Menu: Home :: go to Journal :: switch to Russian :: switch to English
You are here: all Journals and Issues→ Journal→ Issue→ Article

Postsurgical care aspects in anesthesiologist’s practice

Annotation

We analyze methods for providing multicomponent anesthesia for postoperative surgical patients in the practice of an anesthesiologist. In the last decade, the number of surgical interventions has been growing, surgical techniques and methods of anesthesia have been improved. In practiced anesthesia various drugs are injected into the patient's bloodstream or through a mask, completely turning off his consciousness. Methods of prophylactic pain relief allow to reduce the intensity of postoperative pain and contribute to the prevention of chronic postoperative pain syndrome. Currently, there have been significant changes in the range of anesthetics. Opioid analgesics and non-opioid analgesics of central action are used for pain relief, non-steroidal anti-inflammatory drugs and local anesthesia are also widely used. Superficial or application anesthesia is possible. In operations on the lower extremities, spinal and epidural anesthesia techniques and their modifications are becoming more widespread. Complex (multimodal) pain relief tactics involves the use of a combination of non-steroidal anti-inflammatory drugs, local anesthetics, centrally acting analgesics and drugs acting at the level of nerve impulse conduction. It should be used throughout the entire period of existence of the zone of damaged tissues until the final healing.

Keywords

postoperative pain; multicomponent analgesia; analgesia; anesthesia

Full-text in one file

Download

DOI

10.20310/2782-5019-2022-4-3-49-54

UDC

615.211

Pages

49-54

References

1. Roewer N., Holger T. Atlas on Anesthesiology. Moscow; 2009. (In Russian). 2. Antipov A.A., Linev K.A., Pelyashov V.S., Yakovleva G.A. Postoperative pain audit. Regionarnaya anesteziya i lechenie ostroy boli = Regional Anesthesia and Acute Pain Management. 2018;8(2):31-6. (In Russian). 3. Ovechkin A.M. Postoperative pain: the state of problem and current trends in postoperative analgesia. Regionarnaya anesteziya i lechenie ostroy boli = Regional Anesthesia and Acute Pain Management. 2015;(2):29-40. (In Russian). 4. Slepushkin V.D., Tsoriev G.V., Plieva A.B. Сhronobiological characteristic of postoperative pain and mechanism of its emergence. Izvestiya Samarskogo nauchnogo tsentra RAM = Izvestia of Samara Scientific Center of the Russian Academy of Sciences. 2014;16(5):1418-21. (In Russian). 5. Protsenko D.N., Yamshchikov O.N., Marchenko A.P. et al. Combined double-segment spinal-epidural anesthesia with fixation of the epidural catheter in the subcutaneous canal using a modified spinal needle. Zhurnal im N.V. Sklifosovskogo «Neotlozhnaya meditsinskaya pomoshch'» = Russian Sklifosovsky Journal “Emergency Medical Care”. 2022;11(2):264-73. (In Russian). DOI 10.23934/2223-9022-2022-11-2-264-273 6. Yamshchikov O.N., Marchenko A.P., Emel'yanov S.A. et al. Combined two-level spinal-epidural anesthesia with fixation of an epidural catheter in the subcutaneous canal in a long-liver patient with a closed hip fracture. Yakutskiy meditsinskiy zhurnal = Yakut Medical Journal. 2021;(75):40-2. (In Russian). DOI 10.25789/YMJ.2021.75.10 7. Yamshchikov O.N., Marchenko A.P., Emelyanov S.A. et al. History of application of local anesthetics for neuroaxial blocks. Vestnik Avitsenny = Avicenna Bulletin. 2021;23(3):432-42. (In Russian). DOI 10.25005/2074-0581-2021-23-3-432-442

Received

2022-09-22

Section of issue

Clinical medicine

Для корректной работы сайта используйте один из современных браузеров. Например, Firefox 55, Chrome 60 или более новые.