Regional Anesthesia and Acute Pain ManagementRegional Anesthesia and Acute Pain ManagementРегионарная анестезия и лечение острой боли1993-65082687-1394Eco-Vector5765810.17816/RA57658EditorialsРедакционные статьиResearch ArticlePropofol and postoperative pain. Time to change priorities?Пропофол и послеоперационная боль. Время менять приоритеты?https://orcid.org/0000-0002-3453-8699OvechkinA. M.ОвечкинА. М.
Russian Federation

д. мед. н., профессор кафедры анестезиологии и реаниматологии

ovechkin_alexei@mail.ruI.M. Sechenov First Moscow State Medical University (Sechenov University)ФГАОУ ВО «Первый московский государственный медицинский университет им. И.М. Сеченова» (Сеченовский университет)071220201431181200701202107012021Copyright ©; 2020, Eco-VectorCopyright ©; 2020, ООО "Эко-Вектор"2020Eco-VectorООО "Эко-Вектор"https://rjraap.com/1993-6508/article/view/57658

Currently, the use of inhalational anesthetics is the basic method of general anesthesia. Propofol-based total intravenous anesthesia (TIVA) is not widely used. However, over the past years, evidence-based medicine data have been obtained on a decrease in the intensity of postoperative pain and the need for analgesics in patients operated on under the conditions of propofol-based TIVA, compared with inhalation anesthesia. It is possible that this fact will form the basis for revising general anesthesia regimens.

В настоящее время применение ингаляционных анестетиков является базовым методом общей анестезии. Тотальная внутривенная анестезия (ТВА) на основе пропофола мало распространена. Однако на протяжении последних лет получены данные доказательной медицины о снижении интенсивности послеоперационной боли и потребности в анальгетиках у пациентов, оперированных в условиях ТВА на основе пропофола, по сравнению с ингаляционной анестезией. Возможно, что этот факт явится основой для пересмотра схем общей анестезии.

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