Актуальные методы периоперационного обезболивания при артроскопической пластике крестообразных связок: обзор литературы
- Авторы: Горелов Д.В.1, Бабаянц А.В.1,2, Овечкин А.М.3
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Учреждения:
- Городская клиническая больница им. С.С. Юдина
- Федеральный научно-клинический центр реаниматологии и реабилитологии
- Первый Московский государственный медицинский университет им. И.М. Сеченова (Сеченовский Университет)
- Выпуск: Том 18, № 1 (2024)
- Страницы: 5-16
- Раздел: Научные обзоры
- URL: https://journals.rcsi.science/1993-6508/article/view/257404
- DOI: https://doi.org/10.17816/RA624428
- ID: 257404
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Аннотация
Артроскопические операции на коленном суставе активно выполняют в современной ортопедической практике. Их явными преимуществами являются малоинвазивность, меньший риск инфицирования и ранняя реабилитация. Несмотря на минимизированную операционную травму, послеоперационный период после некоторых артроскопических операций, включающих пластику крестообразных связок, протекает с достаточно выраженным болевым синдромом. Это обусловливает необходимость поиска новых адекватных, отвечающих всем современным тенденциям методов обезболивания пациентов. В обзоре представлены данные рандомизированных клинических исследований и метаанализов, посвящённых использованию различных вариантов анестезии при артроскопической пластике крестообразных связок, рассмотрены методы продлённой послеоперационной аналгезии. Недостаточное число исследований и отсутствие систематизированных рекомендаций требуют проведения проспективных исследований по этому вопросу.
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Данил Владимирович Горелов
Городская клиническая больница им. С.С. Юдина
Автор, ответственный за переписку.
Email: GorelovD.V@yandex.ru
ORCID iD: 0000-0001-9554-2942
SPIN-код: 7893-4040
врач анестезиолог-реаниматолог
Россия, МоскваАндрей Валерьевич Бабаянц
Городская клиническая больница им. С.С. Юдина; Федеральный научно-клинический центр реаниматологии и реабилитологии
Email: babayants@gmail.com
ORCID iD: 0000-0003-3072-3237
SPIN-код: 2603-9728
канд. мед. наук, доцент
Россия, Москва; МоскваАлексей Михайлович Овечкин
Первый Московский государственный медицинский университет им. И.М. Сеченова (Сеченовский Университет)
Email: ovechkin_alexei@mail.ru
ORCID iD: 0000-0002-3453-8699
SPIN-код: 1277-9220
д-р мед. наук, профессор
Россия, МоскваСписок литературы
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