REVISTA DESTACADA

Ketamina postoperatoria: un cambio de paradigma

Valoración Valoración: 5 Estrellas

Descripción: La ketamina podría ser una alternativa eficaz a los opiáceos como de analgesia perioperatoria de primera línea

TITULO FUENTE ORIGINAL:

Postoperative Ketamine: Time for a Paradigm Shift

AUTORES:

Sobey CM, King AB, McEvoy MD

REVISTA ABREV.:

Regional Anesthesia & Pain Medicine

AÑO:

2016

REFERENCIA:

41(4):424-6

DOI:

10.1097/AAP.0000000000000429

RESUMEN ORIGINAL:

Thomas Kuhn (1922–1996) is influential in academia for authoring, in 1962, The Structure of Scientific Revolutions. In it, he argues that science does not progress as a linear accumulation of new knowledge; rather, disciplines undergo periodic revolutions called “paradigm shifts.”1 A scientific paradigm is a specific theoretical orientation that is built upon a particular... + Leer más

Thomas Kuhn (1922–1996) is influential in academia for authoring, in 1962, The Structure of Scientific Revolutions. In it, he argues that science does not progress as a linear accumulation of new knowledge; rather, disciplines undergo periodic revolutions called “paradigm shifts.”1 A scientific paradigm is a specific theoretical orientation that is built upon a particular epistemology and research methodology and demonstrates the beliefs of a particular scientific community at a particular time in history. As such, paradigms not only provide a framework but also guide the types of questions that will be asked, providing the theoretical basis from which any results are evaluated. According to Kuhn, a scientific paradigm goes through 3 distinct phases. The first is a “prescience” phase defined by a period that lacks a reigning paradigm, but from which the archetype begins to emerge. The second is a “normal science” phase, when research is undertaken to prove and expand the central paradigm by problem solving to approach the “real answer.” During this phase, results are evaluated in terms of the paradigm boundaries, and results that do not conform to the paradigm are seen not as refuting the paradigm but as the mistake of the researcher. The final stage, the “crisis” phase, is the point at which enough evidence has been mounted to challenge the reigning paradigm—and at which a new paradigm could emerge to become accepted by the community. Modern health care is at such a point, particularly in the perioperative period, with its understanding of managing analgesia. Opioids, having been used for over a century as the primary means of providing perioperative analgesia, are now being seen as creating significant problems at the individual and societal level.2 However, a new paradigm for managing and researching perioperative pain is emerging and is yet to be defined.........

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Enlace al pdf de acceso libre: : http://journals.lww.com/rapm/Fulltext/2016/07[...]