Postoperative analgesia. Guidelines
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postoperative pain
multimodal analgesia
pain pharmacotherapy
opioid analgetics
non-steroidal anti-inflammatory drugs
regional analgesia
infiltration analgesia
peripheral nerve blockade
epidural analgesia

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Ovechkin AM, Bayalieva AZ, Ezhevskaya AA, Eremenko AA, Zabolotskij DV, Zabolotskikh I, 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.


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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.
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