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Science Forum Index » Medicine - Nursing Forum » The Hazards of Nociassociation!!!! -- Please Respond
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| Radium |
 Posted: Fri Dec 15, 2006 2:01 am |
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Guest
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Hi:
This is not spam or troll
http://www.mercksource.com/pp/us/cns/cns_hl_dorlands.jspzQzpgzEzzSzppdocszSzuszSzcommonzSzdorlandszSzdorlandzSzdmd_n_09zPzhtm
"nociassociation = the unconscious discharge of nervous energy under
the stimulus of trauma, as in surgical shock."
This means a patient under general anesthesia can still experience
shock as a result of the nociception that results from the physical
injuries that occur during the surgery.
Just because you aren't aware of the pain doesn't mean it isn't
significantly affecting your autonomic nervous system.
Pain can kill even the the victim doesn't feel it. While may not be
felt consciously, the unconscious still feels it. As a result,
excruciating pain can screw-up the nervous system enough to cause shock
-- and even death -- even if the victim is totally unconscious.
http://www.ajhp.org/cgi/content/abstract/51/12/1539
"Physiological responses to acute pain are described, and the effects
of different analgesic techniques on these responses are discussed. The
body's response to acute pain can cause adverse physiological effects.
Pain can impede the return of normal pulmonary function, modify certain
aspects of the stress response to injury, and alter hemodynamic values
and cardiovascular function. It can produce immobility and contribute
to thromboembolic complications."
These neurophysiological effects of nociception can cause a
potentially-fatal shock reaction even if:
1. There is minimal or no bleeding
2. No infection occurs
3. The patient isn't aware of the pain
4. There is no injury to any vital organ[s]
This shock is call nociassociation and cannot be prevented even by the
most powerful general anesthetics or sedatives put together.
My point is that inducing unconsciousness might prevent the
surgery-patient from perceiving the suffering caused by his/her
injuries but this does not prevent the subconscious elements of the
nervous system from feeling the agony. The subconscious parts of the
nervous system -- which are concerned with emotions and regulate the
circulatory system -- can still feel the suffering caused by the
nociception. As a result, the autonomic nervous system's control of the
heart may go awry and cause lethal cardiac arrhythmias.
This means, the subconscious parts of the nervous system must somehow
be temporarily disconnected from pain perception prior and during the
surgical operation.
In order for the surgery not to result in a likely-fatal
nociassociation, the patient's entire autonomic nervous system [and
their effectors], his/her heart's natural pacemaker, smooth muscles,
reflexes [all types; including reflexes not involved with the autonomic
nervous system], endocrine and hormonal systems must be rendered
totally unresponsive to the infliction of even the most excruciating
pain and totally unresponsive to any type of injury.
The best way to do this is to locally-anesthetize all sensory-receptors
and sensory nerves at the site of the operation before the surgery and
make sure they are completely numb throughout the surgery and for at
least 15 minutes after the surgery is complete. After 15 minutes the
sensory-receptors and sensory nerves at the affected site should be
allowed to *gradually* resume activity. It should take at least an
additional hour for these sensory receptors and nerves to regain
complete "wakefuleness". This will prevent the root-cause of
nociassociation.
Note: nociassociation is one of the major reasons that martial-arts
relies on pain-sensitive areas of the body as targets. This is how a
punch to the solar plexus can kill.
Any questions/comments are welcome
Thanks,
Radium |
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