Talk:Local anesthesia
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The section "Uses in Chronic Pain" is extremely POV, is in direct conflict with other Wikipedia articles, and contains "facts" that many qualified to judge would consider to be just plain wrong. In particular, the following phrase:
"On the other hand, some other classes of centrally acting substances like for example opioids (they are unfortunately still often used in the treatment of chronic pain, including local pain in the peripheral nerve system) are extremely harmful and should be avoided in the treatment of chronic pain at all costs."
Should be contrasted with the article Opioid, where it states:
"Opioids have long been used to treat acute pain (such as post-operative pain). They have also found to be invaluable in palliative care to alleviate the severe, chronic, disabling pain of terminal conditions such as cancer. Very high doses are often required in palliation to improve the patients' terminal quality-of-life.
In recent years there has been an increased use of opioids in the management of non-malignant chronic pain. While this trend is still somewhat controversial in some circles, due to issues of dependence, the emerging medical consensus is that most chronic pain patients can safely use opioids for years with a minimal risk of addiction or toxicity and that the overall increase in quality of life outweighs any adverse effects of opioid use."
The latter is the general consensus regarding the use of opioid medications for the treatment of chronic pain. It should also be noted that the UN has recently (2005) determined that access to effective control of chronic pain is a basic human right.
As a result, I've changed this section to (1) refer to the article [[Opioid] and (2) to point out that there are some who view the use of opioids as a bad idea when treating Chronic Pain, although this is not the consensus or the opinion of the UN and WHO.
Johnpf 06:39, 3 February 2006 (UTC)
- I have replaced the whole section with a short overview, as the text that we had really did not belong here but rather into pain therapy. I have moved it to Talk:Pain management. Kosebamse 08:41, 25 February 2006 (UTC)
[edit] Merge with Local Anaesthetic
Chiss Boy 16:09, 19 February 2007 (UTC)
I recall we had this discussion a couple of years back, when it was decided that this article should remain separate. As I recall:
- There is a difference between the chemistry/pharmacology and the practice of local anesthesia
- The resulting article would be too long
- There is already a precedent with Pain Management and Analgesic
I say keep separate - I think the verb and the noun deserve different articles
Johnpf 20:33, 19 February 2007 (UTC)
