{"id":33359,"date":"2022-11-09T10:23:56","date_gmt":"2022-11-09T09:23:56","guid":{"rendered":"https:\/\/ellipse.prbb.org\/?p=33359"},"modified":"2022-11-09T10:24:30","modified_gmt":"2022-11-09T09:24:30","slug":"deixar-de-sentir-dolor-durant-lanestesia","status":"publish","type":"post","link":"https:\/\/ellipse.prbb.org\/ca\/deixar-de-sentir-dolor-durant-lanestesia\/","title":{"rendered":"Deixar de sentir dolor durant l&#8217;anest\u00e8sia"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">L\u2019any passat coneix\u00edem la not\u00edcia que l\u2019Hospital del Mar i l\u2019<a rel=\"noreferrer noopener\" href=\"https:\/\/www.imim.es\/\" target=\"_blank\">Institut Hospital del Mar d\u2019Investigacions M\u00e8diques (IMIM)<\/a> havien \u201cfotografiat\u201d el <a rel=\"noreferrer noopener\" href=\"https:\/\/ellipse.prbb.org\/ca\/quan-cau-el-telo-de-la-consciencia\/\" target=\"_blank\">moment exacte on els pacients anestesiats amb propofol perdien la consci\u00e8ncia<\/a>. Ara, el mateix equip <a rel=\"noreferrer noopener\" href=\"https:\/\/www.parcdesalutmar.cat\/ca\/noticies\/view.php?ID=12426\" target=\"_blank\">ha identificat<\/a> quines \u00e0rees del cervell reaccionen al dolor durant la sedaci\u00f3 profunda, i quan els <strong>pacients anestesiats deixen de percebre el dolor<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Per veure quines zones del cervell s\u2019activen davant l\u2019est\u00edmul del dolor i quan deixen d\u2019estar actives per l\u2019administraci\u00f3 del f\u00e0rmac, l\u2019equip va <strong>monitoritzar per <a href=\"https:\/\/ellipse.prbb.org\/ca\/validada-una-nova-tecnica-per-a-localitzar-lesions-en-la-mama\/\" target=\"_blank\" rel=\"noreferrer noopener\">resson\u00e0ncia magn\u00e8tica<\/a><\/strong> <strong>26 voluntaris i volunt\u00e0ries<\/strong>. <strong>Sedats<\/strong> amb propofol, se\u2019ls aplicava un <strong>est\u00edmul dolor\u00f3s<\/strong> en pressionar-los l\u2019ungla del polze. I gradualment, se\u2019ls hi anava administrant remifentamil, un potent <strong>analg\u00e8sic<\/strong> derivat de la morfina. Els resultats van mostrar que les dosis altes de remifentamil s\u00f3n capaces d&#8217;inactivar tant les zones cerebrals que impulsen el pacient a despertar-se com les zones on s\u2019aplica el dolor. &nbsp;<\/p>\n\n\n\n<div style=\"height:23px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><em>\u201cEl dolor no nom\u00e9s \u00e9s sofert a la zona del cervell que es correspon a l\u2019\u00e0rea anat\u00f2mica estimulada. T\u00e9 un component d\u2019estr\u00e8s biol\u00f2gic que activa altres zones del cervell i genera una resposta fisiol\u00f2gica\u201d <\/em><br><strong>Juan L. Fern\u00e1ndez Candil, Hospital del Mar<\/strong><\/p><\/blockquote>\n\n\n\n<div style=\"height:23px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Actualment la dosificaci\u00f3 de l&#8217;anest\u00e8sia es realitza mitjan\u00e7ant les constants vitals i no en funci\u00f3 de la resposta del cervell. El present estudi \u201cens ensenya que es poden ajustar encara millor les dosis dels f\u00e0rmacs si volem eliminar tamb\u00e9 altres elements de l&#8217;estr\u00e8s que el cervell pateix m\u00e9s enll\u00e0 del dolor estrictament\u201d conclou Jes\u00fas Pujol, de l&#8217;Hospital del Mar.<\/p>\n\n\n\n<div style=\"height:46px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Un estudi de l&#8217;IMIM i l&#8217;Hospital del Mar que determina el moment en qu\u00e8 els pacients sedats deixen de sentir dolor podria ajudar a personalitzar les dosis d&#8217;anest\u00e8sia utilitzades.<\/p>\n","protected":false},"author":29,"featured_media":33404,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[26],"tags":[263,451,213,317],"new-type":[35],"class_list":["post-33359","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-recerca","tag-cervell","tag-hospital-del-mar-ca","tag-imim","tag-neurobiologia","new-type-noticies"],"acf":[],"_links":{"self":[{"href":"https:\/\/ellipse.prbb.org\/ca\/wp-json\/wp\/v2\/posts\/33359","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ellipse.prbb.org\/ca\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ellipse.prbb.org\/ca\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ellipse.prbb.org\/ca\/wp-json\/wp\/v2\/users\/29"}],"replies":[{"embeddable":true,"href":"https:\/\/ellipse.prbb.org\/ca\/wp-json\/wp\/v2\/comments?post=33359"}],"version-history":[{"count":26,"href":"https:\/\/ellipse.prbb.org\/ca\/wp-json\/wp\/v2\/posts\/33359\/revisions"}],"predecessor-version":[{"id":33424,"href":"https:\/\/ellipse.prbb.org\/ca\/wp-json\/wp\/v2\/posts\/33359\/revisions\/33424"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ellipse.prbb.org\/ca\/wp-json\/wp\/v2\/media\/33404"}],"wp:attachment":[{"href":"https:\/\/ellipse.prbb.org\/ca\/wp-json\/wp\/v2\/media?parent=33359"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ellipse.prbb.org\/ca\/wp-json\/wp\/v2\/categories?post=33359"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ellipse.prbb.org\/ca\/wp-json\/wp\/v2\/tags?post=33359"},{"taxonomy":"new-type","embeddable":true,"href":"https:\/\/ellipse.prbb.org\/ca\/wp-json\/wp\/v2\/new-type?post=33359"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}