Regional Anesthesia and Acute Pain ManagementRegional Anesthesia and Acute Pain ManagementРегионарная анестезия и лечение острой боли1993-65082687-1394Eco-Vector10674610.17816/RA106746ReviewsНаучные обзорыReview ArticleTreatment of acute postoperative pain in patients undergoing open abdominal aortic repair (current state of the problem)Лечение острой послеоперационной боли при открытых реконструкциях абдоминального отдела аорты (современное состояние проблемы)https://orcid.org/0000-0002-0607-65703138-6590KozhanovaAnzhelika V.КожановаАнжелика Владимировна
Russian Federation

anesthesiologist-resuscitator

врач анестезиолог-реаниматолог

K.a.b87@mail.ruhttps://orcid.org/0000-0002-4291-3380PlotnikovGeorgy P.ПлотниковГеоргий Павлович
Russian Federation

MD, Dr. Sci. (Med.)

д.м.н.

georgpp@mail.ruNational Medical Research Center for Surgery. A.V. VishnevskyНациональный медицинский исследовательский центр хирургии им. А.В. Вишневского20072022161455827042022Copyright ©; 2022, Eco-VectorCopyright ©; 2022, ООО "Эко-Вектор"2022Eco-VectorООО "Эко-Вектор"https://rjraap.com/1993-6508/article/view/106746

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.

Рассмотрены эпидемиологические аспекты острой послеоперационной боли, осложнения, связанные с неадекватно купированным острым послеоперационным болевым синдромом. Приведены методики, применяемые для купирования острой послеоперационной боли, адекватность применения мультимодальной анальгезии для ускоренного восстановления и уменьшения летальности у пациентов после открытого оперативного вмешательства на брюшном отделе аорты. Освещена проблема ограниченности применяемых методик для купирования острой послеоперационной боли при открытых реконструкциях абдоминального отдела аорты. Представлены альтернативные методики мультимодальной анальгезии, зарекомендовавшие себя в других областях абдоминальной хирургии. Выбор оптимального метода послеоперационного обезболивания пациентов после открытых реконструкций абдоминального отдела аорты в настоящее время существенно ограничен, т.к. отсутствуют сравнительные данные по применению альтернативных методик обезболивания с эпидуральной анальгезией в данной области сосудистой хирургии. Требуются дополнительные научные многоцентровые исследования с применением мультимодальных способов анальгезии как компонента ускоренного восстановления после открытых реконструкций абдоминального отдела аорты при отхождении от стандартного протокола послеоперационного обезболивания.

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