{"id":36503,"date":"2026-03-11T09:27:36","date_gmt":"2026-03-11T09:27:36","guid":{"rendered":"https:\/\/be-accepted.com\/catre-anestezie-si-terapie-pentru-durere\/"},"modified":"2026-05-22T08:11:38","modified_gmt":"2026-05-22T08:11:38","slug":"catre-anestezie-si-terapie-pentru-durere","status":"publish","type":"post","link":"https:\/\/be-accepted.com\/ro\/catre-anestezie-si-terapie-pentru-durere\/","title":{"rendered":"Anestezia \u0219i tratamentul analgezic"},"content":{"rendered":"\t\t
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Am \u00eentrebat <\/span><\/p>

la<\/span><\/p>

O\u00c4 Dr. Andrea Auer<\/span><\/strong><\/p>

Specialist \u00een anesteziologie, specialist \u00een terapie intensiv\u0103<\/span><\/p>

Spitalul Fra\u021bilor Milostivirii, Viena<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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\u00cen calitate de anestezist, face\u021bi parte \u0219i din comisia oncologic\u0103?<\/span><\/p>

\u00a0<\/p>

\u00centr-o comisie oncologic\u0103, oncologii \u0219i chirurgii curan\u021bi decid \u00eempreun\u0103 cu radiologii care interpreteaz\u0103 imaginile ce terapie este indicat\u0103 pentru pacient\u0103. Apoi sunt informa\u021bi anestezi\u0219tii \u0219i \u00eempreun\u0103 discut\u0103m despre starea general\u0103 de s\u0103n\u0103tate a pacientei, eventual sunt solicitate examin\u0103ri speciale \u0219i este selectat\u0103 procedura anestezic\u0103 adecvat\u0103.\u00a0<\/span><\/p>

\u00a0<\/p>

C\u00e2nd se \u00eent\u00e2lne\u0219te prima oar\u0103 pacienta cu anestezistul?\u00a0<\/span><\/p>

\u00a0<\/p>

\u00cenainte de fiecare interven\u021bie medical\u0103 \u0219i, prin urmare, \u0219i \u00eenainte de fiecare opera\u021bie are loc o discu\u021bie preliminar\u0103 \u00eentre pacient\u0103 \u0219i anestezist. Aceasta are loc de obicei cu cel pu\u021bin 24 de ore \u00eenainte de interven\u021bia planificat\u0103, \u00eentr-o a\u0219a-numit\u0103 clinic\u0103 ambulatorie de consulta\u021bii preanestezie.<\/span><\/p>

M\u0103 \u00eent\u00e2lnesc cu majoritatea pacientelor cu 2-3 s\u0103pt\u0103m\u00e2ni \u00eenainte de procedur\u0103. Discut\u0103m despre afec\u021biunile preexistente, alergii \u0219i evaluez posibilii factori de risc. \u0218i, bine\u00een\u021beles, este aleas\u0103 procedura anestezic\u0103 adecvat\u0103. Consulta\u021bia le d\u0103 de asemenea pacientelor posibilitatea de a-\u0219i prezenta cu calm \u00eentreb\u0103rile \u0219i motivele de \u00eengrijorare.<\/span><\/p>

\u00a0<\/p>

Ce informa\u021bii despre istoricul medical al pacientelor trebuie s\u0103 \u0219tie anestezi\u0219tii?<\/span><\/p>

\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Este important pentru noi s\u0103 avem informa\u021bii despre afec\u021biunile preexistente, cum ar fi boala cardiac\u0103, boala cardiac\u0103 coronarian\u0103, atacurile de cord anterioare sau insuficien\u021ba cardiac\u0103 cunoscut\u0103, \u0219i bolile pulmonare preexistente, cum ar fi BPOC, boala pulmonar\u0103 obstructiv\u0103 cronic\u0103.<\/span><\/p>



<\/p>

Dar, de asemenea, trebuie luate \u00een considerare tensiunea arterial\u0103 mare, diabetul sau bolile neurologice, cum ar fi un accident vascular cerebral anterior.<\/span><\/p>

Bolile grave sunt de obicei raportate \u00een avans de c\u0103tre chirurgii curan\u021bi.<\/span><\/p>

\u00a0<\/p>

Sunt efectuate teste standard \u00eenainte de anestezie, pentru a se asigura faptul c\u0103 pacienta tolereaz\u0103 bine anestezia?\u00a0<\/span><\/p>

