Postoperative analgesia. Guidelines

A.M. Ovechkin1, A.Zh. Bayalieva2, A.A. Ezhevskaya3, A.A. Eremenko4, D.V. Zabolotskij5, I.B. Zabolotskikh6, A.E. Karelov7, V.A. Koryachkin5, A.P. Spasova8, V.E. Khoronenko9, D.N. Uvarov10, G.E. Ulrikh5, R.V. Shadrin11

1 FSAEI of HE “I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of the Russian Federation” (Sechenov University), Moscow, Russia

2 FSBEI of HE “Kazan State Medical University”, Ministry of Healthcare of Russian Federation, Kazan, Russia

3 FSBEI of HE “Privolzhsky Research Medical University” of the Ministry of Healthcare of the Russian Federation, Nizhnij Novgorod, Russia

4 FSBSI “National Research Center of Surgery n.a. Petrovsky B.P.», Moscow, Russia

5 FSBEI of HE “St. Petersburg State Pediatric Medical University” of the Ministry of Healthcare of the Russian Federation, St. Petersburg, Russia

6 FSBEI of HE “Kuban State Medical University” of the Ministry of Healthcare of the Russian Federation, Krasnodar, Russia

7 FSBEI HE “North-Western State Medical University n.a. I.I. Mechnikov” of the Ministry of Healthcare of the Russian Federation, St. Petersburg, Russia

8 FSBEI of HE “Petrozavodsk State University”, Petrozavodsk, Russia

9 “Moscow Oncology Research Center n.a. P.A. Hertsen” — branch of FSBI NMRRC of the Ministry of Healthcare of the Russian Federation, Moscow, Russia

10 FSBEI of HE “Northern State Medical University” of the Ministry of Healthcare of the Russian Federation, Arhangelsk, Russia

11 SBIHC “Childrenʼs Regional Clinical Hospital” of the Ministry of Healthcare of Kuban State of the Russian Federation, Krasnodar, Russia

For correspondence: Aleksey M. Ovechkin — MD, professor of Anesthesiology and Intensive care department of FSAEI of HE “I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of the Russian Federation” (Sechenov University), Moscow, Russia; e-mail: ovechkin_alexei@mail.ru

For citation: Ovechkin AM, Bayalieva AZh, Ezhevskaya AA, Eremenko AA, Zabolotskij DV, Zabolotskikh IB, Karelov AE, Koryachkin VA, Spasova AP, Khoronenko VE, Uvarov DN, Ulrikh GE, Shadrin RV. Postoperative analgesia. Guidelines. Annals of Critical Care. 2019; 4:9–33.

DOI: 10.21320/1818-474X-2019-4-9-33


Abstract

This article described the main theses of clinical guidelines of the Russian Federation of Anesthesiologists and Reanimatologists on postoperative pain management. The classification, etiology and pathogenesis of postoperative pain, the basic principles and algorithms for diagnosing pain, and the regional and systemic pharmacotherapy of pain in various fields of surgery are consistently presented. Multimodal analgesia is described in detail as a key concept of a current approach to the treatment of postoperative pain. All presented information is based on evidence-based medical data obtained by Russian and foreign researchers.

Keywords: postoperative pain, multimodal analgesia, pain pharmacotherapy, opioid analgetics, non-steroidal anti-inflammatory drugs, paracetamol, ketamine, gabapentinoids, lidocaine, regional analgesia, infiltration analgesia, peripheral nerve blockade, epidural analgesia

Received: 07.07.2019

Accepted: 03.09.2019


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