Multimodal analgesia in bariatric surgery


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Abstract

This review is devoted to the treatment of postoperative pain in bariatric surgery. At present, the prevalence of patients with a high degree of obesity is an epidemic that leads steadily growing number of bariatric operations. Showing the risk factors in the traditional approach to the use of opioids in these patients, as well as the consequences of inadequate analgesia in these patients. Details are presented modern pharmacological agents acting on different levels nociceptive system. Substantiates the role of a multi-modal approach to perioperative analgesia, mandatory use of regional anesthesia. The attention to the visualization neuroaxial structures using ultrasound in the context of the implementation of the efficacy and safety of regional anesthesia in patients with morbid obesity. Possible prospects for pain control in bariatric surgery.

About the authors

M. I Neimark

Altay State Medical University, MH of RF

656038, Barnaul, Russia

Roman V. Kiselev

Barnaul Railways Station Hospital

Email: fincher-75@mail.ru
MD, PhD, Department of anesthesiology and resustitation, Barnaul Railway Station Hospital 656038, Barnaul, Russia

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