Послеоперационное обезболивание. Клинические рекомендации
№ 4 (2019) , КЛИНИЧЕСКИЕ РЕКОМЕНДАЦИИ
№ 4 (2019)
КЛИНИЧЕСКИЕ РЕКОМЕНДАЦИИ

Послеоперационное обезболивание. Клинические рекомендации

https://doi.org/10.21320/1818-474X-2019-4-9-33
Опубликован 05.11.2019
Алексей Михайлович Овечкин
ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» МЗ РФ, Москва, Россия
https://orcid.org/0000-0002-3453-8699
А.Ж. Баялиева
ФГБОУ ВО «Казанский государственный медицинский университет» МЗ РФ, Казань, Россия
https://orcid.org/0000-0001-7577-3284
А.А. Ежевская
ФГБОУ ВО «Приволжский исследовательский медицинский университет» МЗ РФ, Нижний Новгород, Россия
https://orcid.org/0000-0002-9286-4679
А.А. Еременко
ФГБНУ «Российский научный центр хирургии им. академика Б.В. Петровского», Москва, Россия
https://orcid.org/0000-0001-5809-8563
Д.В. Заболотский
ФГБОУ ВО «Санкт-Петербургский государственный педиатрический медицинский университет» МЗ РФ, Санкт-Петербург, Россия
https://orcid.org/0000-0002-6127-0798
И.Б. Заболотских
ФГБОУ ВО «Кубанский государственный медицинский университет» МЗ РФ, Краснодар, Россия
https://orcid.org/0000-0002-3623-2546
А.Е. Карелов
ФГБОУ ВО «Северо-Западный государственный медицинский университет им. И.И. Мечникова» МЗ РФ, Санкт-Петербург, Россия
https://orcid.org/0000-0003-4401-1599
В.А. Корячкин
ФГБОУ ВО «Санкт-Петербургский государственный педиатрический медицинский университет» МЗ РФ, Санкт-Петербург, Россия
https://orcid.org/0000-0002-3400-8989
А.П. Спасова
ФГБОУ ВО «Петрозаводский государственный университет», Петрозаводск, Россия
https://orcid.org/0000-0002-2797-4740
В.Э. Хороненко
«Московский научно-исследовательский онкологический институт им. П.А. Герцена», филиал ФГБУ «НМИЦ радиологии» МЗ РФ, Москва, Россия
https://orcid.org/0000-0001-8845-9913
Д.Н. Уваров
ФГБОУ ВО «Северный государственный медицинский университет» МЗ РФ, Архангельск, Россия
https://orcid.org/0000-0002-1500-8430
Г.Э. Ульрих
ФГБОУ ВО «Санкт-Петербургский государственный педиатрический медицинский университет» МЗ РФ, Санкт-Петербург, Россия
https://orcid.org/0000-0001-7491-4153
Р.В. Шадрин
ГБУЗ «Детская краевая клиническая больница» МЗ КК, Краснодар, Россия
https://orcid.org/0000-0002-0249-6615
#2019-4
PDF_2019-4_9-33
HTML_2019-4_9-33

Ключевые слова

боль послеоперационная
мультимодальная анальгезия
фармакотерапия боли
опиоидные анальгетики
нестероидные противовоспалительные средства
парацетамол
кетамин
габапентиноиды
лидокаин
регионарная анальгезия
инфильтрационная анальгезия
блокады периферических нервов
эпидуральная анальгезия

Как цитировать

Овечкин А.М., Баялиева А.Ж., Ежевская А.А., Еременко А.А., Заболотский Д.В., Заболотских И., Карелов А.Е., Корячкин В.А., Спасова А.П., Хороненко В.Э., Уваров Д.Н., Ульрих Г.Э., Шадрин Р.В. Послеоперационное обезболивание. Клинические рекомендации. Вестник интенсивной терапии имени А.И. Салтанова. 2019;(4):9–33. doi:10.21320/1818-474X-2019-4-9-33.
ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver AMA ГОСТ

