Practical aspects of postoperative analgesia


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Abstract

The article summarizes the experience of the use of narcotic, non-narcotic and adjuvant drugs for postoperative analgesia. Most basic algorithms of postoperative pain relief available in a hospital are considered in complex post-operative intensive care in surgical clinic.

Application of the recommended scheme is likely to prevent nosocomial narcotism in patients with prolonged pain.

About the authors

Igor V. Molchanov

GBOU DPO Russian Academy of Postgraduate Education; GBOU DPO Russian Academy of Postgraduate Education

Author for correspondence.
Email: info@eco-vector.com

Head of the Department of Anesthesiology and Reanimatology, Chief Anesthesiologist-Reanimatologist of the Ministry of Health of the Russian Federation, Doctor of Medical Sciences, Professor

Russian Federation, Moscow; Moscow

Nikolai E. Burov

GBOU DPO Russian Academy of Postgraduate Education

Email: burovne@mail.ru

Professor of the Department of Anesthesiology and Reanimatology

Russian Federation, Moscow

Natalii N. Pulina

FSBI Federal Scientific and Clinical Center for Specialized Types of Medical Aid and Medical Technologies FMBA of Russia

Email: info@eco-vector.com

Head of the ICU FNK, Associate Professor of the Department of Anesthesiology and Reanimatology

Russian Federation, Moscow

Oleg N. Cherkavsky

FSBI Federal Scientific and Clinical Center for Specialized Types of Medical Aid and Medical Technologies FMBA of Russia

Email: info@eco-vector.com

Head of the Department of Anesthesiology, Federal Research Center for Clinical Center of the Federal Medical and Biological Agency of Russia

Russian Federation, Moscow

References

  1. Буров Н.Е. Анальгезия послеоперационного периода //РМЖ. 2003, т11, №21,С.1172-77.
  2. Овечкин А.М. Карпов И.А., Лосев С.В. Послеоперационное обезболивание в абдоминальной хирургии: новый взгляд на старую проблему//Анест и реаниматол. 2003, №5, с.45-50.
  3. Осипова Н.А., Абузарова Г.Р., Петрова В.В. Принципы клинического применения наркотических и ненаркотических анальгетических средств при острой и хронической боли. М., 2005.
  4. Young Т. Assessment of wound pain: overview and a new initiative. Br J Community Nurs. 2007; 12(12 Suppl):5-8.
  5. Матвеев C.A., Жданов И.Г., Щуковский В.В. и др. Послеоперационное обезболивание у урологических пациентов //Саратовский мед. журнал. 2009. Т.5, №2. С. 177 - 179.
  6. Viscusi Е. Patient-control drug delivery for acute postoperative pain management: a review of current and emerging technologies//Reg Anaesth Pain Med. 2008. Vol.33, №2 (March - April): P.146 - 158.
  7. Буров Н.Е. Применение нестероидных противовоспалительных препаратов в анестезиологии и реаниматологии//РМЖ. 2007, т.15, №29, С.2206-10.
  8. Буров Н.Е. Применение анальгетиков в анестезиологии и реаниматологии //РМЖ. 2005, т.13, №20. С. 1340-45.
  9. Fredericks С.А., Drabant Е.М., Edge F.M. et al. Healthy young women with serotonin transporter SS polymorphism show a pro-inflammatory bias under resting and stress conditions //Brain, Behavior and Immunity. 2010. №24. P. 348 - 349.
  10. Davis M., Zautra A., Younger J. et al. Chronic stress and regulation of cellular markers of inflammation in rheumatoid arthritis: Implications for fatigue// Brain, Behavior and Immunity. 2008. №22.P.24 - 32.
  11. Lawrence J., Hoeft E, Sheau K., Mackey S.
  12. Процесс упорядочения фармакологических методов обезболивания предупреждает рост внутрибольничной наркомании у больных с длительным болевым синдромом.
  13. Strategy dissociation of neural correlates involved in pain modulation. Anaestegiology 2011;115 (4):P. 844 - 851.
  14. Younger J., Chu L., D,Arcy N., Trott K. et al. Prescription opioid analgetics rapidly change the human brain //Pain.2011. 152 (8); 1803-10.
  15. Neugebauer V., Galhardo V., Maione S., Mackey S. Forebrain pain mechanisms. //Brain Res Rev. 2009. №60. P 226 - 242.
  16. Буров H.E. Перспективы и негативы парацетамола в хирургической клинике//РМЖ. 2006, т.14, №12,С.879-85.
  17. Молчанов И.В., Филичкин А.С. Интраплевральная блокада. Возможность использования в хирургии желчевыводящих протоков//Клин. анест. и реаниматол. 2005, т.2, №3, С.2-9.
  18. Mackey S., Feinberg S.Pharmacologic therapies for complex regional pain syndrome//Curr Pain Headache Rep. 2007. №11:1. P. 38 - 43.
  19. Girish C., Koner B.C., Jayanthi S. et.al. Hepatoprotective activity of six polyherbal formulations in paracetamol induced liver toxicity in mice//PradhalndianJ Med Res. 2009. 129, May. P. 569 - 578.
  20. Hudcova I., McNicol E., Quah C., Lan J. et al. Patient controlled opioid analgesia versus conventional opioid analgesia for postoperative pain //Cochrame Database Syst Rev. 2006. №4: CD 003348.
  21. Sam W.J., Mackey S., Lotch J. et. al. Morphine and its metabolites in patient-controlled analgesia, considerations for respiratory depression. J Clin Anesth. 2011. 23 (2). P.102 - 106.
  22. Chou L.B., Wagner D., Witten D.M. et al. Postoperative pain following foot and ankle surgery: a prospective study//Foot Ankle Int. 2008. 29. P. 1063 - 1068.
  23. Nielsen N.E., Siersma V., Andersen S. A randomized study of regional versus general anaestesia in 438 elderly patients. Acta Anaesthesiol Scand. 2010:47. P. 260 - 266.

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Copyright (c) 2011 Molchanov I.V., Burov N.E., Pulina N.N., Cherkavsky O.N.

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