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THE POSTOPERATIVE OPIOID ANALGESIA AND BIOPSYCHOSOCIAL MODEL OF PAIN

https://doi.org/10.21292/2078-5658-2015-12-3-15-18

Abstract

The objective of the work is to assess the implementation advisability of the biopsychosocial model of pain during the postoperative opioid analgesia. It was established that under the similar interventions in terms of severity and medication doses the bodily pain with the patients vary by a wide margin. The diagnosed differences may be conditional upon the biological, psychological and social factors, so the biopsychosocial approach is the promising direction to improve the postoperative opioid analgesia efficiency.

 

About the Author

A. L. Potapov
S. I. Georgievsky Krymsky State Medical University, Simferopol
Russian Federation


References

1. Boyarkina A.V. The risk of severe pain development after surgery depends on pre-surgery psychological state of the patients. Zaporozhsky Med. J., 2013, no. 6 (81), pp. 10-12.

2. Boyarkina A.V., Potapov A.L. Post-surgery analgesia: role of polymorphizm of 118A > G gene µ1 of the opioid receptor. Bil, Zbebolyuvannya i Intensivna Terapiya, 2013, no. 4, pp. 63-66.

3. Boyarkina A.V., Potapov A.L., Babanin A.A. Impact of catechol-O-methyltransferase gene polymorphism on the intensiveness of pain after massive urological surgery under analgesia with opioids. Ukrainsky Journal Ekstremalnoy Meditsiny im. G.O. Mozhaeva, 2013, no. 4, pp. 109-112.

4. Danilov A.B., Danilov A.B. Upravleniye bolyu. Biopsykhotsialny podkhod. [Pain Management. Bio-psychosocial approach]. Moscow, AMM PRESS Publ., 2012, 568 p.

5. Ovechkin A.M., Sviridov S.V. Post surgery pain and pain relief: current state of the problem. Med. Neotlozh. Sostoyaniy, 2011, no. 6, pp. 20-32. (In Russ.)

6. Stepanova Ya.V., Schelkova O.Yu., Lebedinsky K.M. et al. Prognoses of post-surgery pain basing on psychological characteristics of patients and standard pain stimuli. Anesteziol. i Reanimatol., 2013, no. 3, pp. 58-62. (In Russ.)

7. Crews K.R., Gaedigk A., Dunnenberger H.M. Clinical Pharmacogenetics Implementation Consortium Guidelines for Cytochrome P450 2D6 Genotype and Codeine Therapy: 2014 Update. Clin. Pharmacol. Ther., 2014, vol. 95, no. 4, pp. 376-382.

8. Gerbershagen H.J., Aduckathil S., van Wijck A.J. et al. Pain intensity on the first day after surgery: a prospective cohort study comparing 179 surgical procedures. Anesthesiology, 2013, vol. 118, no. 4, pp. 934-944.

9. Hwang I.C., Park J.Y., Myung S.K. et al. OPRM1 A118G gene variant and postoperative opioid requirement: a systematic review and meta-analysis. Anesthesiology, 2014, vol. 121, no. 4, pp. 825-834.

10. Macintyre P.E., Schug S.A., Scott D.A. et al. Acute Pain Management: Scientific Evidence. 3rd edition. Melbourne, ANZCA & FPM, 2010, 491 p.

11. Maier C., Nestler N., Richter H. et al. The quality of pain management in German hospitals. Dtsch Arztebl. Int., 2010, vol. 107, no. 36, pp. 607-613.

12. McDonald S., Page M.J., Beringer K. et al. Preoperative education for hip or knee replacement. Cochrane Database Syst. Rev., 2014, vol. 13, no. 5, CD003526.

13. Niesters M., Dahan A., Kest B. et al. Do sex differences exist in opioid analgesia? A systematic review and meta-analysis of human experimental and clinical studies. Pain, 2010, vol. 151, no. 1, pp. 61-68.


Review

For citations:


Potapov A.L. THE POSTOPERATIVE OPIOID ANALGESIA AND BIOPSYCHOSOCIAL MODEL OF PAIN. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2015;12(3):15-18. (In Russ.) https://doi.org/10.21292/2078-5658-2015-12-3-15-18



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ISSN 2078-5658 (Print)
ISSN 2541-8653 (Online)