Скачать ссылку

Endnote/Zotero/Mendeley (RIS) BibTeX

Статистика

Просмотров аннотации: 1597
PDF_2019-4_9-33 загрузок: 425
HTML_2019-4_9-33 загрузок: 3174
Статистика с 21.01.2023

Язык

English Русский

Объявления

Мы в соцсетях

Аннотация

В статье отражены основные положения клинических рекомендаций Федерации анестезиологов и реаниматологов России по послеоперационному обезболиванию. Последовательно представлены классификация, этиология и патогенез послеоперационной боли, основные принципы и алгоритмы диагностики болевого синдрома, а также схемы регионарной и системной фармакотерапии боли в разных областях хирургии. Подробно описана мультимодальная анальгезия как ключевая концепция современного подхода к лечению послеоперационной боли. Вся информация, представленная в статье, основана на данных доказательной медицины, полученных отечественными и зарубежными исследователями.
https://doi.org/10.21320/1818-474X-2019-4-9-33
PDF_2019-4_9-33
HTML_2019-4_9-33

Библиографические ссылки

  1. Apfelbaum J.L., Chen C., Mehta S.S., Gan T.J. Postoperative pain experience: Results from a national survey suggest postoperative pain continues to be undermanaged. Anesth Analg. 2003; 97: 534–540. DOI: 10.1213/01.ane.0000068822.10113.9e
  2. Gimbel J.S., Brugger A., ZhaoW., Verburg K.M., Geis G.S. Efficacy and tolerability of celecoxib versus hydrocodone/acetaminophen in the treatment of pain after ambulatory orthopedic surgery in adults. Clin Ther. 2001; 23: 228–241. DOI: 10.1016/s0149-2918(01)80005-9
  3. Brennan F., Carr D. Cousins M. Pain management: a fundamental human right. Anesth Analg. 2007; 105(1): 205–221. DOI: 10.1213/01.ane.0000268145.52345.55
  4. Institute of Medicine. 2011. Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research. Washington, DC: The National Academies Press. DOI: 10.17226/13172
  5. 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. DOI: 10.1016/j.pain.2007.06.028
  6. Gregory J., McGowan L. An examination of the prevalence of acute pain for hospitalised adult patients: a systematic review. J Clin Nurs. 2016; 25 (5–6): 583–598. DOI: 10.1111/jocn.13094
  7. Rawal N. Current issues in postoperative pain management. Eur. J. Anaesthesiol. 2016; 33(3): 160–171. DOI: 10.1097/EJA.0000000000000366
  8. Murray A., Wilhelm F. Retief acute postoperative pain in 1231 patients at a developing country referral hospital: incidence and risk factors. South Afr J Anaesth Analg. 2016; 22: 19–24. DOI: 10.1080/22201181.2015.1115608
  9. Dolin S., Cashman J., Bland J. Effectiveness of acute postoperative pain management: I. Evidence from published data. Br. J. Anaesth. 2002; 89: 409–423. DOI: 10.1093/bja/aef207
  10. Sommer M., de Rijke J., van Kleef M., et al. The prevalence of postoperative pain in a sample of 1490 surgical inpatients. Eur J Anaesthesiol. 2008; 25(4): 267–274. DOI: 10.1017/S0265021507003031
  11. Wu C., Raja S. Treatment of acute postoperative pain. Lancet. 2011; 377(9784): 2215–2225. DOI: 10.1016/S0140–6736(11)60245–6
  12. Gan T.J., Habib A.S., Miller T.E., et al. Incidence, patient satisfaction, and perceptions of postsurgical pain: Results from a US national survey. Curr Med Res Opin. 2014; 30:149–160. DOI: 10.1185/03007995.2013.860019
