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Вестник анестезиологии и реаниматологии

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Контроль периоперационной боли

https://doi.org/10.21292/2078-5658-2020-17-4-85-93

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Аннотация

Цель: анализ современных сведений о фармакологических подходах к контролю периоперационной боли, в том числе у пациентов с хроническим болевым синдромом и опиоидной зависимостью.

Результаты: оценена ниша для применения прегабалина, габапентина, целекоксиба и некоторых других средств предоперационного контроля боли; описана тактика подготовки к операции пациентов, находящихся на хронической опиоидной терапии, в том числе получающих бупренорфин. Рассмотрены эффективность различных медикаментозных средств, используемых с целью потенцирования анальгезии в интраоперационном периоде, и подходы к контролю послеоперационной боли. Уделено внимание возрастающей роли фармакогеномики для обеспечения индивидуального подхода к обезболиванию.

Об авторе

Д. Арбух
Университет Индианы и Университет Марион Многопрофильная клиника боли «Индиана»
Соединённые Штаты Америки

Арбух Дмитрий Михайлович - профессор психиатрии и боли, Университет Индианы и Университет Марион, президент многопрофильной клиники боли «Индиана», экс-президент Русской американской медицинской ассоциации, член редакционной коллегии журнала Current Psychiatry и редактор журналов Pain Medicine и Pain Management.



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Для цитирования:


Арбух Д. Контроль периоперационной боли. Вестник анестезиологии и реаниматологии. 2020;17(4):85-93. https://doi.org/10.21292/2078-5658-2020-17-4-85-93

For citation:


Arbuck D. Control of perioperative pain. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2020;17(4):85-93. (In Russ.) https://doi.org/10.21292/2078-5658-2020-17-4-85-93

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