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Anesthesiology/What is the mechanism of nociassociation?

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Question
Hi:

How does nociassociation work? Why isn't the term in common use?

http://www.mercksource.com/pp/us/cns/cns_hl_dorlands.jspzQzpgzEzzSzppdocszSzuszS...

"nociassociation = the unconscious discharge of nervous energy under the stimulus of trauma, as in surgical shock."


Thanks,

Green

Answer
Hi there
A very interesting question. I have never come across this word in my time in medicine in the UK. A google search of UK sites revealed no hits and a medline search again revealed no hits. I have checked various dictionaries and they do not have this as a word.
So there you have it - in the UK it is a word that I have never come across and I do not believe that the word exists in our current usuage.
As to "the unconscious discharge of nervous energy under the stimulus of trauma, as in surgical shock"
This appears to be talking about the bodies reaction to trauma. This is well documented and much of this takes place via the autonomic nervous system which I assume is the "unconscious discharge" bit as it is not something we control with our conscious brain.
Sorry I can't help further  

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Dr Ian Jackson - please note UK based

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I am a Consultant Anaesthetist in the UK. My interests include ambulatory or day surgery, obstetric anaesthesia and analgesia, acute pain management (use of epidurals and patient controlled analgesia)anaesthesia for surgery on the airway, orthopaedics and most things except brains and hearts. Interest in prehospital care of trauma and provision of medical cover at motorsport events.

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Organizations
European Society of Regional Anaesthesia
British Association of Day Surgery
Obstetric Anaesthetists Association
Association of Anaesthetists

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