  13. Treede R., Rief W., Barke A., et al. A classification of chronic pain for ICD-11. PAIN, 2015; 156: 1003–1007. DOI: 10.1097/j.pain.0000000000000160
  14. Овечкин А.М. Лечение послеоперационной боли — качественная клиническая практика: общие рекомендации и принципы успешного лечения боли. Перевод и общая редакция А.М. Овечкина. М.: Astra Zeneca, 2006. — 55 стр. [Ovechkin A.M. Lechenie posleoperacionnoj boli — kachestvennaya klinicheskaya praktika: obshchie rekomendacii i principy uspeshnogo lecheniya boli. Perevod i obshchaya redakciya A.M. Ovechkina. М.: Astra Zeneca, 2006. — 55 pages (In Russ)]
  15. Bouhassira D., Attal N., Alchaar H., et al. Comparison of pain syndromes associated with nervous or somatic lesions and development of a new neuropathic pain diagnostic questionnaire (DN4). Pain. 2005; 114: 29–36. DOI: 10.1016/j.pain.2004.12.010
  16. Elia N., Lysakowski C., Tramer M.R. Does multimodal analgesia with acetaminophen, nonsteroidal anti-inflammatory drugs, or selective cyclooxygenase-2 inhibitors and patient controlled analgesia morphine offer advantages over morphine alone? Anesthesiology. 2005; 103: 1296–304. DOI: 10.1097/00000542-200512000-00025
  17. McDaid C., Maund E., Rice S., et al. Paracetamol and selective and non-selective non-steroidal anti-inflammatory drugs (NSAIDs) for the reduction of morphine-related side-effects after major surgery: A systematic review. Health Technol Assess. 2010. iii-iv; 14: 1–153. DOI: 10.3310/hta14170
  18. Moore R., Derry S., McQuay H., Wiffen P.J., et al. Single dose oral analgesics for acute postoperative pain in adults. Cochrane Database Syst Rev. 2011; 9: CD008659. DOI: 10.1002/14651858.CD008659.pub2
  19. Tzortzopoulou A., McNicol E., Cepeda M., et al. Single dose intravenous propacetamol or intravenous paracetamol for postoperative pain. Cochrane Database Syst Rev. 2011; 10: CD007126. DOI: 10.1002/14651858.CD007126.pub2
  20. Aubrun F., Langeron O., Heitz D., et al. Randomized, placebo-controlled study of the postoperative analgesic effects of ketoprofen after spinal fusion surgery. Acta Anaesthesiol Scand. 2000; 44:934–939. DOI: 10.1034/j.1399-6576.2000.440807.x
  21. De Andrade J.R., Maslanka M., Reines H.D., et al. Ketorolac versus meperidine for pain relief after orthopaedic surgery. Clin Orthop Relat Res. 1996; 301–312. DOI: 10.1097/00003086-199604000-00037
  22. Grundmann U., Wornle C., Biedler A., et al. The efficacy of the non-opioid analgesic sparecoxib, paracetamol and metamizol for postoperative pain relief after lumbar microdiscectomy. Anesth Analg. 2006; 103: 217–222. DOI: 10.1213/01.ane.0000221438.08990.06
  23. Hernandez-Palazon J., Tortosa J.A., Martinez-Lage J.F., Perez-Flores D. Intravenous administration of propacetamol reduces morphine consumption after spinal fusion surgery. Anesth Analg. 2001; 92:1473–1476. DOI: 10.1097/00000539-200106000-00024
  24. Kinsella J., Moffat A.C., Patrick J.A., et al. Ketorolac trometamol for postoperative analgesia after orthopaedic surgery. Br J Anaesth. 1992; 69: 19–22. DOI: 10.1093/bja/69.1.19
  25. McNicol E.D., Tzortzoloulou A., Cepeda M.S., et al. Single-dose intravenous paracetamol or propacetamol for prevention or treatment of postoperative pain: A systematic review and meta-analysis. Br J Anaesth. 2011; 106:764–775. DOI: 10.1093/bja/aer107
