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Assessment and management of pain/nociception in patients with disorders of consciousness or locked-in syndrome: A narrative review
The assessment and management of pain and nociception is very challenging in patients unable to communicate functionally such as patients with disorders of consciousness (DoC) or in locked-in syndrome (LIS). In a clinical setting, the detection of signs of pain and nociception by the medical staff i...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10067681/ https://www.ncbi.nlm.nih.gov/pubmed/37021037 http://dx.doi.org/10.3389/fnsys.2023.1112206 |
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author | Bonin, Estelle A. C. Lejeune, Nicolas Szymkowicz, Emilie Bonhomme, Vincent Martial, Charlotte Gosseries, Olivia Laureys, Steven Thibaut, Aurore |
author_facet | Bonin, Estelle A. C. Lejeune, Nicolas Szymkowicz, Emilie Bonhomme, Vincent Martial, Charlotte Gosseries, Olivia Laureys, Steven Thibaut, Aurore |
author_sort | Bonin, Estelle A. C. |
collection | PubMed |
description | The assessment and management of pain and nociception is very challenging in patients unable to communicate functionally such as patients with disorders of consciousness (DoC) or in locked-in syndrome (LIS). In a clinical setting, the detection of signs of pain and nociception by the medical staff is therefore essential for the wellbeing and management of these patients. However, there is still a lot unknown and a lack of clear guidelines regarding the assessment, management and treatment of pain and nociception in these populations. The purpose of this narrative review is to examine the current knowledge regarding this issue by covering different topics such as: the neurophysiology of pain and nociception (in healthy subjects and patients), the source and impact of nociception and pain in DoC and LIS and, finally, the assessment and treatment of pain and nociception in these populations. In this review we will also give possible research directions that could help to improve the management of this specific population of severely brain damaged patients. |
format | Online Article Text |
id | pubmed-10067681 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-100676812023-04-04 Assessment and management of pain/nociception in patients with disorders of consciousness or locked-in syndrome: A narrative review Bonin, Estelle A. C. Lejeune, Nicolas Szymkowicz, Emilie Bonhomme, Vincent Martial, Charlotte Gosseries, Olivia Laureys, Steven Thibaut, Aurore Front Syst Neurosci Neuroscience The assessment and management of pain and nociception is very challenging in patients unable to communicate functionally such as patients with disorders of consciousness (DoC) or in locked-in syndrome (LIS). In a clinical setting, the detection of signs of pain and nociception by the medical staff is therefore essential for the wellbeing and management of these patients. However, there is still a lot unknown and a lack of clear guidelines regarding the assessment, management and treatment of pain and nociception in these populations. The purpose of this narrative review is to examine the current knowledge regarding this issue by covering different topics such as: the neurophysiology of pain and nociception (in healthy subjects and patients), the source and impact of nociception and pain in DoC and LIS and, finally, the assessment and treatment of pain and nociception in these populations. In this review we will also give possible research directions that could help to improve the management of this specific population of severely brain damaged patients. Frontiers Media S.A. 2023-03-20 /pmc/articles/PMC10067681/ /pubmed/37021037 http://dx.doi.org/10.3389/fnsys.2023.1112206 Text en Copyright © 2023 Bonin, Lejeune, Szymkowicz, Bonhomme, Martial, Gosseries, Laureys and Thibaut. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Neuroscience Bonin, Estelle A. C. Lejeune, Nicolas Szymkowicz, Emilie Bonhomme, Vincent Martial, Charlotte Gosseries, Olivia Laureys, Steven Thibaut, Aurore Assessment and management of pain/nociception in patients with disorders of consciousness or locked-in syndrome: A narrative review |
title | Assessment and management of pain/nociception in patients with disorders of consciousness or locked-in syndrome: A narrative review |
title_full | Assessment and management of pain/nociception in patients with disorders of consciousness or locked-in syndrome: A narrative review |
title_fullStr | Assessment and management of pain/nociception in patients with disorders of consciousness or locked-in syndrome: A narrative review |
title_full_unstemmed | Assessment and management of pain/nociception in patients with disorders of consciousness or locked-in syndrome: A narrative review |
title_short | Assessment and management of pain/nociception in patients with disorders of consciousness or locked-in syndrome: A narrative review |
title_sort | assessment and management of pain/nociception in patients with disorders of consciousness or locked-in syndrome: a narrative review |
topic | Neuroscience |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10067681/ https://www.ncbi.nlm.nih.gov/pubmed/37021037 http://dx.doi.org/10.3389/fnsys.2023.1112206 |
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