臨床麻酔学ジャーナル: オープンアクセス

Effective pain management is a cornerstone of palliative care, aimed at alleviating suffering and improving the quality of life for patients with terminal illnesses. This article explores the principles and practices of pain control within palliative care, emphasizing a multidisciplinary approach. It examines the assessment of pain, the utilization of pharmacological and non-pharmacological interventions and the role of healthcare professionals in ensuring comprehensive care. By addressing the complexities and challenges of pain management, this discussion underscores the necessity of individualized care plans tailored to the unique needs of each patient, thereby ensuring comfort and dignity in their final stages of life.

Pain management is a critical aspect of healthcare, often necessitating a multifaceted approach to effectively alleviate symptoms and improve patient quality of life. Integrative medicine, which combines conventional Western medical practices with complementary and alternative therapies from Eastern traditions, offers a holistic framework for pain control. This approach acknowledges the complexities of pain, addressing not only the physical symptoms but also the psychological, social and spiritual dimensions of the patient's experience. This article explores the principles and practices of integrative medicine in pain control, examining the synergistic effects of combining pharmacological treatments with modalities such as acupuncture, herbal medicine, mindfulness, yoga and massage therapy. Through a review of current research and clinical practices, we highlight the benefits, challenges and future directions of integrative pain management.

Pain management in pediatric patients is a critical aspect of medical care that necessitates specialized approaches due to the unique physiological and psychological needs of children. Effective pediatric pain control involves a combination of pharmacological, non-pharmacological and integrative strategies tailored to the child's developmental stage, the type and severity of pain and individual patient factors. This article explores the complexities of pediatric pain, highlights the challenges in assessing and treating pain in children and discusses various methods for managing both acute and chronic pain in this population. Emphasis is placed on the importance of a multidisciplinary approach and the involvement of caregivers to optimize pain relief and improve the overall well-being of pediatric patients.

This case report presents a unique case of intraoperative Heparin-Induced Thrombocytopenia (HIT) during cardiac surgery. Without any preoperative warning signs of HIT, intraoperative complications emerged, including occlusion of the aortocoronary arteries and rapid deterioration of ventricular function. This case illustrates the need for 1) raised awareness of intraoperative HIT and 2) for interdisciplinary contingency plans for suspected intraoperative HIT.