  26. Ong C., Seymour R., Lirk P., et al. Combining paracetamol (acetaminophen) with nonsteroidal antiinflammatory drugs: a qualitative systematic review of analgesic efficacy for acute postoperative pain. Anesth Analg. 2010: 110(4): 1170–1179. DOI: 10.1213/ANE.0b013e3181cf9281
  27. Maund E., McDaid C., Rice S ., et al. Paracetamol and selective and non-selective non-steroidal anti-inflammatory drugs for the reduction in morphine-related side-effects after major surgery: a systematic review. Br J Anaesth. 2011; 106 (3): 292–297. DOI: 10.1093/bja/aeq406
  28. Michelet D., Andreu-Gallien J., Bensalah T., et al. A meta-analysis of the use of nonsteroidal antiinflammatory drugs for pediatric postoperative pain. Anesth Analg. 2012; 114 (2): 393–406. DOI: 10.1213/ANE.0b013e31823d0b45
  29. Lee A., Cooper M., Craig J., et al. Effects of nonsteroidal anti-inflammatory drugs on postoperative renal function in adults with normal renal function. Cochrane Database Syst Rev. 2007; 2: CD002765. DOI: 10.1002/14651858.CD002765.pub3
  30. Bhala N., Emberson J., Merhi A., et al. Vascular and upper gastrointestinal effects of non-steroidal anti-inflammatory drugs: meta-analyses of individual participant data from randomised trials. Lancet. 2013; 382(9894): 769–779. DOI: 10.1016/S0140-6736(13)60900-9
  31. Dodwell E.R., Latorre J.G., Parisini E., et al. NSAID exposure and risk of nonunion: A metaanalysis of case-control and cohort studies. Calcif Tissue Int. 2010; 87: 193–202. DOI: 10.1007/s00223-010-9379-7
  32. Li Q., Zhang Z., Cai Z. High-dose ketorolac affects adult spinal fusion: A meta-analysis of the effect of perioperative nonsteroidal anti-inflammatory drugs on spinal fusion. Spine. 2011; 36: E461–E468. DOI: 10.1097/BRS.0b013e3181dfd163
  33. Gorissen K.J., Benning D., Berghmans T., et al. Risk of anastomotic leakage with non-steroidal anti-inflammatory drugs in colorectal surgery. Br J Surg. 2012; 99: 721–727. DOI: 10.1002/bjs.8691
  34. Rushfeldt C.F., Sveinbjornsson B., Soreide K., Vonen B. Risk of anastomotic leakage with use of NSAIDs after gastrointestinal surgery. Int J Colorectal Dis. 2011; 26: 1501–1509. DOI: 10.1007/s00384-011-1285-6
  35. Rutegard J., Rutegard M. Non-steroidal anti-inflammatory drugs in colorectal surgery: A risk factor for anastomotic complications? World J Gastroinest Surg. 2012; 4: 278–280. DOI: 10.4240/wjgs.v4.i12.278
  36. Schug S., Palmer G., Scott D., Hallwell R., Trinca J. (eds). Acute Pain Management: Scientific Evidence. Australian and New Zeland College of Anaesthetists, 4-th edition, 2015. DOI: 10.5694/mja16.00133
  37. Hakkarainen T., Steele S., Bastaworous A., et al. Nonsteroidal anti-inflammatory drugs and the risk for anastomotic failure: a report from Washington State’s Surgical Care and Outcomes Assessment Program (SCOAP). JAMA Surg. 2015; 150(3): 223–228. DOI: 10.1001/jamasurg.2014.2239
  38. Kotagal M., Hakkarainen T., Simianu V., et al. Ketorolac use and postoperative complications in gastrointestinal surgery. Ann Surg. 2016; 263(1): 71–75. DOI: 10.1097/SLA.0000000000001260
  39. Laulin J.-P., Maurette P., Rivat C. The role of ketamine in preventing fentanyl­unduced hyperalgesia and subsequent acute morphine tolerance. Anesth. Analg. 2002; 94: 1263–1269. DOI: 10.1097/00000539-200205000-00040
