Современные аспекты послеоперационного обезболивания (обзор литературы)

Владимир Анатольевич Волчков; Сергей Владимирович Ковалев; Андрей Николаевич Кубынин

doi:10.21638/11701/spbu11.2018.303

Авторы

Владимир Анатольевич Волчков Санкт-Петербургский государственный университет, Российская Федерация, 199034, Санкт-Петербург, Университетская наб., 7–9
Сергей Владимирович Ковалев Санкт-Петербургский государственный университет, Российская Федерация, 199034, Санкт-Петербург, Университетская наб., 7–9
Андрей Николаевич Кубынин Первый Санкт-Петербургский государственный медицинский университет им. акад. И. П. Павлова, Российская Федерация, 197022, г. Санкт-Петербург, ул. Льва Толстого, 6–8

DOI:

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

Аннотация

В обзоре представлены современные препараты и методики обеспечения многокомпонентной аналгезии в хирургических отделениях. Рассмотрены способы упреждающей аналгезии, которые позволяют снизить интенсивность послеоперационной боли и способствуют профилактике хронического послеоперационного болевого синдрома. Даны четкие указания по применению фармакологических средств (нестероидных воспалительных препаратов, габапентина, кетамина) и превентивной эпидуральной анестезии. Дана характеристика наркотических и ненаркотических анальгетиков, доступных к применению после операции, а также нефопама, флупиртина и габапентиноидов. Представлены результаты применения продленной эпидуральной аналгезии с использованием микроинфузионных эластомерных помп.

Ключевые слова:

послеоперационная боль, многокомпонентная аналгезия, эпидуральная аналгезия, обезболивание

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Библиографические ссылки

Литература

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