analgesia or Continuous Unilateral Paravertebral Analgesia.

Regional analgesia is effective for post-thoracotomy pain. The primary objective of the study is to compare the intraoperative requirement of isoflurane and fentanyl between general anaesthesia (GA) w... A prospective observational comparative study was conducted on 56 patients undergoing open thoracotomy procedures. The patients were divided into two groups of 28 by assigning the study participants a... 25 patients in each group were included in the data analysis. The intraoperative requirement of isoflurane (32.28 ± 1.88 vs 48.31 ± 4.34 ml; p < 0.0001) and fentanyl (128.87 ± 25.12 vs 157 ± 30.92 μg;... GA with epidural analgesia resulted in significant reduction in the intraoperative consumption of isoflurane and fentanyl in comparison to GA with paravertebral analgesia. However, both the techniques...

Concomitant use of Pre-emptive analgesia with Local and General Anesthesia in Rat Uterine Surgical Pain Model.

Preemptive analgesia is used for postoperative pain management, providing pain relief with few adverse effects. In this study, the effect of a preemptive regime on rat behavior and c-fos expression in... It was a lab-based experimental study in which sixty female Sprague-Dawley rats; eight to ten weeks old, weighing 150-300 gm were used. The rats were divided into three main groups: i) Control group (... Significant reduction in the RGS was noted in both the superficial and deep pain groups within the tramadol and buprenorphine subgroups when compared to the saline subgroup (p≤0.05). There was a signi... A preemptive regimen results in significant suppression of both superficial and deep components of pain transmission. These findings provide compelling evidence of the analgesic efficacy of preemptive...

Regional anesthesia and analgesia in patients with spastic cerebral palsy undergoing orthopedic surgery: a historical cohort study.

We sought to examine the incidence of severe postoperative pain in patients with cerebral palsy (CP) in the first 48 hr after surgery performed under combined regional and general anesthesia and its a... In a historical cohort study, we reviewed the electronic records of 452 patients with spastic CP who underwent orthopedic surgeries of the upper and lower extremities from April 2016 to February 2020.... We analyzed data from 440 patients; 404 patients underwent lower extremity surgery, 20 upper extremity surgery, and 15 both, and one patient required stem cell injection. All patients received general... Despite the use of regional anesthesia, approximately 15% of patients with spastic CP undergoing orthopedic surgery for spastic cerebral palsy experienced severe pain that responded to treatment adjus... CTRI.nic.in (027002); registered 5 August 2020....

Decrease of the peak heights of EEG bicoherence indicated insufficiency of analgesia during surgery under general anesthesia.

Studies show that the two peak heights of electroencephalographic bicoherence (pBIC-high, pBIC-low) decrease after incision and are restored by fentanyl administration. We investigated whether pBICs a... After local ethical committee approval, we enrolled 50 patients (27-65 years, ASA-PS I or II) who were scheduled elective surgery. Besides standard anesthesia monitors, to assess pBICs, we used a BIS ... The mean values and standard deviation for pBIC-high 5 min before fentanyl administration, at the time of fentanyl administration, and 5 min after fentanyl administration for LT10-high group were 39.8... Superior to standard anesthesia monitoring, pBICs are better indicators of analgesia during surgery.... Clinical trial Number and registry URL: UMIN ID: UMIN000042843 https://center6.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno = R000048907....

Clinical Analysis of Different Anesthesia and Analgesia Methods for Patients Undergoing Uniportal Video-assisted Lung Surgery.

The purpose of this study was to compare 3 intraoperative modalities to determine the best and most convenient one for pain control for uniportal lung surgery. This study compared general anesthesia w... Eighty patients were enrolled and statistically analyzed. Three interventions were studied: general anesthesia with serratus plane block (group S), general anesthesia with thoracic epidural (group E),... There was no difference in the incidence of opioid-related adverse events and chronic pain, hospital LOS, and overall expenses among the 3 groups. After investigating factors that may influence hospit... This prospective study found that general anesthesia alone offers an easy and efficient approach resulting in similar postoperative pain scores and morphine consumption compared with nerve block and e... gov identifier: NCT03839160. (Clin Ther. 2024;XX:XXX-XXX) © 2024 Elsevier HS Journals, Inc....