  40. Gottschalk A., Sharma S., Ford J. The role of the perioperative period in recurrence after cancer surgery. Anesth. Analg. 2010; 110: 1636–1643. DOI: 10.1213/ANE.0b013e3181de0ab6
  41. Woodhouse A., Ward M., Mather L. Intra-subject variability in post-operative patient-controlled analgesia (PCA): is the patient equally satisfied with morphine, pethidine and fentanyl? Pain. 1999; 80(3): 545–553. DOI: 10.1016/s0304-3959(98)00247-4
  42. Coulbault L., Beaussier M., Verstuyft C., et al. Environmental and genetic factors associated with morphine response in the postoperative period. Clin Pharmacol Ther. 2006; 79(4): 316–324. DOI: 10.1016/j.clpt.2006.01.007
  43. Gagliese L., Gauthier L., Macpherson A., et al. Correlates of postoperative pain and intravenous patient-controlled analgesia use in younger and older surgical patients. Pain Med. 2008; 9(3): 299–314. DOI: 10.1111/j.1526-4637.2008.00426.x
  44. Fletcher D., Martinez V. Opioid-induced hyperalgesia in patients after surgery: a systematic review and a metaanalysis. Br J Anaesth. 2014; 112(6): 991–1004. DOI: 10.1093/bja/aeu137
  45. Marret E., Kurdi O., Zufferey P., et al. Effects of nonsteroidal antiinflammatory drugs on patient-controlled analgesia morphine side effects: meta-analysis of randomized controlled trials. Anesthesiology. 2005; 102(6): 1249–1260. DOI: 10.1097/00000542-200506000-00027
  46. Roberts G., Bekker T., Carlsen H., et al. Postoperative nausea and vomiting are strongly influenced by postoperative opioid use in a dose-related manner. Anesth Analg. 2005; 101(5): 1343–1348. DOI: 10.1213/01.ANE.0000180204.64588.EC
  47. Jarzyna D., Jungquist C.R., Pasero C., et al. American Society for Pain Management Nursing Guidelines on Monitoring for Opioid-Induced Sedation and Respiratory Depression. Pain Manag Nurs. 2011; 12: 118–145. DOI: 10.1016/j.pmn.2011.06.008
  48. Bell R., Dahl J., Moore R., Kalso E. Perioperative ketamine for acute postoperative pain. Cochrane Database Syst Rev. 2006: CD004603. DOI: 10.1002/14651858.CD004603.pub2
  49. McCartney C., Sinha A., Katz J. A qualitative systematic review of the role of N-methyl-D-aspartate receptor antagonists in preventive analgesia. Anesth. Analg. 2004; 98: 1385–1400. DOI: 10.1213/01.ane.0000108501.57073.38
  50. Laskowski K., Stirling A., McKay W., et al. A systematic review of intravenous ketamine for postoperative analgesia. Can J Anaesth. 2011; 58(10): 911–923. DOI: 10.1007/s12630-011-9560-0
  51. Wu L., Huang X., Sun L. The efficacy of N-methyl-D-aspartate receptor antagonists on improving the postoperative pain intensity and satisfaction after remifentanil-based anesthesia in adults: a meta-analysis. J Clin Anesth. 2015; 27(4): 311–324. DOI: 10.1016/j.jclinane.2015.03.020
  52. Barreveld A., Witte J., Chahal H., et al. Preventive analgesia by local anesthetics: the reduction of postoperative pain by peripheral nerve blocks and intravenous drugs. Anesth Analg. 2013; 116(5): 1141–1161. DOI: 10.1213/ANE.0b013e318277a270
  53. Urban M., Ya Deau J., Wukovits B., et al. Ketamine as an adjunct to postoperative pain management in opioid tolerant patients after spinal fusions: a prospective randomized trial. HSS J. 2008; 4(1): 62–65. DOI: 10.1007/s11420-007-9069-9
