Prevenção e tratamento de dor crônica e em membro fantasma - revisão de literatura.

Abstract

Prevention and treatment of chronic and phantom limb pain – Literature review. Chronic pain is characterized by having longer duration of three months and may last for years, ranging from mild to severe, and persists even after healing of the initial lesion, with a strong emotional influence. A type of chronic pain is neuropathic pain, which arises by activity generated within the nervous system without adequate peripheral sensory endings of their stimulation. The pain in fanstasma member can occur soon after amputation or months after surgery. There are effective treatments for phantom limb pain using morphine, ketamine, gabapentin, methadone, stimulating the motor cortex and visual feedback treatment. Prevention of pain on fanstasma member is by stunning, performing local anesthesia, epidural anesthesia being taken in lower limb amputation and brachial plexus anesthesia in upper limb amputation.