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العنوان
PAIN MANAGEMENT
IN HEPATIC PATIENTS
IN THE INTENSIVE CARE UNIT
المؤلف
Abd EL-Monem Abd El-Salam El-Tonamly,Tamer
هيئة الاعداد
باحث / Tamer Abd EL-Monem Abd El-Salam El-Tonamly
مشرف / Gamal EL-Din Mohammad Ahmad Elewa
مشرف / Hanan Mahmoud Farag
مشرف / Mohammed Abd Al Salam Ali Al Gendy
الموضوع
Pain management in hepatic patient-
تاريخ النشر
2009
عدد الصفحات
138.p:
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
التخدير و علاج الألم
تاريخ الإجازة
5/10/2009
مكان الإجازة
جامعة عين شمس - كلية الطب - General Intensive Care
الفهرس
Only 14 pages are availabe for public view

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from 138

Abstract

Liver diseases are commonly seen in the intensive care unit (ICU).
Hepatic patients are admitted to ICU due to acute liver failure or
advanced de-compensated, complicated chronic liver disease. Also, they
can be admitted for post-operative care (e.g. Post-liver transplant)) or for
non hepatic causes (e.g. acute myocardial infarction and polytrauma).
Moreover, non hepatic patients may suffer from liver dysfunction during
their stay in ICU (e.g. shock liver and post- traumatic liver failure).
Neural communication between the liver and the central nervous
system is bidirectional, with afferent and efferent nerve fibers of both
vagal parasympathetic and spinal sympathetic origin. In humans,
branches of both vagus nerves and branches of splanchnic nerves
innervate the liver. Two separate but intercommunicating plexuses are
formed by the sympathetic and parasympathetic nerve fibers.