  54. Chaparro L., Smith S., Moore R., et al. Pharmacotherapy for the prevention of chronic pain after surgery in adults. Cochrane Database Syst Rev. 2013; 7: CD008307. DOI: 10.1002/14651858.CD008307.pub2
  55. Peng P., Wijeysundera D., Li C. Use of gabapentin for perioperative pain control — a meta-analysis. Pain Res. Manage. 2007; 12: 85–92. DOI: 10.1155/2007/840572
  56. Straube S., Derry S., Moore R., et al. Single dose oral gabapentin for established acute postoperative pain in adults. Cochrane Database Syst Rev. 2010; 5: CD008183. DOI: 10.1002/14651858.CD008183.pub2
  57. Tiippana E., Hamunen K., Kontinen V. Do surgical patients benefit from perioperative gabapentin / pregabalin? A systematic review of efficacy and safety. Anesth. Analg. 2007; 104: 1545–1556. DOI: 10.1213/01.ane.0000261517.27532.80
  58. Zhang J., Ho K., Wang Y. Efficacy of pregabalin in acute postoperative pain: a meta-analysis. Br J Anaesth. 2011; 106(4): 454–462. DOI: 10.1093/bja/aer027
  59. Chou R., et al. Management of Postoperative Pain: A Clinical Practice Guideline From the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologistsʼ Committee on Regional Anesthesia, Executive Committee, and Administrative Council. Pain. 2016; 17 (2): 131–157. DOI: 10.1016/j.jpain.2015.12.008
  60. Clivatti J., Sakata R., Issy A. Review of the use of gabapentin in the control of postoperative pain. Rev. Bras. Anesthesiol. 2009; 59: 87–98. DOI: 10.1590/S0034–70942009000100012
  61. Cohen S., Mao J. Is the analgesic effect of systemic lidocaine mediated through opioid receptors? Acta Anaesthesiol Scand. 2003; 47:910–911. DOI: 10.1034/j.1399-6576.2003.00163.x
  62. Nagy I., Woolf C. Lignocaine selectivity reduces C fibre-evoked neuronal activity in rat spinal cord in vitro by decreasing N-methyl-D-aspartate and neurokinin receptor-mediated postsynaptic depolarizations; implications for the development of novel centrally acting analgesics. Pain. 1996; 64: 59–70. DOI: 10.1016/0304-3959(95)00072-0
  63. Marret E., Rolin M., Beaussier M., Bonnet F. Meta-analysis of intravenous lidocaine and postoperative recovery after abdominal surgery. Br. J. Surg. 2008; 95:1331–1338. DOI: 10.1002/bjs.6375
  64. Vigneault L., Turgeon A., Cote D., et al. Perioperative intravenous lidocaine infusion for postoperative pain control: A meta-analysis of randomized controlled trials. Can J Anaesth. 2011; 58: 22–37. DOI: 10.1007/s12630-010-9407-0
  65. Martin F., Cherif K., Gentili M., et al. Lack of impact of intravenous lidocaine on analgesia, functional recovery, and nociceptive pain threshold after total hip arthroplasty. Anesthesiology. 2008; 109(1): 118–123. DOI: 10.1097/ALN.0b013e31817b5a9b
  66. Insler S., O’Connor M., Samonte A., et al. Lidocaine and the inhibition of postoperative pain in coronary artery bypass patients. J Cardiothorac Vasc Anesth. 1995; 9(5): 541–546. DOI: 10.1016/s1053-0770(05)80138-7
  67. Striebel H., Klettke U. Is intravenous lidocaine infusion suitable for postoperative pain management? Schmerz. 1992; 6(4): 245–250. DOI: 10.1007/BF02527813
  68. Wuethrich P., Romero J., Burkhard F., et al. No benefit from perioperative intravenous lidocaine in laparoscopic renal surgery: a randomised, placebo-controlled study. Eur J Anaesthesiol. 2012; 29: 537–543. DOI: 10.1097/EJA.0b013e328356bad6
