REVISTA

Alucinaciones producidas por opioides: Revision

Descripción: El uso de opioides se ha incrementado en los últimos años y también el número de complicaciones, incluidas las alucinaciones

TITULO FUENTE ORIGINAL:

Opioid-induced Hallucinations: A Review of the Literature, Pathophysiology, Diagnosis, and Treatment

AUTORES:

Sivanesan E, Gitlin MC, Candiotti KA

REVISTA ABREV.:

Anesth Analg

AÑO:

2016

REFERENCIA:

123(4):836-43

DOI:

10.1213/ANE.0000000000001417

RESUMEN ORIGINAL:

Despite their association with multiple adverse effects, opioid prescription continues to increase. Opioid-induced hallucination is an uncommon yet significant adverse effect of opioid treatment. The practitioner may encounter patient reluctance to volunteer the occurrence of this phenomenon because of fears of being judged mentally unsound. The majority of the literature concerning... + Leer más

Despite their association with multiple adverse effects, opioid prescription continues to increase. Opioid-induced hallucination is an uncommon yet significant adverse effect of opioid treatment. The practitioner may encounter patient reluctance to volunteer the occurrence of this phenomenon because of fears of being judged mentally unsound. The majority of the literature concerning opioid-induced hallucinations arises from treatment during end-of-life care and cancer pain. Because the rate of opioid prescriptions continues to increase in the population, the rate of opioid-associated hallucinations may also conceivably increase. With a forecasted increase in the patient-to-physician ratio, opioid therapy is predicted to be provided by practitioners of varying backgrounds and medical specialties. Hence, knowledge of the pharmacology and potential adverse effects of these agents is required. This review seeks to increase awareness of this potential complication through a discussion of the literature, potential mechanisms of action, diagnosis, and treatment strategies.

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ENLACES DE INTERÉS

Enlace al articulo de acceso libre: : http://journals.lww.com/anesthesia-analgesia/[...]