Treatment of acute postoperative pain in patients undergoing open abdominal aortic repair (current state of the problem)

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Abstract

The epidemiology of acute postoperative pain and complications associated with inadequately controlled acute postoperative pain syndrome were considered. The paper presents treatments for acute postoperative pain, the clinical value of multimodal analgesia in enhanced recovery, and reduction of mortality in patients undergoing open abdominal aortic repair. The problem associated with the limitations of the methods in postoperative pain management after open surgical abdominal aortic repair is also considered. The paper also presents alternative methods of multimodal analgesia in patients undergoing other abdominal surgery. The choice of the optimal method in postoperative pain management under the enhanced recovery protocol after open surgical abdominal aortic repair is now significantly limited, as a comparative analysis of alternative methods of analgesia and epidural analgesia in vascular surgery was not conducted. Multicenter studies on multimodal analgesia in postoperative pain management under the enhanced recovery protocol after open surgical abdominal aortic repair are therefore required when deviating from the standard protocol.

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About the authors

Anzhelika V. Kozhanova

National Medical Research Center for Surgery. A.V. Vishnevsky

Email: K.a.b87@mail.ru
ORCID iD: 0000-0002-0607-6570
SPIN-code: 3138-6590

anesthesiologist-resuscitator

Russian Federation, 27, st. Bolshaya Serpukhovskaya, Moscow, 117997

Georgy P. Plotnikov

National Medical Research Center for Surgery. A.V. Vishnevsky

Author for correspondence.
Email: georgpp@mail.ru
ORCID iD: 0000-0002-4291-3380

MD, Dr. Sci. (Med.)

Russian Federation, 27, st. Bolshaya Serpukhovskaya, Moscow, 117997

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