  69. Bryson G., Charapov I., Krolczyk G., et al. Intravenous lidocaine does not reduce length of hospital stay following abdominal hysterectomy. Can J Anaesth. 2010; 57: 759–766. DOI: 10.1007/s12630-010-9332-2
  70. McCarthy G., Megalla S., Habib A. Impact of intravenous lidocaine infusion on postoperative analgesia and recovery from surgery. A systematic review of randomized controlled trials. Drugs. 2010; 70(9): 1149–1163. DOI: 10.2165/10898560-000000000-00000
  71. Papagiannopoulou P., Argiriadou H., Georgiou M., et al. Preincisional local infiltration of levobupivacaine vs ropivacaine for pain control after laparoscopic cholecystectomy. Surg. Endosc. 2003; 17: 1961–1964. DOI: 10.1007/s00464-002-9256-1
  72. Bamigboye A., Hofmeyr G. Local anesthetic wound infiltration and abdominal nerves block during caesarean section for postoperative pain relief. Cochrane Database Syst Rev. 2009: CD006954. DOI: 10.1002/14651858.CD006954.pub2
  73. Kehlet H., Andersen L. Local infiltration analgesia in joint replacement: The evidence and recommendations for clinical practice. Acta Anaesthesiol Scand. 2011; 55: 778–784. DOI: 10.1111/j.1399-6576.2011.02429.x
  74. Richman J., Liu S., Courpas G., Wong R., et al. Does continuous peripheral nerve block provide superior pain control to opioids? A meta-analysis. Anesth Analg. 2006; 102: 248–257. DOI: 10.1213/01.ANE.0000181289.09675.7D
  75. Ballantyne J.C., Carr D.B., deFerranti S., et al. The comparative effects of postoperative analgesic therapies on pulmonary outcome: cumulative meta-analyses of randomized, controlled trials. Anesth Analg. 1998; 86: 598–612. DOI: 10.1097/00000539-199803000-00032
  76. Joshi G.P., Bonnet F., Shah R., et al. A systematic review of randomized trials evaluating regional techniques for postthoracotomy analgesia. Anesth Analg. 2008; 107: 1026–1040. DOI: 10.1213/01.ane.0000333274.63501.ff
  77. Nishimori M., Ballantyne J.C., Low J.H. Epidural pain relief versus systemic opioid-based pain relief for abdominal aortic surgery. Cochrane Database Syst Rev. 2006; CD005059. DOI: 10.1002/14651858.CD005059.pub2
  78. Popping D.M., Elia N., Marret E., et al. Protective effects of epidural analgesia on pulmonary complications after abdominal and thoracic surgery: A meta-analysis. Arch Surg. 2008; 143: 990–999; discussion: 1000. DOI: 10.1001/archsurg.143.10.990
  79. Popping D., Elia N., Van Aken H., et al. Impact of epidural analgesia on mortality and morbidity after surgery: Systematic review and meta-analysis of randomized controlled trials. Ann Surg. 2014; 259: 1056–1067. DOI: 10.1097/SLA.0000000000000237
  80. PROSPECT — Procedure Specific Postoperative Pain Management. URL: www.postoppain.org. DOI: 10.1016/j.bpa.2006.12.001
  81. Rodgers A., Walker N., Schug S., et al. Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: Results from overview of randomised trials. BMJ. 2000; 321: 1–12. DOI: 10.1136/bmj.321.7275.1493
  82. Chestnut D.H. Efficacy and safety of epidural opioids for postoperative analgesia. Anesthesiology. 2005; 102: 221. DOI: 10.1097/00000542-200501000-00031
  83. Macrae W. Chronic post-surgical pain: 10 years on. Br. J. Anaesth. 2008; 101: 77–86. DOI: 10.1093/bja/aen099
