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barry 2013
regional anesthesia pain
17
Other
Not Applicable
05/14/2011

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Term
3 componenets to anesthesia are
Definition
analgesia, amnesia, immobilization
Term
definition of pain
Definition
an unpleasant sensory and emotional experience associated with actual or potential tissue damage
Term
nociceptive
Definition
bone, muscle, visceral-- caused by activation or sensitization of peripheral nociceptors (peripheral nerve endings)
Term
neuropathic
Definition
burning, tinglg, pins and needles sensations-- caused by injury or acquired abnormalities of peripheral or central neural structures.
Term
psychogenic
Definition
phychological mechanisms or environmental factors in combination with other mechanisms often produce chronic pain
Term
nocioception
Definition
describes the recognition and transmission of painful stimuli
Term
nocioceptors are free _____ nerve endings of myelinated A-delta and nmyelinated C fibers
Definition
afferent
Term
nociceptors are free nerve endings that sense ____, ____, ____ tissue damade
Definition
heat, mechanical, chemical
Term
mechanonociceptors
Definition
respond to pinch and pinprick
Term
silent nociceptors
Definition
respond to inflammation
Term
polymodal mechanoheat nociceptors
Definition
most prevalent, respond to excessive pressure and extreme (< 42C and < 18C) and alogens
Term
alogens
Definition
pain producing substance
Term
protopathic sensation
Definition
Protopathic sensation:
noxious (pain)
subserved by high-threshold receptors
conducted by smaller, lightly myelinated (Aδ) and unmyelinated (C) nerve fibers
Term
epicritic sensation
Definition
Epicritic sensation:
nonnoxious
light touch, pressure, proprioception, and temperature discrimination
Characterized by low-threshold receptors
Generally conducted by large myelinated nerve fibers
Term
A beta fibers
Definition
A Beta fibers: 5-12 microns
Large, myelinated fibers.
Transmit impulses quickly.
Transmits sensations of touch, pressure and proprioception.
Carry sensations described as epicritic (non-noxious)
Term
A delta fibers
Definition
A Delta fibers: 2-5 microns
Myelinated with lipid-like substance.
Transmit impulses fast.
Sense “sharp” and well-localized sensations.
First pain or “Acute” pain
Carry sensations described as protopathic (noxious).
Warns you to react quickly.
Term
C fibers
Definition
C Fibers: 0.4-1.2 microns
Unmyelinated
Transmit impulses slowly.
Sense dull, poorly localized sensations.
Second Pain or “Chronic” pain
Transmits protopathic sensations of pain, temperature, and touch.
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