20 / 42
Pain Management 2018
Internal Medicine 2018
International Journal of Anesthesiology & Pain Medicine
ISSN: 2471-982X
Page 71
March 26-28, 2018
Vienna, Austria
JOINT EVENT
7
t h
E d i t i o n o f I n t e r n a t i o n a l C o n f e r e n c e o n
Internal Medicine and Patient Care
&
6
t h
E d i t i o n o f I n t e r n a t i o n a l C o n f e r e n c e o n
Pain Management
Volume 4
P
ain management is an integral part of therapeutics and
clinical medicine has evolved immensely over the years and
now to a certain extent integrates prescribed and complementary
and alternative medicine. The physiology and pathology of
pain whether peripheral or central involves nociception and
transmission from the injured tissue-skin, muscle or viscera. Pain
associatedwith traumaand terminal diseases requires aggressive
control beyond the inhibition of the inflammatory mediators such
as the prostaglandins. Afferent fibers, spinal cord sensory cells
and chemical mediators play a pivotal role. Pain management
which to a great extent is based on patient response and the pain
scale is associated with a Step-Up approach relating to the type of
pain and underlying pathophysiology. Traditionally Non-Steroidal
Anti-inflammatory drugs (NSAIDs) have been the mainstay of
treatment. However, failure of NSAID’s to treat pain or more
chronic conditions require a Step 1 Up approach which would then
introduce the opioids which address central mechanisms and are
also used to treat severe pain particularly those associated with
terminal illnessandmyocardial infarcts.Themechanismof action,
of opioids are similar however they differ in pharmacokinetic
parameters. Complementary and alternative medicine (CAM) has
now become a widely accepted approach to pain management
either with prescribed medications or as an alternative. That
fact remains that the mechanism of action and pharmacokinetic
and parameters of these agents are not fully elucidated. This
presentation addresses the use of both prescribed medications
and CAM in pain management.
cheyang@bu.eduherapeutic and non-therapeutic interventions
Bimal Roy Krishna
Touro Universiy, USA
Int J Anesth Pain Med 2018, Volume 4
DOI: 10.21767/2471-982X-C1-003