  84. Andreae M., Andreae D. Regional anaesthesia to prevent chronic pain after surgery: a Cochrane Systematic review and meta-analysis. Br. J. Anaesth. 2013; 111: 711–720. DOI: 10.1093/bja/aet213
  85. Mamoun N.F., Lin P., Zimmerman N.M., et al. Intravenous acetaminophen analgesia after cardiac surgery: a randomized, blinded, controlled superiority trial. J Thorac Cardiovasc Surg. 2016; 152: 881–889.e1. DOI: 10.1016/j.jtcvs.2016.04.078
  86. Acharya M., Dunning J. Does the use of non-steroidal anti-inflammatory drugs after cardiac surgery increase the risk of renal failure? Interact Cardio Vasc Thorac Surg. 2010; 11: 461–467. DOI: 10.1510/icvts.2010.239053
  87. Bainbridge D., Cheng D.C., Martin J.E., Novick R. Evidence-Based Perioperative Clinical Outcomes Research Group. NSAID-analgesia, pain control and morbidity in cardiothoracic surgery. Can J Anaesth. 2006; 53: 46–59. DOI: 10.1007/BF03021527
  88. Kulik A., Ruel M., Bourke M.E., et al. Postoperative naproxen after coronary artery bypass surgery: a doubleblin randomized controlled trial. Eur J Cardiothorac Surg. 2004; 26: 694–700. DOI: 10.1016/j.ejcts.2004.07.004
  89. Sousa-Uva M., Head S.J., Milojevic M., et al. 2017 EACTS Guidelines on perioperative medication in adult cardiac surgery. Eur J Cardiothorac Surg. 2018; 53(1): 5–33. DOI: 10.1093/ejcts/ezx314
  90. Oliveri L., Jerzewski K., Kulik A. Black box warning: is ketorolac safe for use after cardiac surgery? J Cardiothorac Vasc Anesth. 2014; 28: 274–279. DOI: 10.1053/j.jvca.2013.07.014
  91. Nussmeier N.A., Whelton A.A., Brown M.T., et al. Complications of the COX-2 inhibitors parecoxib and valdecoxib after cardiac surgery. N Engl J Med. 2005; 352: 1081–1091. DOI: 10.1056/NEJMoa050330
  92. Ott E., Nussmeier N.A., Duke P.C., et al. Efficacy and safety of the cyclooxygenase 2 inhibitors parecoxib and valdecoxib in patients undergoing coronary artery bypass surgery. J Thorac Cardiovasc Surg. 2003; 125: 1481–1492. DOI: 10.1016/s0022-5223(03)00125-9
  93. Landoni G., Isella F., Greco M., et al. Benefits and risks of epidural analgesia in cardiac surgery. Br J Anaesth. 2015; 115: 25–32. DOI: 10.1093/bja/aev201
  94. Потиевская В.И., Гридчик И.Е., Грицан А.И. и др. Седация пациентов в отделениях реанимации и интенсивной терапии. Клинические рекомендации ФАР от 30 марта 2018 г. Анестезиология и реаниматология. 2018; 63(2): 165–175.[Potievskaya V.I., Gridchik I.E., Grican A.I., et al. Sedaciya pacientov v otdeleniyah reanimacii i intensivnoj terapii. Klinicheskie rekomendacii FAR ot 30 marta 2018 g. Anesteziologiya i reanimatologiya. 2018; 63(2): 165–175 (In Russ)]
  95. Gerbeshagen H., Aduckathil S., Van Wijck A., et al. Pain intensity on the first day after surgery. Anesthesiology, 2013; 118: 934–944. DOI: 10.1097/ALN.0b013e31828866b3
  96. Barreveld A., Correll D., Liu X., et al. Ketamine decreases postoperative pain scores in patients taking opioids for chronic pain: results of a prospective, randomized, double-blind study. Pain Med. 2013; 14(6): 925–934. DOI: 10.1111/pme.12086
Лицензия Creative Commons

Это произведение доступно по лицензии Creative Commons «Attribution-NonCommercial-ShareAlike» («Атрибуция — Некоммерческое использование — На тех же условиях») 4.0 Всемирная.

Наиболее читаемые статьи этого автора (авторов)

1 2 3 > >>