\u00a0<\/p>

Cel mai important lucru este o anamnez\u0103 detaliat\u0103, adic\u0103 o discu\u021bie cu medicul despre starea curent\u0103 de s\u0103n\u0103tate a pacientei.<\/span><\/p>

\u00cen plus, se efectueaz\u0103 examin\u0103ri standard, cum ar fi o evaluare hematologic\u0103 complet\u0103, respectiv se efectueaz\u0103 o hemoleucogram\u0103, analize hepatice \u0219i renale, analize ale electroli\u021bilor, nivelului glicemiei, parametrilor de inflama\u021bie \u0219i teste de coagulare.<\/span><\/p>

\u00cen plus, este efectuat un examen clinic care include m\u0103surarea tensiunii arteriale, iar \u00eencep\u00e2nd cu v\u00e2rsta de 40 de ani se efectueaz\u0103 \u0219i un EKG.\u00a0<\/span><\/p>

\u00cen cazul unor probleme sau boli preexistente, pot fi, de asemenea, necesare examin\u0103ri speciale, cum ar fi o ecocardiogram\u0103, o radiografie pulmonar\u0103 sau un test al func\u021biei pulmonare.\u00a0<\/span><\/p>

\u00a0<\/p>

De ce anestezia este \u00een mare parte nepericuloas\u0103 \u00een prezent?<\/span><\/p>

\u00a0<\/p>

Pacientele sunt monitorizate \u00eendeaproape \u00een timpul unei anestezii generale. Pe parcursul \u00eentregii proceduri se monitorizeaz\u0103 tensiunea arterial\u0103, satura\u021bia de oxigen din s\u00e2nge \u0219i, printr-un EKG, ritmul cardiac. \u00cen plus, este posibil s\u0103 se m\u0103soare profunzimea anesteziei prin \u00eenregistrarea undelor cerebrale, \u0219i anume printr-o electroencefalogram\u0103. Aceasta permite ajustarea individual\u0103 a hipnoticelor \u0219i sedativelor.<\/span><\/p>

\u00a0<\/p>

Este permis\u0103 administrarea de preparate pentru calmare provenite din medicina complementar\u0103, cum ar fi remediile florale Bach sau sun\u0103toarea, \u00eenainte de o opera\u021bie, respectiv \u00eenainte de anestezie?<\/span><\/p>

\u00a0<\/p>

\u00cen principiu, pacientele trebuie s\u0103 \u00ee\u0219i informeze medicii despre toate medicamentele \u0219i preparatele pe baz\u0103 de plante pe care le iau \u00een mod regulat.\u00a0<\/span><\/p>

Se \u0219tie, de exemplu, c\u0103 sun\u0103toarea \u0219i preparatele pe baz\u0103 de ginkgo pot avea influen\u021b\u0103 asupra coagul\u0103rii s\u00e2ngelui. Se recomand\u0103 aten\u021bie sporit\u0103, \u00een special \u00een combina\u021bie cu medicamentele cu efect anticoagulant. Acest lucru este determinat de faptul c\u0103 preparatele pot duce la intensificarea efectului medica\u021biei.\u00a0<\/span><\/p>

Anestezi\u0219tii curan\u021bi pot spune pacientei nu doar ce medicamente \u0219i\/sau preparate pe baz\u0103 de plante nu trebuie s\u0103 mai ia, ci \u0219i \u2013 foarte important \u2013 c\u00e2nd trebuie s\u0103 \u00eenceteze administrarea acestora, precum \u0219i ce astfel de medicamente \u0219i\/sau preparate ar trebui neap\u0103rat s\u0103 continue s\u0103 ia, \u00een special \u00een ziua opera\u021biei.<\/span><\/p>



<\/p>

Se efectueaz\u0103 o anestezie general\u0103 sau epidural\u0103 pentru o opera\u021bie la s\u00e2n?<\/span><\/p>

\u00a0<\/p>

Opera\u021biile la s\u00e2n sunt \u00eentotdeauna efectuate sub anestezie general\u0103. Pacientei \u00eei este indus un somn at\u00e2t de profund cu ajutorul unei medicament administrat intravenos, \u00eenc\u00e2t at\u00e2t starea de con\u0219tien\u021b\u0103, c\u00e2t \u0219i senza\u021bia de durere sunt complet eliminate.\u00a0<\/span><\/p>

O anestezie epidural\u0103 sau spinal\u0103 este o procedur\u0103 anestezic\u0103 utilizat\u0103 pentru opera\u021bii sub nivelul ombilicului, respectiv pentru opera\u021bii la extremit\u0103\u021bile inferioare, picioare, \u0219olduri sau abdomenul inferior.\u00a0<\/span><\/p>

