Современные аспекты послеоперационного обезболивания (обзор литературы)

Владимир Анатольевич Волчков; Сергей Владимирович Ковалев; Андрей Николаевич Кубынин

doi:10.21638/11701/spbu11.2018.303

Authors

Владимир Анатольевич Волчков St. Petersburg State University, 7–9, Universitetskaya nab., St. Petersburg, 199034, Russian Federation
Сергей Владимирович Ковалев St. Petersburg State University, 7–9, Universitetskaya nab., St. Petersburg, 199034, Russian Federation
Андрей Николаевич Кубынин Pavlov First Saint Petersburg State Medical University, 6–8, ul. L’va Tolstogo, St. Petersburg, 197022, Russian Federation

DOI:

https://doi.org/10.21638/11701/spbu11.2018.303

Abstract

In this review of the literature on modern drugs and techniques to ensure multicomponent analgesia in surgical wards is presents. The technique of pre-emptive analgesia, which reduces the intensity of postoperative pain and contributes to the prevention of chronic postoperative pain. Clear instructions on the use of pharmacological agents (non-steroidal inflammatory drugs, gabapentin, ketamine) and preventive epidural anaesthesia are given. The characteristic of narcotic and non-narcotic analgesics are available for use after surgery and alsonefopam, flupirtine and gabapentine. The results of the application of the prolonged epidural analgesia using microinfusion elastomeric pumps are presents.

Keywords:

postoperative pain, multicomponent analgesia, epidural analgesia

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References

Литература

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Jakobsson J., Wickerts L., Forsberg S. Transversus abdominal plane (TAP) block for postoperative pain management: a review. F1000 Research, 2015, Nov. 26, pp. 1359–1365.

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