Postoperative pain: the state of problem and current trends in postoperative analgesia


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Abstract

The lecture is devoted to the problem of postoperative pain management that is actual at the moment despite of a valuable progress in methods of analgesia and analgesic drugs. The paper includes the results of foreign epidemiologic studies concerned adequacy of postoperative analgesia. Clinical implication and pathophysiology of postoperative pain is presented in details as well as goals of poatoperative analgesia and current approaches to postoperative pain management. Modern medications which effects are proved by evidence based medicine are considered in the presented lecture together with their characteristics and contradictions. The Concept of multimodal analgesia is also described. The author proposed several chemes of perioperative analgesia for various surgeries.

About the authors

Alexei M. Ovechkin

SBEI “I.M. Sechenov First Moscow State Medical University” of MHC of RF

Email: ovechkin_alexei@mail.ru
119991, Moscow

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