Un anestezic local, iar uneori \u0219i un analgezic sunt injectate la nivelul coloanei lombare inferioare \u00eentre corpurile vertebrale, \u00een spa\u021biul \u00een care se afl\u0103 lichidul cefalorahidian. Acest lucru determin\u0103 at\u00e2t analgezie, c\u00e2t \u0219i blocare motorie de la ombilic \u00een jos. Pacientele r\u0103m\u00e2n treze \u00een timpul acestei proceduri.<\/span><\/p>

Biopsiile pentru recoltare de piele (punch biopsy), extirparea de tumori superficiale foarte mici, pot fi efectuate sub anestezie local\u0103 \u0219i, dac\u0103 se dore\u0219te, de asemenea, \u00een combina\u021bie cu narcoz\u0103 superficial\u0103 (sedoanalgezie).<\/span><\/p>

Tipul de procedur\u0103, respectiv dac\u0103 se efectueaz\u0103 anestezie general\u0103, anestezie spinal\u0103 sau alt\u0103 procedur\u0103 de anestezie regional\u0103, este discutat \u00een avans cu anestezi\u0219tii \u0219i chirurgii curan\u021bi.<\/span><\/p>

\u00a0<\/p>

Cum te sim\u021bi atunci c\u00e2nd te treze\u0219ti dup\u0103 administrarea unui anestezic? C\u00e2t de mult dureaz\u0103 p\u00e2n\u0103 c\u00e2nd e\u0219ti din nou complet treaz\u0103?<\/span><\/p>

\u00a0<\/p>

Fiecare reac\u021bioneaz\u0103 pu\u021bin diferit. Pacientele care au fost supuse unei opera\u021bii de doar 30 de minute de obicei se trezesc complet mai repede dec\u00e2t pacientele care au fost \u00een opera\u021bie timp de multe ore. Acestea continu\u0103 s\u0103 fie monitorizate \u00een sala de recuperare \u0219i sunt transferate \u00een salon doar c\u00e2nd sunt din nou complet treze \u0219i au circula\u021bia stabil\u0103. Dup\u0103 opera\u021bii foarte ample, pacientele sunt adesea \u00eengrijite o perioad\u0103 mai lung\u0103 \u00eentr-o unitate de terapie intensiv\u0103 sau o a\u0219a-numit\u0103 unitate de \u201e\u00eengrijire intermediar\u0103\u201d. Acest lucru este valabil \u0219i \u00een cazul unor boli grave anterioare.<\/span><\/p>

\u00a0<\/p>

Trebuie s\u0103 fiu atent\u0103 la ceva dup\u0103 o administrarea unui anestezic?<\/span><\/p>

\u00a0<\/p>

Cele mai frecvente efecte ulterioare nepl\u0103cute ale unui anestezic sunt grea\u021ba temporar\u0103 \u0219i ocazional durerea \u00een zona g\u00e2tului, precum \u0219i r\u0103gu\u0219eala. Aceste probleme pot fi tratate bine cu medica\u021bie \u00een camera de recuperare.\u00a0<\/span><\/p>

\u00cen cazul unei interven\u021bii chirurgicale cu o anestezie epidural\u0103, func\u021bia motorie trebuie complet restaurat\u0103 pentru a preveni c\u0103derile.<\/span><\/p>

\u00cen cazul interven\u021biei chirurgicale \u00een ambulatoriu, ar trebui bine\u00een\u021beles s\u0103 fi\u021bi complet treaz\u0103 \u00eenainte de a pleca acas\u0103. Mai ales, nu trebuie s\u0103 conduce\u021bi dumneavoastr\u0103, ci s\u0103 fi\u021bi luat\u0103 de cineva sau s\u0103 utiliza\u021bi transportul public.\u00a0<\/span><\/p>

\u00a0<\/p>

AMELIORAREA DURERII:<\/span><\/p>

\u00a0<\/p>

Ce tip de durere poate ap\u0103rea pe parcursul unei boli oncologice?<\/span><\/p>

\u00a0<\/p>

Durerea pe parcursul unei boli tumorale este cauzat\u0103 de\u00a0<\/span><\/p>

  • deteriorarea structurilor anatomice cauzat\u0103 chiar de tumor\u0103, deoarece cre\u0219terea acesteia duce la deplasarea altor organe, infiltrarea \u00een nervi, os sau \u021besutul moale sau obstruc\u021bia organelor cavitare,\u00a0<\/span><\/li>
  • bolile concomitente asociate cu tumora\u00a0<\/span><\/li><\/ul>

