Regional Anesthesia and Acute Pain ManagementRegional Anesthesia and Acute Pain ManagementРегионарная анестезия и лечение острой боли1993-65082687-1394Eco-Vector3625510.17816/RA36255ArticlesСтатьиResearch ArticlePostoperative pain: the state of problem and current trends in postoperative analgesiaПослеоперационная боль: состояние проблемы и современные тенденции послеоперационного обезболиванияOvechkinAlexei M.ОвечкинАлексей Михайловичovechkin_alexei@mail.ruSBEI “I.M. Sechenov First Moscow State Medical University” of MHC of RFГБОУ ВПО «Первый московский государственный медицинский университет им. И.М. Сеченова» МЗ РФ1506201592VOL 9, NO2 (2015)ТОМ 9, №2 (2015)293921072020Copyright ©; 2015, Eco-VectorCopyright ©; 2015, ООО "Эко-Вектор"2015Eco-VectorООО "Эко-Вектор"https://rjraap.com/1993-6508/article/view/36255

The lecture is devoted to the problem of postoperative pain management that is actual at the moment despite of a valuable progress in methods of analgesia and analgesic drugs. The paper includes the results of foreign epidemiologic studies concerned adequacy of postoperative analgesia. Clinical implication and pathophysiology of postoperative pain is presented in details as well as goals of poatoperative analgesia and current approaches to postoperative pain management. Modern medications which effects are proved by evidence based medicine are considered in the presented lecture together with their characteristics and contradictions. The Concept of multimodal analgesia is also described. The author proposed several chemes of perioperative analgesia for various surgeries.

Лекция посвящена проблеме лечения послеоперационной боли, которая остается актуальной по сей день, несмотря на совершенствование методов анальгезии и обезболивающих препаратов. Приведены результаты зарубежных клинико-эпидемиологических исследований, касающихся качества послеоперационного обезболивания. В работе детально представлены клиническое значение и патофизиология послеоперационного болевого синдрома, а также задачи послеоперационного обезболивания и современные подходы к лечению послеоперационной боли. Описаны препараты, применение которых для послеоперационного обезболивания обосновано данными доказательной медицины, их особенности и противопоказания к их применению. Изложена концепция мультимодальной анальгезии как метода выбора в современной практике послеоперационного обезболивания. Приведены схемы периоперационного обезболивания при отдельных видах хирургических вмешательств.

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