Email this article Postoperative pain: the state of problem and current trends in postoperative analgesia
- Authors: Ovechkin A.M.1
-
Affiliations:
- SBEI “I.M. Sechenov First Moscow State Medical University” of MHC of RF
- Issue: Vol 9, No 2 (2015)
- Pages: 29-39
- Section: Articles
- URL: https://bakhtiniada.ru/1993-6508/article/view/36255
- DOI: https://doi.org/10.17816/ра.v9i2.36255
- ID: 36255
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Abstract
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.
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##article.viewOnOriginalSite##About the authors
Alexei M. Ovechkin
SBEI “I.M. Sechenov First Moscow State Medical University” of MHC of RF
Email: ovechkin_alexei@mail.ru
119991, Moscow
References
- Harmer M., Davies К. The effect of education, assessment and a standardized prescription on postoperative pain management. The value of clinical audit in the establishment of acute pain services. Anaesthesia. 1998; 53: 424-430.
- Neugebauer E., Hempel K., Sauerland S. The status of perioperative pain therapy in Germany. Results of a representative, anonymous survey of 1,000 surgical clinic. Pain Study Group. Chirurg. 1998; 69: 461-466.
- Carr D., Goudas L. Acute pain. Lancet. 1999; 353: 2051-2058.
- Dolin S., Cashman J., Bland J. Effectiveness of acute postoperative pain management: I. Evidence from published data. Br J. Anaesth, 2002; 89: 409-423.
- Polomano R., Dunwoody C., Krenzischer D. Perspective on pain management in the 21st century. Pain Management Nurs. 2008; 9: 3-10.
- Benhamou D., Berti M., Brodner G. Postoperative analgesic therapy observational survey (PATHOS): a practice pattern study in 7 central / southern European countries. Pain. 2008; 136: 134-141.
- Gerbeshagen H., Aduckathil S., Van Wijck A., Peelen L., Kalkman C., Meissner W. Pain intensity on the first day after surgery. Anesthesiology. 2013; 118: 934-944.
- Rodgers A., Walker N., Schug S. Reduction of postoperative mortality and morbidity with epidural or spinal anesthesia: results from overview of randomized trials. BMJ, 2000; 321: 1-12.
- Acute Pain Management: Scientific Evidence. Australian and New Zeland College of Anaesthetists, 3-rd edition, Macintyre P., Scott D., Schug S. (eds), 2010.
- Postoperative Pain Management - Good Clinical Practice. General recommendations and principles for successful pain management. Produced with the consultations with the Europeans Society of Regional Anaesthesia and Pain Therapy. Project chairman N. Rawal, 2005. 57S.
- Kehlet H. Labat lecture 2005: surgical stress and postoperative outcome - from here to where? Reg. Anesth. Pain Med. 2006; 31: 47-52.
- Gottschalk A., Sharma S., Ford J. The role of the perioperative period in recurrence after cancer surgery. Anesth. Analg. 2010; 110: 1636-1643.
- Forrest J., Kamu F., Greer I. Ketorolack, diclofenac and ketoprofen are equally safe for pain relief after major surgery. Brit. J. Anaesth. 2002; 88: 227-233.
- Schjerning Olsen A-M., Fosbol E., Lindhardsen J. Duration of treatment with nonsteroidal anti-inflammatory drugs and impact on risk of death and recurrent myocardial infarction in patients with prior myocardial infarction: a nationwide cohort study. Circulation. 2011; 123: 2226-2235.
- Durrieu G., Oliver P., Bagheri H. Overview of adverse reactions to nefopam: an analysis of French pharmacovigilance database. Fund. Clin. Pharmacol. 2007; 21: 555-558.
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