    \u0219i\/sau\u00a0<\/span><\/p>

    • tratamentul \u00een sine, respectiv interven\u021bia chirurgical\u0103, chimioterapia sau radia\u021biile.\u00a0<\/span><\/li><\/ul>

      Prin urmare, se face o diferen\u021biere cauzal\u0103 \u00eentre durerea determinat\u0103 de tumor\u0103, cea asociat\u0103 cu tumora \u0219i cea asociat\u0103 cu terapia.<\/span><\/p>

      \u00a0<\/p>

      Cum este tratat\u0103 aceast\u0103 durere?<\/span><\/p>

      \u00a0<\/p>

      Pentru a trata \u00een mod eficient durerea, speciali\u0219ti din diferite discipline trebuie s\u0103 lucreze \u00eempreun\u0103.\u00a0<\/span><\/p>

      Tratamentul const\u0103 \u00een:\u00a0<\/span><\/p>

      • Terapie medicamentoas\u0103 a durerii<\/span><\/li>
      • Terapii nemedicamentoase (fizioterapie, ergoterapie \u0219i terapii fizice, cum ar fi electroterapia, termoterapia)<\/span><\/li>
      • Terapie de sus\u021binere psihologic\u0103\u00a0<\/span><\/li>
      • Metode de terapie interven\u021bional\u0103, cum ar fi bloc\u0103ri ale nervilor periferici\u00a0<\/span><\/li><\/ul>

        Terapia durerii \u00een contextul unei boli tumorale ar trebui efectuat\u0103 \u00eentotdeauna sub forma unui concept terapeutic interdisciplinar multimodal.\u00a0<\/span><\/p>

        \u00a0<\/p>

        \u00cen ce form\u0103 sunt administrate medicamentele pentru durere?<\/span><\/p>

        \u00a0<\/p>

        Terapia efectiv\u0103 a durerii ar trebui \u00eentotdeauna administrat\u0103 c\u00e2t de devreme posibil de c\u0103tre un specialist cu experien\u021b\u0103 \u00een terapia durerii, pentru prevenirea croniciz\u0103rii \u0219i, bine\u00een\u021beles, pentru \u00eembun\u0103t\u0103\u021birea calit\u0103\u021bii vie\u021bii.\u00a0<\/span><\/p>

        Pe l\u00e2ng\u0103 o anamnez\u0103 general\u0103, const\u00e2nd \u00een \u00eentreb\u0103ri despre bolile anterioare, sindroamele algice preexistente \u0219i medica\u021bie, o anamnez\u0103 exact\u0103 a durerii este important\u0103 pentru a \u00eencepe o terapie individualizat\u0103 adecvat\u0103 a durerii.\u00a0<\/span><\/p>

        Medicul \u00eempreun\u0103 cu pacienta trebuie, de asemenea, s\u0103 defineasc\u0103 \u00een avans un scop general al terapiei.<\/span><\/p>

        \u00cen principiu, conform recomand\u0103rii Organiza\u021biei Mondiale a S\u0103n\u0103t\u0103\u021bii (OMS), tratamentul pentru durere trebuie administrat pe cale oral\u0103, dac\u0103 este posibil, conform unei scheme pas cu pas, urm\u00e2nd un program fix \u0219i individualizat pentru fiecare pacient\u0103.\u00a0<\/span><\/p>

        \u00a0<\/p>

        Alegerea medicamentelor trebuie s\u0103 fie \u00eentotdeauna efectuat\u0103 \u00een func\u021bie de cauza \u0219i intensitatea durerii; \u00een plus, medicamentele trebuie s\u0103 fie \u00eentotdeauna prescrise pentru a fi luate dup\u0103 cum este necesar pentru tratamentul v\u00e2rfurilor de durere.<\/span><\/p>

        \u00a0<\/p>

        Perceperea durerii este foarte subiectiv\u0103 \u2013 poate fi totu\u0219i durerea m\u0103surat\u0103?<\/span><\/p>

        \u00a0<\/p>

        Pe l\u00e2ng\u0103 o evaluare detaliat\u0103 a durerii \u00eenainte de \u00eenceperea tratamentului, intensitatea durerii trebuie \u00eenregistrat\u0103 \u00een mod repetat. Acest lucru poate fi f\u0103cut cu ajutorul Scalei analogice vizuale (VAS \u2013 Visual Analogue Scale) sau Scalei numerice de evaluare (NRS \u2013 Numerical Rating Scale) standardizate. Cu acestea, intensitatea durerii este \u00eenregistrat\u0103 utiliz\u00e2nd o secven\u021b\u0103 numeric\u0103 de la 0 (nicio durere) p\u00e2n\u0103 la 10 (cea mai sever\u0103 durere). Verificarea regulat\u0103 a valorii conform NRS este important\u0103 pentru a evalua eficacitatea terapiei durerii.<\/span><\/p>

        \u00a0<\/p>

        Ce este durerea cronic\u0103 \u0219i c\u00e2nd apare?<\/span><\/p>

        \u00a0<\/p>

        \u00cen ceea ce prive\u0219te durata, \u00een esen\u021b\u0103, durerea poate fi clasificat\u0103 ca acut\u0103 \u0219i cronic\u0103.\u00a0<\/span><\/p>

        Durerea acut\u0103 este o durere temporar\u0103 care apare ca reac\u021bie la o v\u0103t\u0103mare.\u00a0<\/span><\/p>

        Are un caracter de avertisment \u0219i de semnal de ghidare care poate ajuta \u0219i la diagnosticarea cauzei acesteia.\u00a0<\/span><\/p>

        \u00cen general, vorbim despre durere cronic\u0103 c\u00e2nd durerea dureaz\u0103 mai mult de 3 p\u00e2n\u0103 la 6 luni. \u00cen acest caz, durerea \u0219i-a pierdut func\u021bia de avertizare \u0219i ghidare.<\/span><\/p>

        \u00a0<\/p>

        Ce medicamente sunt utilizate \u00een terapia durerii?<\/span><\/p>

        \u00a0<\/p>

        C\u00e2nd este selectat\u0103 medica\u021bia analgezic\u0103, trebuie clarificat\u0103 mai \u00eent\u00e2i cauza durerii, pentru a g\u0103si medica\u021bia potrivit\u0103. \u00cen func\u021bie de cauza durerii, sunt utilizate medica\u021bii diferite.\u00a0<\/span><\/p>

        Se face o distinc\u021bie \u00eentre a\u0219a-numita\u00a0<\/span><\/p>

        • Durere tisular\u0103 (durere nociceptiv\u0103), care apare, de exemplu, dup\u0103 fracturi osoase sau dup\u0103 opera\u021bii ori t\u0103ieturi.\u00a0<\/span><\/li>
        • Durere nervoas\u0103 (durere neuropat\u0103), care apare din cauza lez\u0103rii nervilor sistemului nervos central sau periferic.\u00a0<\/span><\/li>
        • Durere mixt\u0103, care este o combina\u021bie \u00eentre durerea nociceptiv\u0103 \u0219i cea neuropat\u0103.<\/span><\/li><\/ul>

          Cauzele tipice ale durerii nervoase sunt invaziile nervoase determinate de tumora, dar \u0219i polineuropatiile, respectiv bolile care afecteaz\u0103 mai mul\u021bi nervi, dup\u0103 chimioterapie (de exemplu, senza\u021bie de arsur\u0103, amor\u021beal\u0103). \u00cen acest caz, analgezicele \u201eclasice\u201d cum ar fi non-opioidele sau opioidele ajut\u0103 pu\u021bin sau deloc; trebuie utilizate medicamente antineuropatice speciale. Durerea \u00een contextul unei boli tumorale este adesea o combina\u021bie a ambelor forme, a\u0219adar trebuie utilizate medica\u021bii diferite.\u00a0<\/span><\/p>

          \u00a0<\/p>

          Medicamentele pentru terapia durerii au efecte secundare? Dac\u0103 da, care sunt acestea \u0219i cum pot fi gestionate cel mai bine?<\/span><\/p>

          \u00a0<\/p>

          Toate medicamentele au efecte secundare, pe l\u00e2ng\u0103 efectul lor. Un exemplu tipic este constipa\u021bia, care apare deseori \u00een cazul administr\u0103rii de opioide. Ca m\u0103sur\u0103 preventiv\u0103, aceasta trebuie tratat\u0103 de la \u00eenceputul terapiei.\u00a0<\/span><\/p>

          \u00cen cazul fiec\u0103rui medicament trebuie efectuat\u0103 o analiz\u0103 risc-beneficiu, iar pacienta trebuie \u00eentrebat\u0103 \u00een mod regulat despre reac\u021biile adverse. Verific\u0103rile prin analize de laborator sunt, de asemenea, foarte importante \u00een acest caz, pentru a recunoa\u0219te rapid posibilele devia\u021bii. \u00cen caz de efecte secundare severe \u0219i interac\u021biuni ale diferitelor medicamente, pot fi utilizate de asemenea tratamente locale sub form\u0103 de plasturi sau creme. Trebuie s\u0103 se g\u0103seasc\u0103 cea mai bun\u0103 solu\u021bie pentru fiecare pacient\u0103 \u00een mod individual.\u00a0<\/span><\/p>



          <\/p>

          Punctele indic\u0103 posibilele reac\u021bii adverse. Dac\u0103 face\u021bi clic pe acestea, ve\u021bi fi direc\u021bionat\u0103 c\u0103tre sfaturi utile. Avatarul poate fi rotit.<\/span><\/p>



          <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

          Interviu cu Dr. Andrea Auer
          \nCa anestezist, face\u021bi parte \u0219i din consiliul tumorilor?
          \n\u00cen cadrul unui consiliu de tumori, oncologii \u0219i chirurgii curan\u021bi decid \u00eempreun\u0103 cu radiologii care interpreteaz\u0103 imagistica care tratament este recomandat pacientului. <\/p>\n","protected":false},"author":14,"featured_media":36504,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[417],"tags":[],"class_list":["post-36503","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-be-medicina-conventionala"],"acf":[],"yoast_head":"\nAnestezia \u0219i tratamentul analgezic - Be accepted<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/be-accepted.com\/ro\/catre-anestezie-si-terapie-pentru-durere\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Anestezia \u0219i tratamentul analgezic - Be accepted\" \/>\n<meta property=\"og:description\" content=\"Interviu cu Dr. Andrea Auer Ca anestezist, face\u021bi parte \u0219i din consiliul tumorilor? \u00cen cadrul unui consiliu de tumori, oncologii \u0219i chirurgii curan\u021bi decid \u00eempreun\u0103 cu radiologii care interpreteaz\u0103 imagistica care tratament este recomandat pacientului.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/be-accepted.com\/ro\/catre-anestezie-si-terapie-pentru-durere\/\" \/>\n<meta property=\"og:site_name\" content=\"Be accepted\" \/>\n<meta property=\"article:published_time\" content=\"2026-03-11T09:27:36+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-05-22T08:11:38+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/be-accepted.com\/wp-content\/uploads\/2022\/06\/FotoWasser.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1599\" \/>\n\t<meta property=\"og:image:height\" content=\"1432\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Be Accepted\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Scris de\" \/>\n\t<meta name=\"twitter:data1\" content=\"Be Accepted\" \/>\n\t<meta name=\"twitter:label2\" content=\"Timp estimat pentru citire\" \/>\n\t<meta name=\"twitter:data2\" content=\"11 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/be-accepted.com\\\/ro\\\/catre-anestezie-si-terapie-pentru-durere\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/be-accepted.com\\\/ro\\\/catre-anestezie-si-terapie-pentru-durere\\\/\"},\"author\":{\"name\":\"Be Accepted\",\"@id\":\"https:\\\/\\\/be-accepted.com\\\/ro\\\/#\\\/schema\\\/person\\\/a6dd078bb217049280c5041217d793d3\"},\"headline\":\"Anestezia \u0219i tratamentul analgezic\",\"datePublished\":\"2026-03-11T09:27:36+00:00\",\"dateModified\":\"2026-05-22T08:11:38+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/be-accepted.com\\\/ro\\\/catre-anestezie-si-terapie-pentru-durere\\\/\"},\"wordCount\":1956,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/be-accepted.com\\\/ro\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/be-accepted.com\\\/ro\\\/catre-anestezie-si-terapie-pentru-durere\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/be-accepted.com\\\/wp-content\\\/uploads\\\/2022\\\/06\\\/FotoWasser.jpg\",\"articleSection\":[\"BE \u2013 Medicina conven\u021bional\u0103\"],\"inLanguage\":\"ro-RO\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/be-accepted.com\\\/ro\\\/catre-anestezie-si-terapie-pentru-durere\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/be-accepted.com\\\/ro\\\/catre-anestezie-si-terapie-pentru-durere\\\/\",\"url\":\"https:\\\/\\\/be-accepted.com\\\/ro\\\/catre-anestezie-si-terapie-pentru-durere\\\/\",\"name\":\"Anestezia \u0219i tratamentul analgezic - 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